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Inventory of the real and personal estate of
CINDY L. CLOUSE
deceased.
1. Checking Account No. 23146028 in Dauphin Deposit Bank And
Trust Company, Carlisle, PennsylvAnia.
2. Savings Account No. 11-65977 in Dauphin Deposit Bank And Trust
Company, Carlisle, Pennsylvania.
3. Kinney Shoe Corporation, wage checks.
4. 1974 Volkswagen Sedan.
5. Unearned premium, Harleyville Insurance.
6. Refund, Federal Income Tax.
7. Refund, Pennsylvania Income Tax.
TOTAL
44 52
11 53
82 36
1,525 00
106 00
544 40
1 00
$2,314 81
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
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Charle.JLR. Clouse and Hary LA r:lol1se
being duly sworn according to law, deposes and says thatt hey are thp.
__ Administrators __ of the Estate of Cindy L. Clouse
late of --Lower~~1ifflin_TQwnship_~ ____ , Cumberland County, Pa., deceased and that the
within is an inventory made by ______ t-hpm __ _ _, 'the saidAnmini ~t:r::lt:nr~
of the entire estate of said decedent, consisting of all the personal~prop.rty and real estate, except real estate outside
the 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. ~
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R'oD. 3, I39x 274
Newville, ennsylvania 17241
Address
Sworn
and subscribed before me,
JANICE E. HERTZLER, NOTARY PUBLIC
Cumberland County Carlisle, Pa.
My Commission Expires January 27, 1979
Date of Death 26th
Day
December
Month
1977
Year
INSTRUCTIONS
I. An inventory must be filed within three months after appointment of personal representative.
2. A supplement inventory must be filed 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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