HomeMy WebLinkAbout06-05-12INVENTORY
REGISTER OF WILLS OF ~ ~~(/~' LINTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA ~ SS
COUNTY QF n
File Number ~ V ~ ~ ' ~ ~ ~ ~
Personal Representative(s) of the Estate of ~ ~~1 a `S T ~. / I/~
deceased, depose(s) and say(s) that the items appearin in the following inventory include all of personal assets erever situate
and all of the real estate in the Commonwealth of Pennsylvania of said Decedent, that the valuation p ace op sI a 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 memorand at the end oft s I ventory.
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 PL= rJ L . ~~~.~'
18 Pa.C.S. § 4904 relating to unsworn falsification to
authorities.
Attorney -- (Name)
(Address),
(Telephone]
DATE OF DEATH LAST RESIDENCE ~ A A~~ DECEDENT'S SOC. SEC. NO.
o z-~ v f 3~~ ~~ ~~ (~ r~~ 17~.~"Ly a ~ 3"?~~ 3 3 7
FIGURES MUST BE TOTALED
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(Attach additional sheets as needed)
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TOTAL: I 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))
(Supreme Court I.D. No.)
Form RW-09 rev. 10.13.06
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Cumberland County v3 ~' v' - ' `~ ~`
Register of Wills g~. ~ r,_.' ~=;-t
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June 4, 2012 ~'
Dear Danielle,
Please find the enclosed $15 check for the inventory filing for the estate of
Lela M. Hostetler who died on Feb. 18, 2012.
Thank you,
_ ~i(,/ V-
Beth L. Mark
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