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HomeMy WebLinkAbout12-22-10INVENTORY REGISTER OF WILLS OF ~~~" dcr ~a^~c~ COUNTY, PENNSYLVANIA COMMONWEALTH OF PENNSYLVANIA COUNTY OF G~ M ~k ~~ 0~ SS File Ntunber 2 ~ " ~ o ~ ~~ ~ 1 S 1 Personal Representative(s) of the Estate of G ~ ~ E G ~~u f-~ Tir' deceased, depose(s) and say(s) that the items appearing in the following inventory include all of the pers teal assets wherever situate and all of the real estate in the Commonwealth of Pennsylvania of said Decedent, that the valuation plc dppposite each item of said inventory represents its fair value as of the date of the decedent's death, and that Decedent owneld o ~! real estate outside of the Commonwealth of Pennsylvania except that which appears in a memorandum at the end of this inven ry. I verify that the statements made in this Inven- I' 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. ~~ Q Attorney -- (Name)~Cl f ~ ~ . C ~-4li,j~V (Supreme Cmur>~ l,D. No.) SV O (Address) ~ ~ ~ bJ f•I t~ (6i ~ r ~ f ,~~ 'I (Telephone) 711 Sd 3 ' 36( DATE OF DEAT-1 LAST RESIDENCE D DENT'S SOC. SEC. NO. l Z _ s . 6 ~ 2 ~ (ol+ga~c ~~y~ Cs.~,o N,7) ~~ /7~~~ 1 ~, ~ 3~ - 3 /y8 FIGURES MUST BE TOTALED ~ ~~t3 Jetp ~r~~d ~~eroke~ p/j C t A«~ ~ 2137 P~ ~ ac „7~~ s~ ~ ~. (PRA) 162 s~ ~ ~s. Sq ~Sa v . a 18Za3.Sy ? 87/. SP ~..`' I E -~ ~' ", .. w--- (Attack additional streets as needed) __ _ TOTAL,: I ~ 1 SAS ~ 2999 NOTE: The Memorandum of real estate outside the Commonwealth of Pennsylvania may, at the election of the personal represent~tiwe include the value of each item, but such figures should not be extended into the total of the Inventory. (See 10 Pa. C.S. § 3301(b)) Form RW-09 rev. 10.13.06 ICI - _ - _ _ ~._r_ _ I L_ _._ ~~ W ~ ~` ~. V s ~ ~~ w ~~Q 1 -• C1 1 \ \ ~ ~ ~_\ C ._`` ~` ~w ~ `^` ~. ~ ) ~. O, G w`~' -a '~J 3 ~~J .,,. _..{ ., t ~~ c-~ ,::~ ~~