HomeMy WebLinkAbout02-22-08 (2)
INVENTORY
REGISTER OF WILLS OF CUMBERLAND
COUNTY, PENNSYLVANIA
COMMONWEALlllOI PENNSYLVANIA
COI 'NTY OF Cumberland
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File Number
Personal Representative(s) of the Estate of Lillian M. Peechatka
deceased, depose(s) and say(s) that the items appearing in the following inventory include all of the personal assets wherever situate
and all ofthe 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 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)
(A ddress)
(Telephone)
(Supreme COliI'I 1. D. No.)
DA TE OF DEATH
LAST RESIDENCE DECEDENT'S SOC SEC NO
January 15. 2008
Golden Living West, 770 Poplar Church Road. Camp Hill. P A 17011
FIGURES MUST BE TOTALED
Predential Securities
250.00
1.000.00
. 37.000.00
Clothes and Personal Items
Citizens Bank Account. Account #
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(Attach additional sheets as needed)
TOTAL:
38)50.00
NOll- Ihe !Vkmorandum of real estate outside the Commonwealth of Pennsylvania may. at the election of the personal representative include the value of each
Item. but sueh figures should not be extended into the total of the Inventory (See 21i Pa. c.s. fi 33lil(h))
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