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INVENTORY -TJ
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVAN3A r tri
(y) ccs
COMMONWEALTH OF PENNSYLVANIA I SS 21-14-0717
COUNTY OF CUMBERLAND File Number
Yvonne A. Souder, Executrix
Personal Representative(s)of the Estate of VIRGINIA R. SWARTZ
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- Yvarille A. souder , Executrtx
ments herein are made subject to the penalties of 91 Elicker Road
18 Pa.C.S. § 4904 relating to unsworn falsification to PA t7()t5
authorities.
Attorney (Name) Keith 0. Brenneman (Supreme Court L D. No.) 47077
(Address) 44 West Main Street, Mechanicsburg, PA 17055
(Telephone) 717-697-8528
DATE OF DEATH LAST RESIDENCE DECEDENT'S SOC.SEC.NO.
07/10/2014 5490 Rivendale Blvd., Hampden Twp.,Mechanicsburg, PA 17050
1 FIGURES MUST BE TOTALED
1. Real Estate located at 5490 Rivendale Blvd.,Hampden Township,Cumberland County,Mechanicsburg 262,647.00
PA, 17050(valued determined using Common Level Ratio)
2. PPL Corporation,20 shares of common stock valued at$34.24 per share 684.80
3. Cumberland Valley Cooperative Assn.,decedent's share in association 510.00
4. Household goods,appraised value 1,935.00
5. 200 Chevy Impala,sale value 3,500.00
6. PNC Bank,checking account#5070086105 8,950.89
7. PNC Bank,savings account#5003174623 712.20
8. Member's I st Federal Credit Union,Savings account#294131-00 25.00
9. Member's I st Federal Credit Union,investment savings account#294131-05 106,166.55
10. Member's 1st Federal Credit Union,checking account#294131-1 1 12.95
11. Verizon,refund due the decedent on phone service 33.45
12. Sprint,monthly payment for placement of cell phone tower on property formerly owned by Decedent 605.00
13. PPL Corporation,dividend payment due the decedent 7.45
14. Internal Revenue Service,refund due on 2014 Income Tax 550.00
15. PA Department of Revenue, refund due on 2014 Income Tax 125.00
(Attach additional sheets as needed)
IOTA i.: 386,465.29
NOTE: The Memorandum of real estate outside the Commonwealth ol'Pennsylvania may,at the election of the personal representative include the value of each
item,but such J'19UrCS Should not be extended into the total of the inventory. (See.20 Pa.CS§3301(6))
rorm Rif-09 rev. /0.13.06