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INVENTORY
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA } SS
COUNTY OF Cumberland File Number 01335
Andrea M. Lac
Personal Representative(s)of the Estate of Dolores M. SChflel@I' ---
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 decedenYs death, and that Decedent owned no real estate
outside of the Commonwealth of Pennsylvania except that whi ppears in a memoran��um at the end of this inventory.
I verify that the statements made in this Inven- � � r��r.,�c..��(_ . - -----
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tory are true and correct. I understand that false state- Andrea M. LaCy � �„
ments herein are made subject to the penalties of �
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18 Pa.C.S. §4904 relating to unsworn falsification to � p � G„� �
authorities. ._ _--- �-f�-� _-�- �n�r:__.-
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(Supreme Co
Attomey-- (Name) nard Tin ner, Esquire _ _ _ _ . . �, '� �
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(Firm) Boswell,Tintner 8� Piccola ' '' - `� �'
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Address) _ - — — ; -L fi-� Crt
( 315 North Front Street, Harrisbur�PA 17101 __ __ � —_ � �- —
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(Telephone) 717-236-9377 . � Q =� —-
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DECEDENT'S SOC.SEC.NO.
DATE OF DEATH LAST RESIDENCE 940 Walnut Bottom Road
11127I2013 Carlisle, PA 17013 201-26-1292
FIGURES MUST BE TOTALED
Personal Propertv
Cash............................................................................................... 4,681.57
Personal Property........................................................................
StockslListed................................................................................
StockslCloselyHeld.....................................................................
Bo n d s............................................................................................
MutualFunds................................................................................
Partnerships and Sole Proprietorships .....................................
Mortgages and Notes Receivable...............................................
AllOther Property........................................................................
Total Personal Pro ert 4,681.57
p Y........................................
Total Real Property................................................
Total Personal and Real Property........................ 4,681.57'
NOTE: Item but�such�f gures should ntot be e�tended Inrto the t taltof helnvent ry�(See 20tPaeClSc§3301t(b))personal representative include the value of each
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lNVENTORY
REGISTER OF WILLS OF _ CUMBERLAND COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA } SS File Number 01335 .
COUNTY OF Cumberland } ——
DECEDENT'S SOC.SEC.NO.
DATE OF DEATH LAST RESIDENCE 940 Walnut Bottom Road
11127/2013 Carlisle, PA 17013 201-26-1292
�b 4,681.57
Orrstown Bank
Total Cash 4,681.57
(Attach additional sheets if necessary)
Total Personal Property and Real Estate 4,681.57