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HomeMy WebLinkAbout03-16-10 (2)INVENTORY REGISTER OF WILLS OF LlUMT3~2L.A-NO COUNTY, PENNSYLVANIA COMMONWEALTH OF PENNSYLVANIA COUNTYOF CUMg~~LAiJ7- } SS File Number ~/ ~ ~ W ~ ~ ~ /~v Personal Representative(s) of the Estate of__ f-~~LEt~! L.. MI LL deceased, depose(s) and say(s) that the items appeazmg m the followmg mventory mclude 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 appeazs in a memorandum at the end of this inventory. I verify that the statements made in this Inven- ~ tory aze true and correct. I understand that false state- ments herein are made subject to the penalties of 18 Pa.C.S. § 4904 relating to unsworn falsification to authorities. Attorney -- (Name) (Supreme Court I.D. No.) (Telephone) DATE OF DEATH LAST RESIDENCE DECEDENTS SOC. SEC. NO. ~ ~ ~• -' n l7o ao f -a5/ FIGURES MUST BE TOTALED ~ ~f~, boo . SO J ~rlola/ PA 1705 ~ Q ;Q q .[: ~ z m `" > :' ©~ -p ~~ ~' <_ a ' 3 _ ii --+ IV . == rn , __ w "`' G ~ "T (Attach addttlonal sheets as needed) TOTAL: ~//fo( 8c9Q 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. (Ses 20 Pa C.S. § 330/(6)) Form RW-09 rev. 10.13.06