HomeMy WebLinkAbout11-08-12INVENTORY
REGISTER OF W1LLS OF CUMBERLAND
COMMONWEALTH OP PENNSYLVANIA ~ SS
COUNTY OF CUMBERLAND
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File Number21-12-0873 r
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Personal Representative(s) of the Fstate of Carolyn Hoover a/k/a Carolyn L. Hoover
deceased, depose(s) and say(s) that the items appearing in the following inventory include all of the personal assets wherever situate
and all ofthe real estate in the Commonwealth of Pennsylvania of said Decedent, that the valuation placed opposite each item ofsaid
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- /f~,~f
tort' are true and correct. I understand that false state-
ments herein are made subject to the penalties of
18 Pa.C.S. § 4904 relating to unsworn falsification to
authorities.
Attorney -- (Name) Robert R. Black, Esq.
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(Address) 36 South Hanover Street, Carlisle, PA 17013
(SupremeCoamtLD. No.) 6267
717-243-3727
DAZE OF DEATH LAST RESIDENCE OECEDF.NTS SOC. SEC. NO.
07/25/2012 99 Alters Road, Carlisle, PA 17015 208-24-2216
FIGURES MUST BE TOTALED
M&T Bank- checking account 423262
Adams County National Bank - certificate of deposit #158168
Adams County National Bank -certificate of deposit #4990520
Public School Employees Retirement System (pro-rated final benefit)
Waddell & Reed -brokerage account #26675058 (as of 6/30/2012)
Eaton Vance -brokerage account #0003330776 (as of 6/30/2012)
Morgan Stanley Smith Barncy -brokerage account #913-107751-101 (as of 6/30/2012)
Union Central Life Ins. Co. -IRA annunity contract #A64000967S -Harvey E Hoover, Jr. beneficiary and
husband
Union Central Life Ins. Co. -IRA annunity contract #A64000981 S -Harvey E Hoover, Jr. beneficiary and
husband
Bankers Life & Casualty Co. -annunity con4~act 7913333 -Harvey E Hoover, Jr. beneficiary and husband
Wells Fargo Bank, NA - il'ZA annunity contract 2574]0050- Harvey E Hoover, Jr. beneficiary and husband
Provident Mutual Life Ins. Co. n/kfa Nationwide Financial -annunity contract 4004A
Harvey E Hoover, Jr. beneficiary and husband
(Attac1: additional s/reefs as needed)
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4,607.70
25,000.00
11,000.00
2,740.80
593,402.00
42,972.00
109,462.00
236,342.00
151,114.00
57,484.00
69,780.00
41, 167.80
1,345,072.30
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 e.etended into the total of the Inventory. (See 1Q Pa. C.S. § 330/(6))
Form RW-09 rev_ 10.13.06
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