HomeMy WebLinkAbout94-06882
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(a) Name: Rebecca L, Hillebert
Address: 1822 Walnut Bottom Road, Newville, Cumberland County, PA 17241
Social Security No,: 206-54-7758
(b) Employment
If you are presently employed, state
Employer:
Address:
Salary or wages per month: $
Type of work:
If you are presently unemployed, state
Date of last employment:
Salary or wages per month:
Type of work:
(c) Other income within the past twelve months
Business or profession: NI A
Other self-employment: N/A
Interest: NI A
Dividends: N/A
Pension and annuities: N/A
Social security benefits: NI A
Support payments: N/A
Disability payments: N/A
Dr.employment compensation and supplemental benefits: N/A
Workman's compensation: N/A
Public Assistance: $316 per month
Other:
Food Stamps: $182 per month
(d) Other contributions to household support
Name:
Employer:
Salary or wages per month:
Type of work:
Contributions from children:
Contributions from parents:
Other contributions:
(e) Property owned
Cash: N/A
Checking account: N/A
Savings account: N/A
Certificates of deposit: NI A
Real estate (including home): N/A
Motor vehicle: 1985 Ford Tempo
Cost , Amount Owed $0
Stocks; bonds: NI A
Other: N/A
(0 Debts and obligations
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Nor I "31 AN '95
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CJf TlfE PROTHON?T.r.y
CUI/BERLAND COUNT.,
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