HomeMy WebLinkAbout06-13-11 (2)Register of Wills of Cumberland County, Pennsylvania
INVENTORY
Estate of I~~~; s ti ~ ~~c.~c c~~ No. Z l -- 1 I -- OS`-1 J ~^
also known as
Late of: Township, County ,Deceased
Date of Death p y- Z 2- .~ ~ i/
Social Security No. s z y _ p ~ _ 3 / % ,~
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 of 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/We understand that false
statements herein are made subject to the penalties of 18 Pa. C.S. Section 4904 relating to unsworn falsification to authorities.
Personal Representative:
Name of ,/ n ~ D
Attorney: V ~ L )Ly !'~ ~ r~ I r ~ n-tn~ c. „~
I.D. No.: ~ ~~ (.~ ~]
Telephone: 7 ~ ~ - (o `Z-u - "Z-~I yV
Address ~ O 1J J~ C~J~ Dated: G ~` y - Z~ //
DESCRIPTION
VALUE
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See attached.
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Attach Additional Sheets If Necessa . ` t
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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.