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INVENTORY
Estate of LOTS A. BRAME
also known as
. Deceased
No. 20 09 00661
Date of Death 6/ 5/ 2 0 0 9
Social Security No. 19 614 2 5 7 6
Personal Representative(s) of the above Estate, deceased, verify 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 the Commonwealth of Pennsylvania except that which appears in a memorandum at the end of this inventory. I/We
verify that the statements made in this inventory are true and correct. I/V11e understand that false statements herein'made are subject to the
penalties of 18 Pa. C.S. Section 4904 relating to unsworn falsification to authorities.
Personal Representative:
Name of
Attorney: Jane Adams, Esquire
I.D. No.:
Address: 17 W . South St .
Carlisle PA
Telephone: 717 2 4 5 8 5 0 8
Dated
Description
Stocks & Bonds
Closely-Held Corporation, Partnership or Sole-Proprietorship
Mortgages & Notes Receivable
Cash, Bank Deposits, & Misc. Personal Property
M&T Bank, checking account
Personal property
(Attach Additional Sheets if necessary)
Value
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$1,332.50
$640.00
I Total
$1,972.50
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.
RW-4
Continuation of Inventory
LOIS A. BRAME 20 09 00661
Page 1
Description of Inventory