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INVEiVT~RY r' ~'`'
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REGISTER OF WILLS OF CUMBERLAND COUNTY, PENI~'~-V~1~IA
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COMMONWEALTH OF PENNSYLVANIA } ~ ~~ ,~, ~ ~ C
COUNTY OF Cumberland ) SS File Number 21-11-0044 ~' ~_ '~-+
Jeffrey E Piccola, Esquire _
Personal Representative(s) of the Estate of Suzanne M. Hopple
deceased, depose(s) and say(s) that the items appearing in the following
situate and all of the real estate in the Commonwealth of Pennsylvania of
item of said inventory represents its fair value as of the date of the decedt
outside of the Commonwealth of Pennsylvania except that which ap rs
I verify that the statements made in this Inven-
tory are true and correct. I understand that false state- Jeffrey
ments herein are made subject to the penalties of
18 Pa.C.S. § 4904 relating to unsworn falsification to
authorities.
Attorney -- (Name)
(Firm)
(Address)
(Telephone)
y include all of the personal <~ssets wherever
cedent, that the valuation placed opposite each
nth, ant Decedent owned no real estate
moran\\u at the end of this inventory.
ccola, Esquire
Jeffrey E. Piccola, Esquire _ _ (supreme court r.~. No.) 18018
Boswell, Tintner 8r Piccola __ --- -
315 N. Front Street, Harrisburg, PA 17101_ ___-
717-236-9377
DATE OF DEATH LAST RESIDENCE DECEDENT'S SOC. SEC. NO.
4790 Augusta Drive
11/28/2010 Mechanicsburg, PA 17050 172-3.8-8712
FIGURES MUST BE TOTALED
Personal Propertv
Cash ......................................................
Personal Property ................................
Stocks/Listed ................................................................................
Stocks/Closely Held .....................................................................
Bonds ............................................................................................
Partnerships and Sole Proprietorships .....................................
Mortgages and Notes Receivable ...............................................
All Other Property ........................................................................
Total Personal Property ........................................
Total Real Property ............................................
Total Personal and Real Property ........................
643, 992.40
27,800.00
3, 500.00
675,292.40
329,000.00
C 1,004,292.40r
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. § 3301(b))
AB
Form RW-09 Rev. to-ts-loos
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INVENTORY
REGISTER OF WILLS OF
CUMBERLAND COUNTY, PENNS`I(LVANIA
COMMONWEALTH OF PENNSYLVANIA } SS
COUNTY OF Cumberland File Number 21-11-0044 __
DATE OF DEATH LAST RESIDENCE 4790 Augusta Drive DECEDENT'S SOC. SEC. NO.
11128/2010 Mechanicsburg, PA 17050 172-38-8712
Gash
Capital Blue Cross -Williamsport Ambulance reimbursement 870.00
Discover -refund 51.32
Fidelity Workplace Services -see copy of date-of-death letter dated March 1, 2011, 80,561.43
attached
ING USA Annuity Life Insurance Company -life insurance death benefit 34,248.98
Janney Montgomery Scott -see date-of-death letter dated March 8, 2011, attached 137,021.35
PA American Water 12.37
Real Estate - reimbursement on sale of real estate -real estate taxes, sewer, etc. (~aee 750.86
copy of settlement sheet attached)
Sovereign Bank -Checking Acct. No. 0571138195 6,698.78
Sovereign Bank -Money Market Acct. No. 2334082821 19,454.47
Sovereign Bank -Certificate of Deposit No. 0575545686 48,936.61
Sovereign Bank -Certificate of Deposit No. 0575545694 101,047.82
Sovereign Bank -Certificate of Deposit No. 2335538118 58,769.54
Sovereign Bank -Certificate of Deposit No. 2335539058 100,838.75
Sovereign Bank -IRA Acct. No. 0578246761 54,565.12
Traveler's Insurance -automobile insurance refund 156.00
Traveler's Insurance -refund 9.00
(Attach additional sheets if necessary) Total Personal Property and Real Estate 1,004,292.40
INVENTORY
REGISTER OF WILLS OF
CUMBERLAND
COUNTY, PENNS`I(LVANIA
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF Cumberland } SS File Number 21-11-0044
DATE OF DEATH LAST RESIDENCE 4790 Augusta Drive DECEDENT'S SOC. SEC. NO.
11128!2010 Mechanicsburg, PA 17050 172-38-8712
Total Cash 643,992.40
Personal Prr~nerty
2006 Toyota RAV4 -see Kelley Blue Book value attached
Churchville Cemetery Association -burial plot
Personal Property -Household furnishings, jewelry, personal effects, etc.
Total Personal Property
Series HH Bond -Serial No. D6403209HH
Series HH Bond -Serial No. M9112047HH
Series HH Bond -Serial No. M9112048HH
Series HH Bond -Serial No. M9112049HH
15,050.00
750.00
12,000.00
27,800.00
500.00
1,000.00
1,000.00
1,000.00
Total Bonds 3.500.00
Real Estate -Property located at 4790 Augusta Drive, Mechanicsburg (Hampden 329,000.00
Township}, Cumberland County, PA
Total Real Estate 329,000.00
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