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INVENTORY
REGISTER OF WILLS OF
CUMBERLAND
COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA } SS
COUNTY OF Cumberland }
K. Beth Bianchi
File Number 21-07-0562
Personal Representative(s) of the Estate of
Helen D. Smith
deceased, depose(s) and say(s) 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 of the
Commonwealth of Pennsylvania except that which appears in a memorandum at the end of this inventory.
I verify that the statements made in this InVen-} y< ~ I:L ~ ~~L1_b'
tory are true and correct. I understand that false state-
ments herein are made subject to the penalties of K. Beth Bianchi
18 Pa.C.S. S 4904 relating to unsworn falsification to }
authorities.
S/dd/ () 7
,
Attorney -- (Name)
(Firm)
(Address)
(Telephone)
James D. Bogar
Bogar & Hipp Law Offices
One West Main Street, Shiremanstown, PA 17011
717-737-8761
(Supreme Courtl.D. No.)
19475
DATE OF DEATH
04/20/2007
LAST RESIDENCE
824 Lisburn Road, Apt. 229
Camp Hill, PA 17011
FIGURES MUST BE TOTALED
DECEDENTS SOC. SEC. NO
179-30-3779
(,-")
Personal Property
Cas h...................................................... .........................................
Pe rson a I Property............................................................ .............
Stocks/Listed............................................................................... ..
Stocks/Closely Held......................................................................
Bo n ds.......................................................... ...................................
Partnerships and Sole Proprietorships .....................................
Mortgages and Notes Receivable...............................................
All Other Property.. ................................ ................... ....................
c:.
536.50
..,..""'.
500;00
43,14~36
o
--l
170,587.44
Total Personal Property............. ............................
214,770.30
Total Real Property..................... ..................... ......
Total Personal and Real Property.........................
214,770.301
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. (See 20 Pa. C.S. 9 3301 (b))
Form RW-09 Rev. 10-13-2006
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INVENTORY
REGISTER OF WILLS OF
CUMBERLAND
COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA } SS
COUNTY OF Cumberland }
File Number 21-07-0562
DATE OF DEATH
04/20/2007
LAST RESIDENCE 824 Lisburn Road, Apt. 229
Camp Hill, PA 17011
DECEDENT'S SOC. SEC. NO
179-30-3779
Cash
PSERS - final retirement payment
536.50
Total Cash
536.50
Personal Property
Personal Property - Sold at Private Sale
500.00
Total Personal Property
500.00
Stock I Listed
Ameriprise Financial - Mutual Funds, Account No. 01155081166 2 002
39,586.36
80.0000 shares PPL - Stock Account No. 3078328915, CUSIP 69351T-10-6
3,560.00
Total Stock / Listed
43,146.36
Bond
United States Savings Bonds - Value as listed on the attached Savings Bond
Calculator
170.587.44
Total Bond
170,587.44
(Attach additional sheets if necessary)
Total Personal Property and Real Estate
214.770.30