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INVENTORY -��
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REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLV�c�IIA < >
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COMMONWEALTH OF PENNSYLVANIA } SS -- _— — — —
courvn oF Cumberland File Number 21 - 14 -00673 __
Jessica Shadle
Personal Representative(s)of the Estate of CUIt011, LaVerne J.
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 represen!s its fair value as of the date of the decedenYs 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.
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I verify that the stateme�ts made in this Inven- '�1�J�'�--c\� �
tory are true and correct. I understand that false state- � Jessica Shadle
ments herein are made subject to the penalties of
18 Pa.C.S. §4904 relating to unswom falsification to } _ ____
authorities.
Attorney-- (Name) Terrence J Kerwin (Supreme Court I.D.No.) 29922 _
(Firm) Kerwin & Kerwin, LLP ____
(Address) 4245 State Route 209
Elizabethville, PA 17023
(Telephone) 717/362-3215
DATE OF DEATH ' LAST RESIDENCE 316 Belaire Drive DECEDENTS SOC.SEC.N0.
6/29/2014 Shiremanstown, PA 17011 201-18-7293
FIGURES MUST BE TOTALED
Personal Propertv
151 shares Mid Penn Bancorp Stock,valued at$15.82 as of date of death for a 2,388.82
total value of$2,388.82.
259 U.S. Savings Bonds, Series EE 52,591.80
Refund -Erie Insurance 44.00
1999 Oldsmobile 88 Sedan 2.000.00
Fulton Bank Certificate of Deposit 13,418.25
Account#U22-0164867
(Attach additional sheets if necessary) Total Personal Property and Real Estate $528,575.74
__ , ,
INVENTORY
(continued)
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA } SS
couNn oF Cumberland File Number 21 - 14-00673 _
DATE OF DEATH LAST RESIDENCE 316 Belaire Drive DECEDENT'S SOC.SEC.NO.
6/29/2014 Shiremanstown, PA 17011 201-18-7293
Fulton Bank Certificate of Deposit 12,810.96
Account#022-0172563
Fulton Bank Certificate of Deposit 7,741.36
Account#022-0186607
PSECU Savings Account(S1) 318.20
PSECU Certificate (S51) 13,118.19
PSECU Certificate(S52) 12,791.27
PS�CU Certificate (S53) 13,714.83
PSECU Certificate (S54) 10,235.37
PS�CU Certificate (S56) 14,440.07
PSECU Certificate(S57) 7,22�'98
PSECU Certificate (S62) 11,316.63
PSECU Certificate (S63) 9,738.02
Wells Fargo Certificate of Deposit 12,627.27
Account#XXX3715
Wells Fargo Certificate of Deposit 3,593.87
Account#XXX1968
M &T Bank Checking Account#24921203 71,272.08
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INVENTORY
(continued)
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA
couNrr oF Cumberland } SS File Number 21 - 14-00673
DATE OF DEATH LAST RESIDENCE 316 Belaire Drive DECEDENT'S SOC SEC N0.
6129/2014 Shiremanstown, PA 17011 201-18-7293
M 8 T Bank Certificate of Deposit 5,996.88
Account#31003916013219
Santander Certificate of Deposit 21,889.42
Account#7672495003
Santander Certificate of Deposit 25,410.23
Account#7672495119
Santande�Certificate of Deposit 11,651.67
Account#1685226647
Mid Penn Bank Certificate of Deposit 11,948.74
Account#309003116
Mid Penn Bank Certificate of Deposit 21,731.08
Account#309003117
Baldwin wall clock and vase, chair,sofa, marble top table, pictures 200.00
Brown Citrine ring with two diamonds 200.00
Gold chain 25.00
Lester piano 200.00
Pewter; opal ring with diamonds 200.00
Emerald ring with diamonds 200.00
Tables, Flossie Flirt doll, rocker, doll, opal ring with red stones 300.00
Heubach doll and crib, cuckoo clock, desk and chair, black bench 200.00
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INVENTORY
(continued)
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF Cumberland } SS File Number 21 - 14 -00673 _
DATE OF DEATH LAST RESIDENCE 316 Belaire Drive DECEDENT'S SOC.SEC.N0.
6/29/2014 Shiremanstown, PA 17011 201-18-7293
Remaining dolis in collection (Paragraph 9th of Will) 300.00
Jewelry, Annalee dolls, Christmas decorations, Hilda and By-Lo dolls, organ 200.00
Total Personal Property 372,035.99
Real Estate
Real estate located at 316 Belaire Drive, Shiremanstown, Lower Allen Township, 156,539.75
Cumberland County,Tax Parcel#48-23-0557-113. Sold on 9/09/14 for net
proceeds of$156,539.75.
Total Real Estate 156,539.75
4