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Inventory of the real and personal estate of
KATHRYN 1. FORSYTHE
deceased.
Real Estate
None
Tangible Personal Property
1.
Jewelry, appraised at
Intangible Personal Property
2.
Principal cash balance from Kathryn I. Forsythe Guardianship
No. 13809-009
3.
Claim payment from Pennsylvania Blue Shield transferred from
Kathryn I. Forsythe Guardianship No. 13809-009
4.
Refund from PP&L
5.
Refund from United Telephone Company
6.
Claim payment from Medicare
7.
Claim payment from Pennsylvania Blue Shield
8.
Refund from Swaim Health Center, patient remittance
9.
Proceeds Redemption CNB Checking Account 181-361578-6
Total Personalty
$'165 00
J
--J _
., .
"/ .
V
'- .-
12,136 28
101 60
16 73
10121
45 12
11 28
936 00
864.50
$14,286 72
COMMONWEALTH Of PENNSYLVANIA
COUNTY Of CUMBERLAND
55:
)
_RQber:t _K.Jl,eitzel Trust Manager IIL()f the Commonwealth National Bank
being duly according to law, deposes and says thaft he Executor
___ _________ _________ of the Estate of Kathryn I. Forsythe
late of ___ the Borough of Carlisle ______~, Cumberland County, Pa., deceased and that the
wilhin is an invenlory made by ___The Commonwealth Nat!onal BaEk__, the said executor
of Ihe enlire eslate of said decedent, consisting of all the personal proputy and real estate, except real estate outside
Ihe Commonwealth of Pennsylvania, and that the figures opposite each item of the Inventory represent it's fair value
as of the date of decedent's death. //
~;~ ,"b'~b'd ,:'f;"qm., I
\l't/YVl (jJ'0"Uj-n'LJ<2-~V'j
LANA CHRONISTER ..
C I ' "~I'l';o"\, P1Jblic
dr.~sre, Curnbt!rli!nd r". p,
M C - ,
Y ommission Expires Nov. 14, 1981
;'
1 North Hanover Street
Carlisle. Pennsylvania 17103
Addren
Date of Death ____
31
July
Month
1978
Day
Yeu
INSTRUCTIONS
I. An inventory must be filed within three months after appointment of personal representative.
2. A supplement inventory must be fjled within thirty days of discovery of additional assets.
3. Additional sheets may be attached as to personalty or realty
4. See Article IV, Fiduciaries Act of 1949.
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