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INVENTORY
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF SS File Number 2014-00594
Personal Representative(s)of the Estate of KATHRYN R. STAUB
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 appeals in a memorandum at the end of this inventory.
verify that the statements made in this Inven- Iy��
tory are true and correct. 1 understand that false state-
ments herein are made subject to the penalties of
18 Pa.C.S. § 4904 relating to unswom falsification to
authorities.
Attorney-- (Name) Sharon R. Paxton (Supreme Courl J.D. No.) 58852
(Address) 100 Pine Street,P.O.Box 1166,Harrisburg,PA 17108-1166
(Telephone) (717)237-5393
DATE OF DEATH LAST RESIDENCE DECEDENT'S SOC.SEC.NO.
June 6,2014 14 Hemlock Drive,Mechanicsburg,Cumberland County,PA
FIGURES MUST BE TOTALED
SEE ATTACHED 79,901.28
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(Attach additional sheels as needed)
TOTAL: 79,901.28
NOTE: The Memorandum of real estate outside the Commomvcalth of Pennsylvania may,at the election of the personal representative include the value of each
item,but such figures should not be ea1cnded into the total ofthe Inventory. (See 70 Po.C.S.§3301(6))
Form RIV-09 rev.10.13.06
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Estate of KATHRYN R. STAUB
Estate Inventory
Valued as of Date of Death
Cash and Cash Equivalents
Highmark - Refund $ 184.36
PA Department of Revenue -
Property Tax Rebate (2013) 250.00
100 PNC Bank Certificate of Deposit,
Account No. 31400295293 23,064.18
Interest at Date of Death 1.82
PNC Bank Interest Checking
Account,No. 50-7008-5794 6,103.78
Interest at Date of Death 0.01
PNC Bank Performance Money
Market, Account No. 50-3012-1316 38,410.09
Interest at Date of Death 0.10
Woods -Nursing Home Refund 3,442.00
Total Cash and Cash Equivalents $ 71,456.34
No. of
Shares Stocks
330 ACNB Corporation $ 62401.34
Dividend at Date of Death 62.70
36 MetLife 1,968.30
Dividend at Date of Death 12.60
Total Stocks 8,444.94
Total Inventory $ 79,901.28
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