HomeMy WebLinkAbout10-03-06 (3)
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Register of Wills of Cumberland County
Estate of _1) If-I(.d ~ill4
Also known as
INVENTORY
111'DltV/
, Deceased
Estate No. :2.(... 0 1.L2 - tJ L, ;;l.(,o
Date of Death '1- 'i' ~(J "
Social Security No. I 8' S .;J.,. I ~ 3d
, Personal Representative(s) of
the above Estate. deceased. verify that the items appearing on 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 vlliuation 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 (PEF ~ 3301). lfWe 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:
Personal Representative: k e., V I A.) j1Il b t( fl..I
Address: 11;t K, IV'S
-NAil A IS OLtV7
Signature:
)nil,61
fJA- I 7// tJ
1.0. No.:
Address:
Telephone:
Date:
Description
$04 ~ "'t"'j.. E:lJb T"h/~~
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b" t> - 1I C-,e..
W If II u u rf
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& E {) .o...c. s 5 'e'r I "-J I~ bI S+A'AI 9
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Value
.5 co. " I
1(Jt7.(J1
Sf) d f
.:11J'" I' F
/O~.,,~
L, Nt!lJ ~
(] 11- 't'.
.stJtJ'd~
7~--: d,
StJ I'
.5 tJ .~"
3'37:)' ",.
(Attach Additional Sheets ifnecessary)
Total I~ dO" ,Ot?
NOTE: The Memorandum of real estate outside the Commonwealth ofPeMsylvania 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.
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