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CUM9ERLAND COtJtifTl/, PBNNiYLVANlw
. ~ INVENTORY
Estate of .lvDmr N lr~oinclcsoM No. z!
also known as _ Date o~ Death
Deceased Social Security No.
Perswwl Reproserrtative(s) of the above Estate, deoeaaed, verify that the items appearing in the foNowing imventory inducts ell
personal assets. wherever situate and aN of the real estate in the Commonwealth of Pennsylvania of said Oscsdent, that the w
placed opposite each item of said inventory roproaertts _its fair value as of ttie date of the DecedenPs death, and that Decsdsrrt
real estate outside the Commonwealth of Pennsylvania except that which appears in a memorandum at the end of this invento
verify that the statemerKs made in this inventory aro true and oomect. UWe understand that fslee statements heroin made aro
penaltba of 18 Pa. C.S. Section 4904 rotating to unswom fa~ification to authortties.
Name of .
Attorney: gwROLD t lt~M-/N, liI
t.D. No.: X30
K KRAMMI
Addross: 64 s0lllN PITT s?RtIM'r Dated OCTiOAER I,~,,' g
CAI~tiJSLE rA !70l3
Telephone: 717-0 ~ ,
Description ~
aoRVEI. cowoilewnoN - s7 spans cornnan stock
IRUO®lIN7wL - dlvMand and Mbnst MoonN
uwr>ED llewi.rllcwrrw c~ilrroRwtwN - ntlmrd chach
Mevco -..1lrrnd ohaok
wws~aMOroM wrnoNw~. - cih.ck
a
(Attach Additional Sheets if rreoessary)
Total
~~
~o
a
the
nea no
UWe
isd to the
r.a
a _'t;i
ca ~ ;
C ~..~., ~
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.~ ~~_~
~.~~ ,:_;
y. ~--n
~r :~~ -~
o --- ^~
a~-
l,Q7o S7
400
~~
1,e00 00
I
I
dtii3d8d3
NOTE: The Memorandum of sal estate outside tt-s CommonweaMh of Pennsylvania may, at the ebction of the persona!
include the value of each item, brrt such ttgrmes should not be extended into the tots! of the Inventory.
RW~
Continuation of Inventory
.rvarrr ~ csoM
s~ o~ oo~s
Page 1
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