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Inventory of the real and personal estate of
HELEN W. HENDLEY, Deceased
PERSONAL TY:
1. Manulife Financial Corporation, 206 shares of common stock value
at $44.01 per share
2. Citizens Bank, savings account # 6140277523
3. Citizens Bank, checking account #6100631648
4. PA Employee Benefit Trust Fund (PEBTF), refund on medical benefit plan
5. U.S. Treasury, social security benefit
6. U.S. Treasury, refund on 2004 Individual Income Tax Return
TOTAL PERSONALTY:
REAL ESTATE:
1.
Decedent did not own any real estate at the time of her death
TOTAL PERSONALTY AND REAL ESTATE:
c::
Page 1
$ 9,066.06
188.27
5,243.27
482.10
797.00
397.00
$ 16,173.70
$
0.00
$
16,173.70
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:OMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
l
J
ss:
Raymond C. Smith, Jr.
being duly
swo rn
according to law, deposes and says that he lS the Executor
of the Estate of Helen W. Hendley
late of __ltonroe_l'own~hip_______. , Cumberland County, Pa., deceased and that the
Raymond C. Smlth Jr Exec t
.th.. . t db" . th.d u or
WI In IS an ,"ven ory ma e y -, e sal
of the entire estate of said decedent, consisting of all the personal propc!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.
J\al<ch JJ.
~ 'JiQ
.. ~~k_- --- ~
2f~ 2006
IL
Swo rn
and subscribed before me,
'-.
Date of Death
COMMONWEAL:I:;.!.Jr Pci\lNSYLV NlA
Notarial Seal
Sandra K. Showers, Notary Public
Med1anicsburg Bora, Cumberland ly
My Commission Expires Nov. 22, 2007
MpS'ter, Pennsylvania ":-,,::H30ciat!on Of Nota.bruary
Day Month
Raymond C. Smith, Jr., Executor
295 Old Stonehouse Road, South
Mechanicsburg, PA 17055
Address
2005
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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