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HomeMy WebLinkAbout01-08-13 (3)REGISTER OF WILLS OF COMMONWEALTH OF PENNSYLVANIA l SS COUNTY OF J File Number '~~~Z' -©~47 Personal Representative(s) of the Estate of ~~~/~~ Gf/, G/QieL iii/ 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. I verify that the statements made in this Inven- =-'> ~ '-j ~ 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. ~ ~ ~ s ~+ r ~ rn cp ;~, t::~ Attorney -- (Name) (Supreme ~°ourll~. No.,,l~„~~ (Address) ~ ~ ~` ~ .,~'~ ~ (Telephone) :~ ~ ~--• ~~-- m DATE OF DEATH LAST RESIDENCE DECEDENT'S ~TSEC. NO. ~ ~~ £vsrON' -32, ,,~ ~ FIGURES MUST BE TOTALED .~ ~N~~ ,mss Z ,Z~>css~rzs' ~ cSTOaCaG~' //vTG'r'~ f: ~r~yF.tJ T.~g~t~' S /: /r~,~i~~t1 C-~iQiY~' .17i~/i~/6 R~/t1 ~~,C ~ COvcrE/ Z ~~Cci,v~'ie~ SET--- sTE4-~~li~~'ss ~sT~L. ~«?Zc,~~~, ~ ~~~.~~ Z .5 ~TaS' Grp" ~.E~~SrS/~£T~ ~' BL~iit~,C~,S• r ~i' 1G ~/a•~~ r9~Gv~D ~j~l / yDr~~' -- 3'/ t:5~u; ysfco.(/~j ~s~ir~~r- ~v~~~ ~.s,auu~6 (Attach additional sheets as needed mss, ao ~'o, rya 4l©, oa /S o 0 3v.od ~~', o0 .SV , oa 3S, oa I'G, o a t p . 00 S o0 2s. as ~"", o D z,iso, o0 /y2, or>G, CEO TOTAL: ~'~'y. ~r,~.OU 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 exuded into the total of the Inventory. (See 20 Pa. C.S. ,¢ 3301(b)) INVENTORY `'~//J7~.~~~f'y~ COUNTY, PENNSYLVANIA Form RW-09 rev. 10.13.06