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INVENTORY
REGISTER OF WILLS OF CUMBERLAND COUNTY,PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA � SS 21-12-1269
COIINTY OF CUMBERLAND File Number
Arlene M. Koser, AdministratrDOROi'HY M.DURHAM
Personal Representative(s)of the Estate of
deceased,depose(s)and say(s)that the items appearing in the following inventory include all of khe personal assets wherever situate
and all of the real estate in the Commonwealth of Pennsylvania of said Decedent,that the valuation placed opposite each item of said
inventory represents its fair value as of the date of the decedent's death, and that Decedent owned no real estate outside of the
Commonwealth of Pennsylvania except that which appeazs in a memoranduxn at the end of this inventory.
I verify that the statements made in this Inven- `��� �}'J . �j�g/�
tory are uue and cotrect I understand that false state- AP 1 ene M. KO Ser
ments herein are made subject to the penalties of
18 Pa.C.S. § 4904 relating to unsworn falsification to
authorities.
Attorney-- (Name) Madin R.McCaleb,Es9 (Supreme Court LD.No.) 6353
(Address) 219 East Main Street,Mechanicsburg,PA 17055
(Te[ephone) �»-691-7770
DATEOFDE4TH IASTftE510ENCE DECEDENT'SSOC.SEC.NO.
02/28/2011 M[.Holly Springs,PA
FIGURES MUST BE TOTALED
(See contirmation pages attached) 33,985.43
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(Attach additionnf sheets as needed)
TOTAL: 33,985.43
NOTE: The Memorandum of real esiate outside the Commonwealth of Pennsylvania mag at the election of the personal representative include the value of each
item,but such figures should not be extmded into[he total of Ihe Invenrory. (See 20 Pa.C.S§330!(b))
Form RW-09 rev.IOJ3.06 I �
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� ,
INVENTORY
Estate of: Dorothy M. Durham
Date of Death: 02/28/2011
County: Cumberland
CASH:
Coins in Decedent's 20.50
possession.
PNC Bank, - Checking Account 2,107.33
No. 5140401423: principal
balance as of D.O.D. :
$2,107.32; interest accrued
to D.O.D. : $0.01.
--------------
2,127.83
PERSONAL PROPERTY:
------------------
1988 Eaton Park mobilehome, - 12,500.00
(26' x 52' ); value based on
sale to Deborah R. Wolf at
public auction.
Diamond engagement and wedding 50.00
rings,
Hollinger Funeral Home & 5,557.00
Crematory, - pre-need
funeral contract dated
09/17/2001.
Household goods, contents, 689.25
furniture and furnishings, -
value based on proceeds of
public sale.
Pennsylvania Department of 300.00
Revenue, - 2011 rent rebate.
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