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COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
l_
J
55:
Dorothy Baez
being duly sworn
according to law, deposes and says that She is the Execut:L~~_
Grace E. Hackett
of the Estate of
late of -- Penn TownshJp, _______ _____ I Cumberland County, Pa., deceased and that the
within is an inventory made by ___porothy Baez _, the said Executrix
of the entire estate of said decedent. consisting of all the personal prop~rty and real estate, except real estate outside
the Commonwealth of Pennsylvania, and that the figures opposite each item of the Inventory represent it's fair value
as of the date of decedent's death. .-~' / '-;-:>c~--<<7
~~1../YU and subscribed before me, )!!~ i-z~--Z??;5/'-" /7
/ Dorothy Baez
Executor - ~~iK:~~Kr
R.D.#5, Box 382
I t
19 '11
SUSAN J. HOVETTE. otiJry Public
N8\\\Ji\1i:< Cumberi.-.:_i Co., Pa.
My Corr;",i~sion [xp;,-eo Sept. 6, 1982
Carlisle, PA 17013
Address
Date of Death __ 10
Day
April
Month
1978
Year
INSTRUCTIONS
I. An inventory must be filed within three months after appointment of personal representative.
2. A supplement inventory must be filed within thirty days of discovery of additional assets.
3. Additional sheets may be attached as to personalty or realty
4. See Article IV, Fiduciaries Act of 1949.
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REVISED
Inventory of the real and personal estate of
GRACE E. HACKETT
deceased.
1. Proceeds from sale of real estate situate in Penn Township 10,500 00
Cumberland County, Pennsylvania
2. Proceeds from New York Life Insurance Co. policy #27-090-877 1,547.90
3. Proceeds from ohio National Life Insurance Co. policy #33740 1,502 42