HomeMy WebLinkAbout08-21-06 (3)
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Register of Wills of Cumberland County
INVENTORY
Estate of 'JC ~ ~ ~ )\\.-\',\".1 \,~.
Also known as ~e O\a bQ.~ -\- (Vk.fV\ \ \ A V\
, Deceased
Estate No.
Dale ofDeath (n f (, Ie ~
Social Security No. ~5 '1- 33-S//"1
, Personal Representative(s) of
the above Estate. deceased. verity 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 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 the Commonwealth of Pennsylvania except that which
appears in a memorandum at the end oflhis inventory (PEF {1 3301). I1We verity that the statements made in this inventory are true and correct.
I/We nnderstand that false statements herein made are subject to the penalties of J 8 Pa.C.S. Section 4904 relating to unsworn falsification to
authorities.
LD. No.:
Address:
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Name of Attorney:
Personal Representative:
Address:
Signature:
Telephone:
Date:
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Value
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Total
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(Attach Additional Sheets if necessary)
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 sueh figores should not be extended illlo the total of the Inventory.
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