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INVENTORY
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF Cumberland } SS File Number 21-13-0852
Kimberly A. Horton-Underwood
Personal Representative(s)of the Estate of DAVID G. LEE
deceased, depose(s)and say(s)that the items appearing in the following inventory include all of the 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 appears in a memorandum at the end of this inventory.
I verify that the statements made in this Inven-
tory are true and correct.I understand that false state-
ments Herein are made subject to the penalties of y
18 Pa.C.S.§4904 relating to unsworn falsification to J
authorities.
Attorney-- (Name) John M.Smith {Supreme Court I.D. No.) 19520
(Firm) Gingrich,,Smith,Klingensmith B.Dolan
(Address) _222 S. Market Street, Suite 201 Elizabethtown PA 17022
(Telephone) (717)367-1370
DATE OF DEATH LAST RESIDENCE 7032 Wertzville Road OECEDENPS SOC.SEC.NO,
071181, Mechanicsburg, PA 17050
FIGURES MUST BE TOTALED
Personal Property
Cash............................................................................................... 68,859.83
PersonalProperty........................................................................
Stocks/Listed................................................................................
Stocks/Closely Held..................................................................... v
Bonds............................................................................................
4. .e-
Mutual Funds............... ................... .
Partnerships and Sole Proprietorships .....................................
Mortgages and Notes Receivable............................................... en :'+ r-n
AllOther Property........................................................................
Total Personal Property........................................ A te s?:
$859.64
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T"s: mi
rCA crr
Total Real Property................................................ 145,000.00
Total Personal and Real Property........................ 3
NOTE: The Memorandum of real estate outside the Commonwealth of Pennsylvania may at the election of the personal representative include the value of each
item,but such figures should not be emended into the total of the Inventory.(See M Pa.C.S.§3301(b))
Farm RW-09 Re,,ro-is2ws
{ INVENTORY
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF Cumberland } SS File Number 21-13-0852
DATE OF DEATH LAST RESIDENCE 7032 Wertzville Road DECEDENTS SOC.SEC.NO.
07/18/2013 Mechanicsburg, PA 17050
Cash
AmeriChoice Federal Credit Union Money Market Account#33212-0018-which 14,247.19
includes accrued interest of$12.38
Difference in the decedent's AmeriChoice account-from date of death ($14,247.19)to 148.26
closing($14,395.45)
HSBC Invest Certificate of Deposit Account#5ZV-087316 15,005.00
Member's let Federal Credit Union Certificate of Deposit 10,139.22
Personal property-gross proceeds sold at auction, includes the sale of the 2009 28,724.75
Nissan
Prorated taxes at real estate settlement 595.21
Total Cash 68,859.63
Real Estate
Real estate-located at 7032 Wertzville Road, Mechanicsburg, PA 17050,gross sale 145,000.00
price
Total Real Estate 145,000.00
(Attach additional sheets if necessary) Total Personal Property and Real Estate 213,859.63