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Register of Wills, Cumberland County, Pennsylvania
INVENTORY
, Deceased
No. 21-05-0657
Date of Death 07/11/2005
Social Security No. 206-26-8447
Estate of Rose M. Hosterman
also known as
Susan M. Hamm
The Personal Representative(s) of the above Estate, deceased, verify that the items appearing in the following Inventory
include all of the personal assets wherever situate and all of the real estate located 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 the Decedent owned no real estate outside of the Commonwealth of Pennsylvania except
that which appears in a memorandum at the end of this Inventory. lfWe verify that the statements made in this Inventory
are true and correct. I/We understand that false statements herein are made subject to the penalties of 18 Pa. C. S.
Section 4904 relating to unsworn falsification to authorities.
Attorney:
Jennifer B. Hipp
Personal Reoresentative
Signature: ~} ~~ '--\'Y\. ~'n\.....J'YV\
Susan M. Hamm
I.D. No.:
86556
Signature:
Signature:
Firm: Boaar and HiDD Law Offices
Address: 1 West Main Street
Shiremanstown, PA 17011
Telephone: 717-737-8761
Address: 400 Stonehedge Lane
Mechanicsburg, PA 17055
Telephone: 717-766-5953
Dated:
Personal ProDertv
Cash.............................................................................................. .
Personal Property.... .... ..... ... .... .... ...... .......... ....... ... ..... .... ....... .......
Stocks/Listed... ...... ...... ...... ......... .... ..... ...... .... ..... .... .... .... ........ .......
Stocks/Closely Held...... ... .... ..... .... ..... ...... ..... .... ... .... ..... ........ ........
Bonds.... ...... .... ... ...... .... .... ..... ... ...... ..... ... ..... ....... ..... .... ... ... ..... ... .....
Partnerships and Sole Proprietorships .....................................
Mortgages and Notes Receivable...............................................
All Other Property.... .... ..... ... .... .......... .......... ...... ......... .... ....... .......
1,200.00
Total Personal Property............. ........ .......... ..........
1,200.00
Total Real Property......... ...... ......... ........................
TO!IPetsonal and Real Property.........................
1,200.00 I
r Z' ; f ~! J ~_: l'
Totai Ouf-of-State Real Property..........................
c
...
Register of Wills, Cumberland County, Pennsylvania
INVENTORY
Estate of Rose M. Hosterman
also known as
No. 21-05-0657
, Deceased
Date of Death 07/11/2005
Social Security No. 206-26-8447
Personal ProDertv
Personal Property - Sold at Private Sale
1.200.00
Total Personal Property
1.200.00
(Attach additional sheets if necessary)
Total Personal Property and Real Estate
1.200.00