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Inventory of the real and personal estate of
GRACE E. HACKETT
decea sed.
1. Real Estate situate in Penn Township, Cumberland County,
Pennsylvania
2. proceeds from New York Life Insurance Co. policy #27-090-877
3. proceeds from Ohio National Life Insurance Co. policy #337402
TOTAL
26,000 00
1. 547 90
1,502 42
29,050 32
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
l_
J
55:
~orothy Bae~__
being duly sworn _____ according to law, deposes and says that she
is the Executrix of the Estate of Grace E. Hackett
Penn Township
late of ____ _ -_ -- -. -, - -, _ -,-- ---.---___ , Cumberland County, Pa., deceased and that the
within is an inventory made by __ her I-- Dorothy BaS!L- __, the said Executrix
of the entire estate of said decedent, consisting of all the personal proparty 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.
19 77
12f~ p~
t ecutor. ~~KI)tlx'X
Sworn
and subscribed before me,
SUSAN J. HOVETT(c~, Nota Public
Newviile, (t;'1-,berlw'd Co., Pa.
My Cornr~li:s;on bpi, co ~c')L (- ,^-~
Dorot:hy Rap-z
R.D.#5, Box 382
Carlisle, PA 17013
Address
Date of Death __~l\-p_ril 1978
Day
Month
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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