HomeMy WebLinkAbout06-21-12 (2)INVENTORY
REGISTER OF WILLS OF C~A1.MP~I; RI,Y}N1~ COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA ~ SS
COUNTY OF Curv.(SF, RI. N-t~b
File Number ~~ . 1 t ~ I t t3
Personal Representative(s) of the Estate of ~I1fS = PAQSk
deceased, depose(s) and say(s) that the items appearing in the following inventory include all o1'the personal assets wherever situate
and al I of the real estate in the Commonwealth of Pennsylvania of said Decedent, that the valuatiion 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 [hat which appears in a memorandum at the end of this inventory.
I verify that the statements made in this Inven- ~ -~x t:
tory are true and correct. I understand that false state- ~tantne ea arr.er- KeLU'E'r tX
menu herein aze made subject to the penalties of '
l8 Pa.C.S. § 4904 relating to tulswotn falsification to
authorities.
Attorney -- (Name) (Supreme Court LD. No.)
DATE OF DEATN LAST RESIDENCE OECEDENr'S SOC. SEC. NO
CGlpl~t,1 rsQ,VUn~ ~_.rtSVrwIGC, l.C).--I~CT+nOA ~ ,l~°.Y/'~ItAYS+
Memo t~ r.l~ -1~-ce~ -+t S l 3 2 (o d `f ~
(lV.I~
1,8~a
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2J Z
IV
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cn
additional sheers as needed)
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NOTE: The Memorandum of real estate outside the Commonwealth of Pennsylvania may, at [he election of the personal representative include the value of each
item, but such figures should no[ be extended into the total of the Inventory. (See 10 Pa. C.S. § 330!(6))
Fnrm RW-09 rev. 10.13.06
INVENTORY
REGISTER OF WILLS OF C~.UMgERt,14ND COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVAMA y SS
COUNTY OF Lu m66Rlprr l~ 1
File Numtxr ~~ ~ I ~ ~ l ~ 13
Personal Representative(s) of the Estate of ~~-5 = PQgsk
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 Corrrmonwealth 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 verify that the statements made in this Inven- `/„M~.k~7 ~ o ~ ~i QC
tory aze true and correct. f understand that false state- ~t~tne--V~'- Su aw.sr X~ tX
ments herein aze made subject to [he penalties of
18 Pa.GS. § 4904 relating to unswom falsification to
authorities.
Attorney --
(Supreme Court LD. No.)
GATE OF DEATH LAST RESIDENCE OECEDENr3 SOC. SEG NO.
10-0~-1- 57t31.S}rz~~na..a.~l~r, Mlechuntcs6~~Ppl~aS~ t-(3~•y;l-U~01
FIGURES MUST BE TOTALED
l Glp l~'R,~ fTQ,Vfa n~*lAt ~~_/~S VrculGq. C_C)-•'-'~iJ~A CTn ~t'C.+^~nlLLn. ~I1'.~Z
-Me+~o I~ n1C - J-A-cep' -~ S 13 :Z l~ a'I ~ I, 8 ~ a
(Attach additiond sheets as needed)
1~~~. ~a~
NOTE: The Memorandum of real estate outside the Commonwealth of Prnnsylvania may, at the election of the ptrcsonal representative include the value of each
item, but such figures should no[ be extrndcd into the total of the Invrnlmy. (See 20 Pa. C.S. ,¢ 330/(bJ)
Farm RW-09 rrv. l0-13D6