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Home My WebLink About06-09-12INVENTORY REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA COMMONWEALTH OF PENNSYLVANIA } SS couNrY of Cumberland } File Number 21-11-1209 George H Carpenter Personal Representative(s) of the Estate of Henry S Carpenter 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 apposite 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 morandum at the end of thi~syi_n_v_entory. I verify that the statements made in this Inven- ~~~ ~-, ~~~ ~~..c-.cam tory are true and correct. I understand that false state- ~ Georg H Carpent ments herein are made subject to the penalties of 18 Pa.C.S. § 4904 relating to unsworn falsification to authorities. Attorney- (Name) Jessica L Fisher (:iupreme Court 1. D. No.) 310018 (F)^n) Keystone Elder Law P.C. (Addn:ss) 555 Gettysburg Pike ,Mechanicsburg, PA 17055 (Tetepnone) 717-697-3223 GATE OF DEATH LAST RESIDENCE 307 Asbury Drive DECEDENTS SOC. SEC. NO. 10H9I2071 Mechanicsburg, PA 17055 066-14-8652 FIGURES MUST BE TOTALED Personal Property Cash ............................................................................................... ~ 793,$8.91 Personal Property ........................................................................ C~v c350.0 ~i Stocks)Listed ................................................................................ ~ ,c-' Z ~O~ n, cr_ z~ StockslClosely Held ..................................................................... U:; ... ~ }.-,l 07 - , ,7 Bonds ............................................................................................ c'~o~" ~, , ~ , , ~.__. Partnerships and Sole Proprietorships ..................................... ~~ ~ ~-i ~'~ Mortgages and Notes Receivable ............................................... > o n ^~ All Other Property ........................................................................ v Total Personal Property ........................................ 794,298.91 Total Real Property ................................................ Total Personal and Real Property ........................ d1~'zT~slr~ --- „1 , , NOTE' The Memorendum of real estate outside the Commonwealth of Pennsylvania may at the elecfion of the personal representatlve indutle the value of each item, but such figures shoultl not be extended into the total or the Inventory. (See'10 Pa. C.S. § 3301(b)) Form RW-09 Rav 10.13-2006 INVENTORY REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA COMMONWEALTH OF PENNSYLVANIA COUNTY OF Cumberland } SS File Number 21-11-1209 DATE OF DEATH LAST RESIDENCE 307 Asbury Drive DECEDENTS SOC. SEC. NO. 10/18/2011 Mechanicsburg, PA 17055 ~s8St1 Americhoice Savings Account 50.43 Bethany Village Refund for Room and Board 2,371.00 Centric Bank 1625 Market St., Camp Hill, PA 17011- CD- # 3047941 45,087.49 Centric Bank 1625 Market St., Camp Hill, PA 17011- CD- # 3047941 accnied interest 31.08 Centric Bank 1625 Market Street, Camp Hill, PA 17011- CD-#3034758 81,882.49 Centric Bank 1625 Market Street, Camp Hill, PA 17011- CD-#3034756 accrued interest 11.03 Express Scripts Refund 16.00 Graystone Bank CD 41,105.67 Integrity Bank CD 71,794.32 Integrity Bank CD Accrued Interest 39.82 Members First Credit Union 5000 Louise Dr., P.O. Box 40, Mechanicsburg, Pa Savings- 10.00 412752-00 Members First Credit Union 5000 Louise Dr., P.O. Box 40, Mechanicsburg, PA- CD # 75,552.41 41275240 Members First Credit Union 5000 Louise Dr., P.O. Box 40, Mechanicsburg, PA CD # 25,000.00 41275241 Members First Credit Union 5000 Louise Or., P.O. Box 40, Mechanicsburg, PA- CD # 49.93 41275240 accrued interest to data of death Members First Credit Union 5000 Louise Dr., P.O. Box 40, Mechanicsburg, PA CD # 13.59 41275241 accrued interest to date of death (Attach additional sheets if necessary) Total Personal Property and Real Estate 794,298.91 INVENTORY REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA COMMONWEALTH OF PENNSYLVANIA COUNTY OF Cumberland } SS File Number 21-11-1209 DATE OF DEATH LAST RESIDENCE 307 Asbury Drive DECEDENTS SOC. SEC. NO. 1 0/1 912 01 1 Mechanicsburg, PA 17055 Members First Credit Union 5000 Louise Drive, P.O. Box 40, Mechanicsburg, PA CD- 65,000.00 4127522 Members First Credit Union 5000 Louise Drive, P.O. Box 40, Mechanicsburg, PA CD- 2.21 4127522 accrued interest to date of death Mid Penn Bank CD xxxx-003057 51,413.52 Mid Penn Bank CD xxxx-003057 accrued interest up to date of death 247.29 Mid Penn Bank CD xxxx-03044 45,345.55 Mid Penn Bank CD xxxx-03044 Accrued interest up to date of death 265.94 Mid Penn Bank CD XXXXX-3066 50,381.84 Mid Penn Bank CD XXXXX-3066 accrued interest to date of death 197.69 Patriot News Subscription Refund 65.65 PNC Bank CD XXXXXXX1906 71,513.22 PNC Bank CD XXXXXXX1906 accrued interest 33.21 PNC Bank XXXXXXX454 55,219.94 PNC Bank XXXXX)UC454 accrued interest 0.35 Sovereign Bank CD 110,000.00 Sovereign Bank CD Accrued Interest to date of death 1,247.24 Total Cash 793,948.91 -2- INVENTORY REGISTER OF WILLS OF COMMONWEALTH OF PENNSYLVANIA } SS COUNTY OF Cumberland } DATE OF DEATH I LAST RESIDENCE 307 Asbury Drive DECEDENTS SOC. SEC. NO. 10/19/2011 Mechanicsburft, PA 17055 2011 PA Personal Income tax return refund 2011 US Personal Income tax return refund CUMBERLAND COUNTY, PENNSYLVANIA File Number 21-11-1209 Total Personal Property 53.00 297.00 350.00 -3-