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INVENTORY
REGISTER OF WILLS OF CUMBERLAND
COUNTY, PENNSYL VANIA
COMMONWEALTH OF PENNSYL VANIA ft SS
COUNTY OF CUMBERLAND
File Number 21
07
00939
Personal Representative(s) of the Estate of E. Mary Faqan
deceased, depose(s) and say(s) 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 meJllorandum-at.J:he end,ofihisigventory,
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I verify that the statements made in this Inven- } \",. ~~ ~
tory are true and correct I understand that false state- F d . k H F 'E.
h. d b' hi' f re enc . agan, or
ments en~1ll are ma e su ~ect to t e pena ties 0
18 Pa, C.S. S 4904 relating to unsworn falsification to
authorities.
Attorney -- (Name) Gerald J. Shekletski
(Address) 414 Bridqe St.
(Telephone) (717) 774-7435
(Supreme Court J.D. No.) 40486
New Cumberland PA 17070
DATE OF DEATH
LAST RESIDENCE
625 Park Avenue
New Cumberland
DECEDENT'S SOC. SEC. NO.
10/12/2007
PA 17070
207-07-7014
FIGURES MUST BE TOTALED
Real Estate
1. 625 Park Avenue, New Cumberland, PA.
153,500.00
Personal Property
None
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(Attach (uhlitiol/a[ sheets as I/eeded)
TOT AL:
153,500.00
\OTE: The \kl11orandul11 of real estate outside the Commonwealth of Pennsylvania may, 3t the election of the personal representative include the value of each
item, but such ligures should not be extended into the total of the Imentory. (See 10 Pa. CS "I' 330ll!>))
Form R 1V~1J9 rev. /1J./3.r)6
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