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Register of Wills, Cumberland County, Pennsylvania
INVENTORY
, Deceased
No. 21-06-0313
Date of Death 03/22/2006
Social Security No. 198-18-9868
Estate of Marian L Jefferies
also known as
Randal F. Leiby Barbara Campbell
. ........--.... ..-...-----.. .--
The Personal Representative(s) ofthe ail"ave 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. I/We 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.
-H
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Ral)dal F; Leiby . 1" -
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Barifclra Campbell
Attorney:
Patricia R. Brown, Esq.
Signature:
1.0. No.:
Signature:
Signature:
Firm: SALZM~NN HUGijj;S PC
Address: 354 Alexander Spring Road, Suite 1
Carlisle, PA 17013
Telephone: 717-249-6333
Address: P.O. Box 259
Enola, PA 17025
Telephone: 717732 87
J (1\ 1.J~
u",lL1l~ UI(J
Dated:
Personal Property
Cash...............................................................................................
Personal Property.........................................................................
Stocks/Listed...... ..... .................................. .......... .......... ................
Stocks/Closely Held ..... ................. ............ ..... ..... ..........................
Bonds. ........... ..... ....... ..... ..... ............ .............................. ..... ..... .......
Partnerships and Sole Proprietorships .....................................
Mortgages and Notes Receivable...............................................
All Other Property.........................................................................
11,500.00
2,670.00
81,125.53
Total Personal Property.........................................
95,295.53
Total Real Property................................................
95,295.53 I
Total Personal and Real Property.........................
Total Out-of-State Real Property..........................
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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF I~JDIVIDUAL TAXES
DEPT 280601
HARRISBURG, PA 17128-0601
REV-1162 EX(11-96)
RECEIVED FROM:
PENNSYLV ANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
CAMPBELL BARBARA
322 LINCOLN STREET
MARYSVILLE, PA 17053
__n~_n fold
ESTATE INFORMATION: SSN: 198-18-9868
FILE NUMBER: 2106-0313
DECEDENT NAME: JEFFERIES MARIAN L
DA TE OF PAYMENT: 06/19/2006
POSTMARK DATE: 06/1 9/2006
COUNTY: CUMBERLAND
DA TE OF DEATH: 03/22/2006
NO. CD 006848
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
101 I $6,810.42
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TOTAL AMOUNT PAID:
$6,810.42
REMARI<S: BARBARA CAMPBELL
CHECI<# 112
SEAL
INITIALS: CM
RECEIVED BY:
REGISTER OF WILLS
GLENDA FARNER STRASBAUGH
REGISTER OF WILLS