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INVENTORY
REGISTER OF WILLS OF CUMBERLAND COUNTY,PENNSYLVANIA
CONlMONWEALTEI OF PENNSYLVANIA i SS 2113•03I2
co�rv oF CUMBERLAND J File Number
Pers nal Representative(s)of The Estate af sulia Smith
dece�ed,depose(s)and say(s)that the items appearing in the following inveatory include alt ofihe personal assets wherever situate
and I of the real estate in the Commonweaith of Pennsylvania af said Decedent,that the valaation piaced oppasite each item of said
inve�ory represents its fair value as of the date of the decedent's death, and that Decedent o ed no re estate outside of the
Com onwealch of Pennsylvania except that which appears in a memorandurn the end of tK inventory.
I verify that the sCatements made in this Inven- �
tory e ave and correct. 1 understand that false state-
ments herein aze made subjeci to the penalties of
I S Pa.C.S. � 4904 retating to unsworn falsification to
autho kies.
Attor�ey-- (Name) Jane M.A(exander,Esquira (�upreme Court LD. No.J��55
/Address} !4$$.Battimqre Street,P.O.Box 421,Dillsbwg,PA 11p14-042�
(Telephone} �71?}432-45I4
DATE OEATM LAST RESIOENCE DECEDENT'S SOC.SEC.NO.
Mareh ,2013 1Q5 Fie(dstone Road,Camp Hilt,PA I70I1
F[Gi1RES MIIST BE TOTALED
I. M& Bank personal chacking account no.99824994 6,802.54
2. allfi t Sank now M&T Bank-personat checking account no.950266283 327.58
3� M& Bank CD#3 t003913919909 1,043.25
4. Net p oeeeds from public sale 6J2712013 1,445.90
S. Jacks n Nationa!Life Insuwanee Company PoKcy No. 1000959495 43,543.10
(Beu ficiaries:Jay A.Smtth,MiCCheJI Srnitlt,Miehelle L.Knnkle)
6. Jaok a Natianal Life Tnsuance Company Poticy No. 1600454479 4,087.95
($ene �oiedes:Jay A.Smith,Mitchell Smith,Michelie L.Kunkte) �
7. U5G nnuity&Life Company Policy No.US 063476 G �-' �6�9.0$
(Bene iciaries:Michelte L.Kunkie} W � � �
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(Attach a itionat sbrets as xeeded) R
TOTAL: 73,459.4i
NOTF: The emargndum of real estate outside the fommqnwealth af PennsyWania may, et the electron of the pereunal rc}ttesentativc ineiude ehe vaive of each
ixem, ut such figures shovtd na 6e<xterided into the lotai ot[he Inventory. (See 2G Pp.CS.,$330!(b))
Form RW'R9 r v. 10.73.06 `��
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