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INVENTORY
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA 1 SS
COIJNTY OF CiJMBERLAND ) File Number 21 - 13-0955
Personal Representative(s)of the Estate of NLIA BORZOK
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�ppears in a memorandum at the end of this inventory.
I verify that the statements made in this Inven-
tory are true and conect. I understand that false state-
ments herein are made subject to the penalties of
18 Pa.C.S. § 4904 relating to unsworn falsification to
authorities.
Attorney-- (Name) Gregory S.Chelap,Esquire (Supreme Court I.D. No.) �g443
(Address) 17 S.2nd Street,6th Floor,Harrisburg,PA 17101
(Telephone) �17-233-1000
DATE OF DEATH LAST RESIDENCE DECEDENTS SOC.SEC.N0.
08/24/2013 151 N.21 st Street,Camp Hill,PA 17011
FIGURES MUST BE TOTALED
Please see attached 217,454.54
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(Attach additional sheets as needed)
TOTAL: 217,454.54
NOTE: The Memorandum of real estate outside the Commonwealth of Pennsylvania may, at the election of the personai representative include the value of each
item,but such figures should not be extended into the total of the Inventory. (See 20 Pa.C.S.§3301(b))
Form RW-09 rev. 10.13.06
Estate of Julia Borzok
Estate Inventory
Valued as of Date of Death
Cash and Cash Equivalents
CVS Caremark- Refund $ 150.02
M&T Checking Account Number
16624750 20,131.76
M&T Money Market Account No.
15004224864709 110,120.83
Interest at Date of Death 16.44
Messiah Village Refund 177.00
Peerless Insurance Company-
Refund 195.00
Sovereign Certificate of Deposit 5,144.97
Interest at Date of Death 3.10
Sovereign Checking 2,480.38
Interest at Date of Death 0.10
Woodmen of the World- Refund 59.47
Total Cash and Casi� Equivalents $ 138,479.07
Real Property
Proceeds from sale of 151 N. 21 st
Street, Camp Hill, Cumberland
County, PA 17011 $ 78,975.47
Total Real Property 78,975.47
TotalInventory $ 217,454.54
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