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HomeMy WebLinkAbout05-14-12 (3)INVENTORY REGISTER OF WILLS OF ~~~`'~ 3~ ~ 1- ~-~ COUNTY, PENNSYLVANIA r .~~3 COMMONWEALTH OF PENNSYLVANIA 1 SS ~e' ° ~ (, ° ~1 COUNTY OF ) ~ ~ ~ File Number ~ ~ i o ~ d ~ ~ ~a Personal Representative(s) of the Estate of S®~'~"'`~ C ~t ~~6fZ 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. r.a C7 _~ I verify that the statements made in this Inven- ~~~~~~ ~ ~ '°~ -r, tory are true and correct. I understand that false state- ~~ L-~' ~~' ~ '--'~' '~ _., , ._, ments herein are made subject to the penalties of ~~ ~: ~ , ~ '< <= ~`~ -_~_=_ 18 Pa.C.S. § 4904 relating to unsworn falsification to ~' ~ ~' authorities. - -~-' ~- r; C ' -T? Attorney -(Nome) (Supreme Court I~:-zoo.) ca ~ -,_~ (Address) ,~- ~~ r,> (Telephone) DATE OF DEATH LAST RESIDENCE a3 %~~ /~~ / ~ ~~ ~. ~~~~~ ~ DECEDENTS SOC. SEC. NO. LI V /iJ'(~ 2OG' •c-f FIGURES MUST BE TOTALED C~~ ~~ yv. J~J ~'M so~r9 .3c7, ~3 n Z 'r~K G~ ~, ~~ Z ~9~1'?`s ~ S. ~ ~rv P~~~ ~~ ~~ ~. v~ ~C~ T-c, ff ~.i ~jSN~s y- -t~:_ ~q,2~ TG A~ ~ ~~ (Attach additional~heets as needed) 3s.vc- Z-~. ~ fJ c~o~l ~, (! G- 0.00 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. (See 20 Pa. C.S. § 3301(b)) Form RW-09 rev. 10.73.06 ~~~~ INVENTORY ~t ~ REGISTER OF WILLS OF L~~+I.8~2 ~ ~ €~ COUNTY, PENNSYLVANIA COMMONWEALTH OF PENNSYLVANIA COUNTY OF SS ~ ~"L f ~ ~©~7 S~ File Number Li (,~ - (f (d.~.~2 .~ Personal Representative(s) of the Estate of deceased, depose(s) and say(s) that the items appearing in the following inventory inchtde alI of the personal assets wherever situate and all of the real estate in the Commonwealth of Pennsylvania of said Decedent, that the vahiation placed opposite each ittmz 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 verify that the statements made in this Inven- 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 I.D. No.) (Address) (Telephone) one ~ t~-7tt usr oEC~rirs soc. sEC. tro. ©-3 G,~ ~~© Cr~ir/,.~~~G2~s'~. ~°~ s c92r/i5c ~~ ~-~'9-~6 ~'c'`~78 ~L/ TGif ~+~% G2C~C.i~ r'~ . J MjC2G t.v$-/c /S Ce7 rZ aGrvJ s3 ~a r= ,EZ .~,ry c~7~Z>€'S S ~~ ~ ~~ 2 ter 9-~T'G >-(~S /¢ / r2 ~n.~ % i~G~~:,~~ ~Z FIGURES MUST BE TOTALED (Attach additional sheds as Headed) S.Op ZcI. tip /O, ~~ I dr ~~ (? ~-~ U(1 s: OC .S,n~ .~S,~U 1'UTAL: + 000 NOTE: The Manorand~ of teal estaoe outside the C.a~motmaroalth of ~. ~ such figures shaild not be ex6ended irto the total of the T>iven~ vanta ~' at the eiectim of die personal a include the valve of each ry• 1Sse 20 Pa CS ~ 3307(6)) Fon» RR'-09 rev 70.13.06 INVENTORY ~~ zj REGISTER OF WILLS OF CJN1 g &Z ~ ~i ~ COUNTY, PENNSYLVANIA COMMONWEALTH OF PENNSYLVANIA COUNTY OF S ~ ~ ~E G ,~.~ ~ File N»mber ZO f ® p 0 3 3 3 Personal Representative(s) of the Estate of deceased, depose(s) and say(s) that the items appearing in the following inventory inchuie all of the personal assets wherever situate and all of the real estate in the Commonwealth of Pennsylvania of said Decedent, that the vahaation 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 verify that the statements made in this Inven- ~~~.~ ~ •~ ~, ~ bt',i. '~ 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 I.D. No.) (Address) (T'elephone) of ~+ usr oECmenms soc. sEC. wo. ~'~ G,6 ~ i ~ d~•./. %~~-~~~.~ ~ ~: ~ni / C•~2L1SZ...~ ~~' Z ~l ~b G3`7 ~ FIGURES MUST BE TOTALED ~z~~ ~- ~~~~s-, ; zs~, oa (Attack additional sheets as nee~ted) ~(f' (~ j f ~~ TOTAL• 0.00 NOTE: The Mmwt~ of nil eamte ontaicte the CommomvalW of nay, at the eh of the pasaoal representative include the value of each item, but s~rch ~ ahouid not be eatendod intro the total of the Inventory. (See 20Pa GS F3301(b)) Forne RA'-09 rev 10.13.06