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INVENTORY
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND I
SS File Number 21-14-0986
Personal Representative(s)of the Estate of Henry L.Albert,a/k/a Henry L.Albert,Jr.,
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- 1 Helen° ic.�ett, xecutr
ments herein are made subject to the penalties of
18 Pa.C.S. § 4904 relating to unsworn falsification to
authorities.
Attorney-- (Name) Robert R.Church,Esq. (Supreme Court I.D. No.) 40385
(Address) Keefer Wood Allen&Rahal,LLP,P.O.Box 11963,Harrisburg,PA 17108-1963
(Telephone) (717)255-8059
DATE OF DEATH LAST RESIDENCE DECEDENT'S SOC.SEC.NO.
September 25,2014 4905 East Trindle Road,Mechanicsburg,PA 17055
FIGURES MUST BE TOTALED
I. Wells Fargo Bank-Checking Account#1000615626991 -Principal Balance-$53,678.44;Accrued
Interest- $0.36 53,678.80
2. Wells Fargo Bank- Savings Account#000003191814130-Principal Balance-$1,383.66; Accrued
Interest-$0.74 1,383.74
3. Wells Fargo Bank-Check Account#3790 0.00
4. Wells Fargo Bank-Savings Account#7270-Principal Balance-$11,294.60;Accrued Interest-$0.62 11,295.22
5. Wells Fargo Bank-Savings Account#1716 0.02
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6. Wells Fargo Bank- Savings Account#3102-Principal Balance-$4,321.06;Accrued Interest-$O.Q 5 � �; 121.09
7. U.S. Treasury-Decedent's 2014 Final Form 1040 Refund : 4n c32.00
8. Heartland Pharmacy Refund t -c 423.22
9. IRA funds received from IRA of Decedent's wife,Josephine D.Albert(who died 6-24-14) ? m -I- o X91.26
70
, F—' C,)
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(Attach additional sheets as needed)
TOTAL: 75,825.35
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(h))
Form RW-09 rev. 10.13.06 a��