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INVENTORY
,. I REGISTER OF WILLS OF CUMBERLAND
COUNTY,PENNS~VAN1A
"gg~~^bmHli~VANIA } ss
Diane M. Gourley
Personal Representative(s) of the Estate of Daisy M. Mane~ a/k/a Daisy S.
deceased, depose(s) and say(s) that the items appearing in the following inventory include all of the pers nal assets wherever situate
and all of the real estate in the Commonwe81th of Pennsylvania of said Decedent, that the valuation place opposite each item of said
inventory represents its fair value as of the date of the decedent's death, and th4t Decedent owned n real estate outside of the
Commonwealth of Pennsylvania except that which appears in a memorandum at the ~d of this invento
I verify that the statements made in this Inven.
tory are true and correct. I understand that false state.
ments herein are made subject to the penalties of
18 Pa.C.S. ~ 4904 relating to unsworn falsification to
authorities.
Attorney.- (Name) Anthony L. DeLuca,
(Address) 113 Front street,
~ekpMM) 717-258-6844
DATE OF DeATH
File Nwnber
))J '- CV1 0/057
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Esquire (Supreme Court'!-D. NoJ
P.O. Box 358, Boiling Sprin s, A
18067
1/UUI
LAST RESIDENCE
319 Arch Street, CarliSle, PA
FIGURES MUST BE TOTALED;
11/15/06
DE
20 -01-4627
1. Residence at 319 Arch Street, Carlisle, PA
2. Miscellaneous Personal Property
(Attach additional :sh~~ts as needed)
1,005.00
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TOTAL: $93,005..00
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NOTE: :ne ,MemOrandum of real estate outside the Commonwealth of Pennsylvania may, at the elcction of the personal reprcscnta 'Ie include the value of each
Item, but such figures should not be extended into the total ofthc Inventory. (See 20 Pa. C.s. i 330J~)
FormRW-09 rev. /0./3.06
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