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INVENTORY
R.EGISTER OF WILLS OF C U M B E RLAN D COUNTY,PENNSYLVANIA
COMMONWLALTH OF PENNSYLVANTA
COUNTY OP CUMBERLAND SS File Niunber 21-15-0381
MARK A. WYANT AND TERRY L. WYANT, CO—EXECUTORS
Personal Representative(s)of the Estate of D011ald C. Wyaftt
deceased,depose(s)and say(s)that the items appearing in tt�e fallowing inventory include all of the personal assets wherever situate
and all of the real estate in the Cornmonwealth of Pennsylvania of said Decedent,that the vaIuation 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 PennsyIvania except that which appears in a memorandum at the end of this inventory.
I verify that the statements made in this Inven- �l� � ��A�,
tary axe true and correct. T understand that false state- � (signature)
ments herein are nnade subject to the penalties of
18 Pa.C.S. § 4904 re7ating to unswflrn falsification to ignature)
authorities.
Attorney-- (Name) Peter R. Henninger, Jr. (Supreme Court I.D,1vo.) 44873
(Adaress>_339 W Governor Rd., Ste 201, Hershey, PA 17033
(Telephone) 717-533-7113
OATE OF DEATH LAS7 RESIDENCE DECEpENTS SOC.SEC.N0.
03/18/15 709 S 21st St., Camp Hili, PA 17011
TIGURES MUST BE TOTALED
1. Jersey Shore State Bank - checking acct# 1395440 22,078.24
2. Jersey Shore State Bank - savings acct# 7564791 6,969.83
3. Mutual of Omaha - insurance refund 10.20
4. Met Life - pension payment 137.92
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(Altach additional slteets as needed) �,.� �
TOTAL: 29,196�''�9
NOTH: The Memorandum of real estate outside tha Commonwealth of Pennsyivania may,at the election of the personal representarive include the value of eaoh
item,but such figtues shoutd not be extended into the total of the Inventory. (See 20 Pa.C.S,§3301(b))
Form RW-D9 rev.10.13,06 RW-09
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