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INVENTORY
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF Cumberland }.SS File Number 21-14-1140
Mark A Mateya
Personal Representative(s)of the Estate of Lillian M Kiesling
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 ap ears i a me orandum at the end of this inventory.
1 verify that the statements made in this Inven- �C o
tory are true and correct. I understand that false state- Mark A Mateya `'`�
C) rn
ments herein are made subject to the penalties of 3r ::6C— C> p
18 Pa.C.S.§4904 relating to unsworn falsification to Fn U o Q
authorities. :Z rTt t-n 17,11
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Attorney- (Name) Mark A. Mateya (Supreme Court.No.) 78@!l
(Firm) Mateya Law Firm cz, ,v o
(Address) 55 W. Church Avenue, Carlisle, PA 17013
(Telephone) 717-241-6500 -
DATE OF DEATH LAST RESIDENCE 210 Big Spring Road DECEDENT'S SOC.SEC.NO.
11/23/2014 Newville, PA 17241
FIGURES MUST BE TOTALED
Personal PropertX
Cash............................................................................................... 7,001.93
Personal Property........................................................................ 2,000.00
Stocks/Listed................................................................................
Stocks/Closely Held.....................................................................
Bonds............................................................................................
MutualFunds................................................................................
Partnerships and Sole Proprietorships .....................................
Mortgages and Notes Receivable...............................................
All Other Property......................................................................... 8,949.33
Total Personal Property........................................ 17,951.26
Total Real Property................................................
Total Personal and Real Property........................ 17,951.26
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(b))
Form RW-09 Rev.10-13-2006
INVENTORY
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF Cumberland } ss File Number 21-14-1140
DATE OF DEATH LAST RESIDENCE 210 Big Spring Road DECEDENT'S SOC.SEC.NO.
11/23/2014 Newville, PA 17241
Anthem Bluecross&BlueShield-Refund 78.38
PNC Bank-Decedent's Checking Account No. 5140034141 6,923.55
Total Cash 7,001.93
Personal Property
Miscellaneous Furnishings-Household furnishings including Mahogany table and 2,000.00
costume jewelry
Total Personal Property 2,000.00
All Other Property
Myers Harper Funeral Home-Pre-paid funeral account 8,949.33
Total All Other Property 8,949.33
(Attach additional sheets if necessary) Total Personal Property and Real Estate 17,951.26