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INVENTORY
Estate of CHARLENE SMITH
also known as
, Deceased
No. 21 06 0966
Date of Death 1 0/2 6/2 0 0 6
160<") ~439'7
Social Security No. ().:. 't. .
Personal Heproscntativo(sl of the above Estate. deceased, verify that the Items appearing in the following inventory include all of the
personal assets wherever situate and all of the real estate in the Commcnweallhof 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 the Commonwealth of Pennsylvania except that which appears In a memorandum at the end of this inventory. llWe
verify that the statements made in this inventory are true and correct. IIWe understand that false statements herein made are subject to the
penalties of 18 Pa. C.S. Section 4904 relating to unsworn falsification to authorities.
Name of
Attorney: J.z~NE E ADAMS ESQ
1.0. No.: 79465
Address: 611 SOUTH PITT STREET
CARLISLE
FA 17013
Telephone: 7172458508
Description
REAL ESTATE AT 140 PORTER AVENUE. CARLISLE. PA
79 SHARES METLlFE, INC.
DEBT OWED BY BRAD T. SMITH
MiSC. HOUSEHOLD FURNITURE AND PERSONAL PROPERTY
WACHOVIA BANK NA
CD No. 247412044008831
WACHOVIA BANK NA
CD No. 247412064102975
(Attach Additional Sheets if necessary)
Personal Representative:
DE~yJ)~
Dated JANUARY 22,2007
Value
92,000.00
4,654.21
,~..)
=
C~J
-.l
10.0~O
N
Ui
/' 1,500.00
-0
-~
. >
N
20,16eJl1
o
3,506.62
Total
143,547.91
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.
RW-4
~ ......
Continuation of Inventory
CHARLENE SMITH
21
06
0966
Paqe 1
Description of Inventory
Description
Value
WACHOVIA BANK NA
Deposit Account No.1 01 0080462152
11,623.17
1970'S GRANDFATHER CLOCK
100.00
Subtotal $
11,723.17
143,547.91
Grand Total $