HomeMy WebLinkAbout05-03-13 _
Register af Wills of cuMaExs,Arrr�ounty, Pertnsy(vania
INVEE�TORY
Estate of �DNA W HORST No. 21 1 2 q0829
aiso known as Dete of Death �-1 3-1 2
_ , Deceased Sociai Security No.
Personal Representetive(s) of the above Estate, deceased, verify that the items app¢aring in the following Inventory include all of the
personai assata wherever situate and ali of ihe reai estate in the Commanwealttr flf Pennsytvania oi said 6eceHent, that ths valuatian
plaoed opposite eaah item of seid inventnry represents its fair velue as of the date of the DeoedenPs death, and that Decedent owned no
reat estaie outside of the Commonwealih ot Pennsylvania except that whish appears in a memarandum at ihe end of this invenrory. iiWe
verity Ihat the statements made in this invenrory are true and correct. I/We understand that false statements herein made sub}ect to the
pena8ies of t$Pa. 0.5,$ection d904 relating to unswnrn falsification to auiharities.
Persanel Represen:aFive:
Name ot ,,,y �r�t ,,�
Atiarney: _ �='L•�3a p-i�'�,'�_,�iOL»�n-��C_s
O
I.D. No .:
Address: 74S MOUNTAIN VZEW RD Dated �1�.s�.� i,2,�" �t7t3
.
� SHrppRN�A Ta� pn�.7-257
Telephone: 7] 7-4 qQ-5,�.5.2
Descriptinn . Value
� � ��
REAL ESTATE �''�
m
L(7AN-NOTE � �OO.ff$ � y°,,
BANK ACCOtTNT CI}
�
CHECTCING ACCOUNT ���.� � �
PERSONAL PROPERTY �i yA �. 0 p o <::
REFUNDS FROM UTILITIES o �� � z^ `'�
FURNITURE c�q, �,,� �
CASH ON AAND .`-'��.a�': _ ,�:�
INTEREST BANK -� —� � _ �, U, �
� ��
� Tota� y g3, 731 . 00
(Attaoh Additional Sheets if necessary)
ms
NOTE: The Memorandum of real estate outside fhe Commonwealth of Pennsylvania may, at the election of the personal representativs,
indude tfis vatue o#each item,but such figures shauld not ba extended in#a the!otal of the Inventory.
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