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HomeMy WebLinkAbout07-03-06 Cumberland County Register of Wills, Pennsylvania INVENTORY Estate of Irene M. ziQner No. 21 05 1071 also known as , Deceased Date of Death 10/3/2005 Social Security No. 164-26-8237 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 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 Decedent owned no real estate outside 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 made are subject to the penalties of 18 Pa. C.S. Section 4904 relating to unsworn falsification to authorities. Personal Representative: Name of Attorney: Marielle F. Hazen Gary ZiQner I.D. No.: 68003 Address: 2000 LinQlestown Road, Suite 202 HarrisburQ Telephone: 717-540-4332 Dated PA 17110 Description Value Metlife Stock 1,584.00 Community Bank #1712417530 12,415.09 Community Bank Interest 178.90 West Short Pathology Refund 18.16 MetLife Stock Dividend 16.64 Total (Attach Additional Sheets if necessary) 14,212.79 NOTE: The Memorandum of real estate outside the Commonwealth of Pennsylvania may, at the election of the personal representative, include the value of each item, but such figures should not be extended into the total of the Inventory. RW-4 \.>