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Register of Wills of Cumberland County, Pennsylvania
INVENTORY
Estate of
Hicks, Mary A
No. 21 - 05 - 00937
Date of Death 10/18/2005
also known as
, Deceased
Social Security No. 175-20-4950
Leslie M. Hicks, Jr.
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. 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.
I.D. No.:
19373
Personal Representa~t've 'j/ /J r,
Signature: ,e~2 6J'
Les ie M. Hicks, Jr.
Signature:
~~;6
Attorney:
Dale F Shughart. Jr. Esquire
Signature:
Address:
10 West High Street
Carlisle, P A 17013
Address: 211 Birch Lane
Carlisle, PAl 70 13
Telephone: 717/241-4311
Telephone: 717-297-4452
5/1 <6/l71~
Dated:
Personal Propertv
Clothing and personal effects.
0.00
M & T Bank checking account #2676014018
Principal 5,879.18
Interest -0-
5,879.18
SunLife Financial, refund
253.12
American General. final pension payment
50.00
.J
HighMark Blue Shield, refund
325.34
NeighborCare Pharmacy, refund
1,347.22
Total Personal Prc,perty
$7,854.86
(Attach additional sheets if necessary)
Total Personal Property and Real Estate
$7,854.86
( -.....