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INVENTORY
REGISTER OF WILLS OF
CUMBERLAND
COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF Cumberland
R. Gary Sipe
Personal Representative(s) of the Estate of
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File Number 21-07-1012
Thelma S. Grove
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
out"de of the Commoowealth of Peo",yl,aola except that which a"Ze s i~. ? m..emorandUln.. at the end of this inventory.
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I verify that the statements made in this Inven- --- . / '! ,/:.. . j tf
tory are true and correct. I understand that false state- } ~ 'if.- .
ments herein are made subject to the penalties of } R. Gary Slpe
18 Pa.C.S. S 4904 relating to unsworn falsification to
authorities.
Attorney - (Name)
(Firm)
(Address)
(Telephone)
(Supreme Court I.D. No.)
James D. Bogar
Bogar & Hipp Law Offices
~ One West Main Street, Shiremanstown, PA 17011
717-737-8761
DATE OF DEATH
10/30/2007
LAST RESIDENCE
474 Bethany Drive
Mechanicsburg, PA 17055
FIGURES MUST BE TOTALED
DECEDENTS SOC SEC. NO.
203-10-:2624
Personal Property
Cash.............................................................................................. .
Pe rsonal P rope rty .........................................................................
Stoc ks/Listed.................................................................................
Stocks/C losely He Id......................................................................
Bonds............................................................................................ .
Partnerships and Sole Proprietorships .....................................
Mortgages and Notes Receivable...............................................
All Other Property.......... ...... .................... .......... .......... .................
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Total Personal Property.......... ............ .............. .....
2,653,689.80
Total Real Property............ ................ ....... ....... ......
Total Personal and Real Property.........................
I 2,653,689.80 I
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. S 3301 (b))
Form RW-09 Rev. 1O~13~2006
19475
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INVENTORY
REGISTER OF WILLS OF
CUMBERLAND
COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA } SS
COUNTY OF Cumberland }
File Number 21-07 -1012
DATE OF DEATH
10/30/2007
LAST RESIDENCE
474 Bethany Drive
Mechanicsburg, PA 17055
DECEDENTS SOC SEC. NO
203-10-2624
Cash
AT&T - Refund
28.81
Bethany Village - Refund
411.00
Merrill Lynch Investment Account - No. 872-46745 - date of death balance
2.593.612.66
Patriot News - Refund
35.25
PNC Bank - Certificate of Deposit No. 31000233213; date of death balance
$26,552.36; accrued interest $42.97
26.595.33
PNC Bank - Certificate of Deposit No. 31400241462; date of death balance
$15,214.75; accrued interest $55.60
15.270.35
PNC Bank Checking Account No. 500978378 - date of death balance $7,357.SI2;
accrued interest $0.00
7.357.92
PNC Bank Savings Account No. 5000962624 - date of death balance $6,002.48;
accrued interest $0.00
6.002.48
2.649.313.80
Total Cash
Personal Property
Personal Property (Residuary) - items sold at public sale
671.00
Personal Property (Residuary) - Items distributed to individuals (antique doll &
cradle - $215.00; two (2) tvs - $25.00; card table - $5.00)
245.00
Personal Property (Specific Bequests) - per appraisal
3.460.00
Total Personal Property
4.376.00
(Attach additional sheets if necessary)
Total Personal Property and Real Estate
2.653.689.80