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INVENTORY
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND SS File Number 21 14 0671
Personal Representative(s)of the Estate of DORINE B. PAYNE
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- JUDIT INKOVI I z
ments herein are made subject to the penalties of
18 Pa.C.S. §4904 relating to wnsworn falsification to
authorities.
Attorney -- (Name) CHARLES E. PETRIE (Supreme Courtl.D.No.) 29029
(Address) 3528 BRISBAN STREET HARRISBURG PA 17111
(Telephone) (717) 561-1939
DATE OF DEATH LAST RESIDENCE DECEDENTS SOC.SEC.NO.
4837 E. TRINDLE ROAD
6/25/2014 MECHANICSBURG PA 17050
FIGURES MUST BE TOTALED
SALE OF 400 SHARES OF EXELON STOCK 25,356.60
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(Attach additional sheets as needed)
TOTAL: 25,356.60
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(6))
Form RW-09 rev. 10.13.06 \