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Register of Wills of Cumberland County
INVENTORY
Estateof John R. Druschel
Estate No. 21-2005-0777
Date ofDeath 8-19-2005
Social Security No. 177-46-2001
Also known as
, Deceased
Janice Jean Druschel
, Personal Representative(s) of
the above Estate. deceased, verify that the items appearing on 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, thatlhe valuation placed opposite each item of said inventory represents its fair
value as oflhe date of the Decedent's death, and that Decedent owned no real estate outside the Commonwealth of Pennsylvania except that which
appears in a memorandum at the end of this inventory (PEl' ~ 3301). lfWe verify that the statements made in this inventory are true and correcl.
I/We understand that false statements herein made are subject to the penalties of 18 Pa.C.s. Section 4904 relating to unsworn falsification to
authorities,
Name of Attorney: Robert C. Mav
!.D. No.: 65602
Address: 4330 Carlisle Pike
Camp Hill, PA 17011
Telephone: 717-612-0102
Personal Representative: Janice Jean Druschel
Address:
3901 Chestnut Street
Camp Hill, PA 17011
~_~J~~ $? 1b1L1Jd.d
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Signature:
Date:
Description
Value
All of the Membership Interests of a
Pennsylvania Limited Liability Company
named John R. Druschel & Associates, LLC
$0.00
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(Attach Additional Sheets if necessary)
Total $0.00
NOTE: The Memorandum of real estate outside the Commonwealth of Pennsylvania may, at the election of the personal representative, include lhe
value of each item, bUI sueh figures should not be extended into the total of the Inventory.
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