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REGISTER OF WILLS OF
COMMONWEALTH OF PENNSYLVANIA } SS
COUNTY OF Cumberland }
INVENTORY
CUMBERLAND COUNTY, PENNSYLVANIA
Rachel E. Hendricks
Personal Representative(s) of the Estate of Richard Irvin Hendricks
File Number 21 -14 -0413
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 tha which appears in a m orandu at th end of this inventory.
I verify that the statements made in this Inven-
tory are true and correct. I understand that false state- J Rachel E. Hendricks
ments herein are made subject to the penalties of i
18 Pa.C.S. § 4904 relating to unsworn falsification to j
authorities.
Attorney.- (Name) Heather
(Firm) Smigel Anderson & Sacks, LLP
(Address) 4431 N. Front Street, 3rd Floor, Harrisburg, PA 17110
(Telephone) (717) 234 -2401
(Supreme Court 1. D. No.) 76327
DATE OF DEATH LAST RESIDENCE 406 High Street DECEDENT'S SOC. SEC, NO,
02/25/2014 1 Summerdale, PA 17093 1 197 -30 -8939
Per
Cash. ...............................
Personal Property..........
Stocks/Listed ..................
Stocks /Closely Held.......
Bonds..............................
FIGURES MUST BE TOTALED
............................ ...............................
MutualFunds .............................. ...............................
Partnerships and Sole Proprietorships ..................
Mortgages and Notes Receivable ............................
All Other Property ...................... ...............................
Total Personal Property
Total Real Property . ...............................
Total Personal and Real Property..
48,906.31
5,400.00
8,498.16
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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))
Form RW -09 Rev 10e3 -2006
REGISTER OF WILLS OF
INVENTORY
CUMBERLAND
COMMONWEALTH OF PENNSYLVANIA } SS
COUNTY OF Cumberland }
DATE OF DEATH LAST RESIDENCE 406 High Street
COUNTY, PENNSYLVANIA
File Number 21 -14 -0413
DECEDENTS SOC. SEC. NO.
197 -30 -8939
Cash - Money in safe deposit box deposited to Riverview Bank checking account
Riverview Bank - Checking Account #417718
Riverview Bank Money Market Account - Money Market Account #226397110
United Healthcare Services, Inc. - Health Insurance Refund
Verizon Wireless - Refund for overpayment of invoice
Total Cash
Personal Property
Automobile - Value per sale of 2009 Chevrolet Impala
Automobile - Value per sale of 1994 Jeep
Trailer - Value per sale -1997 Light Trailer
Total Personal Property
Stocks /Listed
444.0000 shares Manulife Financial - 444 Shares of Manulife Financial Corporation stock
2125/14 High: $19.23 Low: $19.05 = Mean: $19.14
Total Stocks /Listed
37,800.00
4,449.17
6,409.31
41.70
206.13
48,906.31
5,000.00
300.00
100.00
5,400.00
8,498.16
8,498.16
(Attach additional sheets if necessary) Total Personal Property and Real Estate 62,804.47