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INVENTORY
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVAN'
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COMMONWEALTH OF PENNSYLVANIA 1 CO� c- G) 0
COUNTY OF Cumberland } SS File Number 21-13-1139 1 �D r- Z -1 0
Lynne A. Esposito rn mm
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Personal Representative(s)of the Estate of John Brazen 0 0O -n D m T
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deceased,depose(s)and say(s)that the items appearing in the following inventory include all of the personal assets where' (n 0 I
situate and all of the real estate in the Commonwealth of Pennsylvania of said Decedent,that the valuation placed opposite
item of said inventory represents its fair value as of the date of the decedent's death,and that Decedent owned no real est2
outside of the Commonwealth of Pennsylvania except that which pp rs in a memorandum at th end of this inventory.
I verify that the statements made in this Inven-
tory are true and correct. I understand that false state- Lynne . Esposito {
ments herein are made subject to the penalties of
18 Pa.C.S.§4904 relating to unsworn falsification to
authorities.
Attorney-- (Name) Gregory K. Richards Esq. (Supreme CourtI.D. No.) 69335
(Firm) James, Smith, Dietterick 8r Connelly, LLP
(Address) 134 Sipe Avenue, Hummelstown, PA 17036
(Telephone) 717/533-3280
DATE OF DEATH LAST RESIDENCE 2100 Bent Creek Blvd DECEDENT'S SOC.SEC.NO.
10/14/2013 Mechanicsburq, PA 17050
FIGURES MUST BE TOTALED
Personal Property_
Cash............................................................................................... 8,386.99
Personal Property........................................................................ 1,000.00
Stocks/Listed................................................................................
Stocks/Closely Held.....................................................................
Bonds............................................................................................
MutualFunds................................................................................
Partnerships and Sole Proprietorships .....................................
Mortgages and Notes Receivable...............................................
AllOther Property........................................................................
Total Personal Property........................................ 9,386.99
Total Real Property................................................
Total Personal and Real Property........................ 9,386.99
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 M Pa.C.S.§3301(b))
Form RW-09 Rev.10-13-2006
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INVENTORY
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF Cumberland } ss File Number 21-13-1139
DATE OF DEATH LAST RESIDENCE 2100 Bent Creek Blvd DECEDENTS SOC.SEC.NO.
10/14/2013 Mechanicsburg, PA 17050
Cash
Metro Bank Checking Account#32039174-valued per letter dated December 19,2013 8,361.61
Accrued interest on above item through date of death 1.57
Metro Bank Savings Account#626039853-valued per letter dated December 19,2013 23.81
Total Cash 8,386.99
Personal Propert�rr
Personal Property 1,000.00
Total Personal Property 1,000.00
(Attach additional sheets if necessary) Total Personal Property and Real Estate 9,386.99