HomeMy WebLinkAbout12-27-06 (3)
Register of Wills of Dauphin County, Pennsylvania
INVENTORY
Estate of MA-~V R, 'T)DtJA~,r-+y
No.
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also known as
Date of Death I D ...../- D~
Social Security No. ((;2 - 07- 1 f7"
, Deceased
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Personal Representative(s) of the above Estate, deceased, verify that the items appearing in 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 of the Commonwealth of Pennsylvania except that which appears in a memorandum
at the end of this inventory. I/We verify that the statements made in this Inventory are true and correct. l!We understand that
false statements herein are made subject to the penalties of 18 Pa. C.S. Section 4904 relating to unsworn falsification to
authorities.
Name of A
Attorney: '
l.D. No.:
Address:
Telephone:
Personal Representative:
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Description
Value
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(Attach Additional Sheets if necessary)
Total:
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NOTE: The Memorandum of reat estate outside the Commonwealth of Pennsylvania may, at the eJection 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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