HomeMy WebLinkAbout03-23-09INVENTORY
REGISTER OF WII.LS OF _C ~ v~D cci~a.l~n COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA i SS
COUNTY OF f
File Number 2 O G$ Q 1 lJ ~ !-ti
Personal Representative(s) of the Estate of A L V !~ 1~ L STQ C !<,~ l.i? ~ ~ ~~ ~ "'
deceased, depose(s) and say(s) that the items appearing in the following inventory include all of the pers. meets ~erev~t $itupte
and all of the real estate in the Commonwealth of Pennsylvania of said Decedent, that the valuation placed v~g~site ti~h item bf-said
inventory represents its fair value as of the date of the decedent's death, and that Decedent owned no t$a~~estate outside'of.the
Commonwealth of Pennsylvania except that which appears in a memorandum at the end of this invert _~ r, ~ '
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I verify that the statements made in this Invert- `~~~'?-^'^'~„=.~ ,,~.; ; :v ~ N
tory are true and correct. I understand that false state- rv
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ments herein are made subject to the penalties of I q ~ ~ ~ q ~ ,,., o „. ,{ sr
18 Pa.C.S. § 4904 relating to unsworn falsit"ication to
authorities. C ~ ~P t~ ~ ~~... i~ a. . 7 o t t
Attorney -- (Name) (Supreme Court ZD.
DATE OF DEATH
LAST RESIDENCE
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FIGURES MUST BE TOTALED
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(Attach additional sheds as
DECEDENT'S SOC. SEC. NO.
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NOTE: The Memorandum of real estate outside the Commonweahh of Pennsylvania may, at the election of the personal representative include the velye of each
item, but such Sgures should not be extended into the total of the Inventory. (See 20Pa C.S. § 3301(bJJ
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