HomeMy WebLinkAbout09-04-09 (2)INVENTORY
REGISTER OF WILLS OF CUMBERLAND
COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA 21-09-00261
COUNTY OF CUMBERLAND SS File Number
Ronald J. Chipriano
Personal Representative(s) of the Estate of John L. Chipriano
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 g~thi/inventory.
I verify that the statements made in this Inven-
tory are true and correct. I Imderstand that false state- Ronald Chipr ano
ments herein are made subject to the penalties of
18 Pa.C.S. § 4904 relating to unsworn falsification to
authorities.
Attorney -- (Name) Keith O. Brenneman, Esquire
(Supreme Court I.D. No.) 47077
(Address) 44 West Main Street, Mechanicsburg, PA 17055
(Telephone) 717-697-8528
DATE OF DEATH LAST RESIDENCE DECEDENT'S SOC. SEC. NO.
March 8, 2009 40 Royal Palm Drive, Mechanicsburg, PA 17050 187-16-2581
I FIGURES MUST BE TOTALED I
1. Manulife Financial common stock (book-entry) 158 shares at
$38.86 per share: $ 5,823.88
2. Sovereign Bank money market account No. 1684067480, date of
death value: 28,396.20
3. PNC Bank checking account No. 5004877873, date of death
value: 63,655.99
4.
Embarq refund: a
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5. Forethought/funeral home refund: 904.59,E-',
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6. Patriot News refund: ~ ~.00 - --;
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(Attach additional sheets as needed)
TOTAL: 98 874.09
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 £~gures should not be extended into the total of the Inventory. (See 20 Pa. C.S. § 3301(6))
Form RW-09 rev. 10.13.06
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