HomeMy WebLinkAbout03-14-08
REGISTER OF WILLS OF
INVENTORY
C'-'AAb-er~ J COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CtAM-~-lAA~
} SS
File Number
~07 - OO&<tJO
Personal Representative(s) of the Estate of Lv \ II. """'" 4 - Co I k rye, hl\, . .Jr-
deceas~:d, depose(s) and say(s) that the items appearing in the following inventory include all ofthe 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 memomndum at the end of this inventory.
I verify that the statements made in this Inven- }
tory ar'e true and correct. I understand that false state-
ments herein are made subject to the penalties of
18 Fa.C.S. ~ 4904 relating to unsworn falsification to
authorities.
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Attorney -- (Name)
(Supreme Court J.D. No.)
(Address)
(Telephone)
l.p 3: 07
LAST RESIDENCE
3D 7 / / T'- 51-.
fi}( i.J CC-v-\be.-lCtl\b
pC\. (7070
DECEDENTS SOC. SEC. NO.
/1& L/J> II dOY
DATE OF DEATH
FIGURES MUST BE TOTALED
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s- 9;0 00
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7 /tiJ.. 00
I
~ 000.00
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(Attach additional sheets as needed)
TOT AL: d d. J;J 7 0.00
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 such figures should not be extended into the total of the Inventory. (See 20 Pa. C.S. J 3301 (b))
Form RW-09 rev. 10.13.06
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