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� INVENTORY
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA
couNn oF Cumberland } ss File Number 21-13-01208
Jeffrey L Garrett and Cecelia J Kent
Personal Representative(s)of the Estate of Roger C Garrett Sr
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deceased,depose(s)and say(s)that the items appearing in the following inventory include all of the per�nebassets wfiere� �
situate and all of the real estate in the Commonwealth of Pennsylvania of said Decedent,that the valua n ced oF�site e.ac,�'
item of said inventory represents its fair value as of the date of the decedenYs death,and that DecedenY�t��¢-go re�esta�'p; �
outside of the Commonwealth of Pennsylvania except that which appears in a memorandum at the end� rrrventory. ••-�� �'�
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I verify that the statements made in this Inven- (_ w,y �� :.-, � ] �.�
tory are true and correct. I understand that false state- � eff L Garrett — � '�` ` ' �'
ments herein are made subject to the penalties of � ��� � ��� � �`-�,� � � �`'� ���
18 Pa.C.S. §4904 relating to unsworn falsification to CeCella J K� � _ � �-' �--� �
authorities. � --i N �..�_. m
o 'n
Attorney-- (Name) DAVID W DELUCE (Supreme Court I.D.No.) 41687
(Fim') Johnson Duffie
(address) 301 Market Street, Lemoyne, PA 17043
(Te�ephone) 717-761-4540
DATE OF DEATH LAST RESIDENCE g Forge Road DECEDENT'S SOC.SEC.N0.
11/07/2013 Camp Hill, PA 17011
FIGURES MUST BE TOTALED
Personal Prot�ertv
Cash............................................................................................... 99,116.36
Personal Property........................................................................ 250.00
Stocks/Listed................................................................................
Stocks/Closely Held.....................................................................
Bonds............................................................................................ 1,069.72
MutualFunds................................................................................
Partnerships and Sole Proprietorships .....................................
Mortgages and Notes Receivable...............................................
AllOther Property........................................................................
Total Personal Property........................................ 700,436.08
Total Real Property................................................ 127,900.00
Total Personal and Real Property........................ r 228,336.0�
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 extended into the total of the Inventory.(See 20 Pa.C.S.§3301(b))
Form RW-09 Re�.�o-�s-2oos
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INVENTORY
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA
couNn oF Cumberland } ss File Number 21-13-01208
DATE OF DEATH LAST RESIDENCE g Forge Road DECEDENTS SOC.SEC.N0.
11/07/2013 Camp Hill, PA 17011
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Hartford Insurance-Refund on AccountlPolicy Cancellation 120.00
PNC Bank Individual Checking Account No.�5115131142 -Date of Death Letter is 97,794.06
Attached
PP&L-Refund on Account 187.31
Real Estate located at 8 Forge Road,Camp Hill, Lower Allen Township, Cumberland 844.75
County, PA-Reimbursements/Refunds for County&School Taxes and Sewer
Payments
State Employee Retirement System-Remaining retirement benefit 170.24
Total Cash 99,116.36
Personal Pronert�
Personal property-Most/All decedent's personal property was sold/disposed of prior 250.00
to death
Total Personal Property 250.00
Bond�
13 United States Series EE Savings Bonds-Valued using Savings Bond Calculator and 1,069.72
is attached to this Return
Total Bonds 1,069.72
Real Estate
Real Estate located at 8 Forge Road,Camp Hill, Lower Allen Township, Cumberland 127,900.00
County, PA-Contracted Sales Price. Real Estate sold on December 4, 2013.A copy of
the HUD-1 Settlement Sheet is attached
(Attach additional sheets if necessary) Total Personal Property and Real Estate 228,336.08
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INVENTORY
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA
couNn oF Cumberland } ss Fite Number 21-13-01208
DATE OF DEATH LAST RESIDENCE g Forge Road DECEDENTS SOC.SEC.N0.
11/07/2013 Camp Hill, PA 17011
Total Real Estate 127,900.00
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