HomeMy WebLinkAbout07-16-10 (2)INVENTORY
REGISTER OF WILLS OF CUMBERLAND
COMMONWEAL'CH OF PENNSYLVANIA ~ SS
COUNTY OF CUMBERLAND
Personal Representative(s) of the Estate of DOLORES A. FEALTMAN
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 memorandum at the end of this inventory.
1 verify that the statements made in this Inven- •~~~'V~,~,~ h.~~,~L~~
tory are 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 1. D. 1'vo.)
(Address)
(Telepho.~re)
DATE OF DEATH LAST RESIDENCE DECEDENT'S SOC. SEC. NO.
March 12. 2009 12 Railroad Avenue, Summerdale, PA 17083 166-52->379
.,.
FIGURES MUST BE TOTAL~,rD
Real Estate: 12 Railroad Avenue, Summerdale, PA 17083 $57,000.00
Personal Estate: M&T Bank Account 6.''.79
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(Attach additional sheets as needed)
TOTAL: ~ $57,617.79
N071:: I'he Memorandum of real estate outside the Commonwealth of Pennsylvania may, at the election of the personal representative include the value ui~ each
item, but such figures should not be extended into the total of the Inventory. (See l0 Pa. C.S. ,~ 33/(6))
COUNTY, PENNSYLVANIA
File Number 21-10-0080
Form R GV-09 rev. 10. l 3.06