HomeMy WebLinkAbout11-20-09 (3)INVENTORY
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
COMMONWFAI; ('}{ OF PENNSYLVANIA ~ SS
COUNTY OF DAUPHIN
File Number 21 09 0732
Persona Representative(s) of the Estate of RICHARD BEHRENS
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 memorand at the end of this inventory.
I verify that the statements made in this Inven-
tory are true and correct. 1 understand that false state-
ments herein are made subject to the penalties of
18 Pa. C.S. § 4904 relating to unsworn falsification to
authorities.
~~~~~
BEHRENS
Attorney -- (,Name) CHARLES E. PETRIE
(Supreme Court 1. D. No.) 29029
('Address) 3528 BRISBAN STREET HARRISBURG PA 17111
(Telephone) 717 561-1939
DATE OF DEATH LAST RESIDENCE DECEDENTS SOC. SEC NO.
812 ACRI ROAD
6/22/2009 MECHANICSBURG PA 17050 207079912
FIGURES MUST BE TOTALED
REFUND FROM PMI
100.00
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(Attaeh additional sheets as needed)
TOTAL:
100.00
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. bui such figures should not be extended into the total of the Inventory. (See 20 Pa. C.S. ,¢ 3301(6))
Form RW-09 rev. 10.13.Oh