HomeMy WebLinkAbout05-07-13 (3) �v�NTaxy
REGZSTER OF W[LLS t?F CUMBERLANl7 COUNTX,pENNSyLVp,NIA
COMMONWEALTHOFPENNSYZVnrRA i
COI77vTY 4F ���-� � �'S File Number 21•12-1030
Parsonal Representarive(s)ofthe Estate of �LWOOD G. SHILEX
dacease3,depose(s)and say(s)that#he items appearing ua tha fotlowing inventory include all of the personal assets wherever sifvate
and all oftha real estate in the Commonweaith ofPeivasyivania of said Decedent,thaf the valuation ptaced opposite each ife�af said
inventory represents irs fair value as of the date of the decedent's death, and that Decedent owned no real estate autside of tha
Gommonweatth of Pennsylvania except ttsat which appears in a memorandum at the and of this invemory.
I verify that the sta#ements made in this Inven- ��G���(��;�
tory aze true and carrect I understand that false state-
ments herein aze made subject to the penalties of
18 Pa.C.S. § 4904 relating to unsworn falsification to
authorities.
Attarney— (IVame) Michael Cherewka,Esquire (Supreme Court LA Na.) 35073
(Address) 624 North Frant Stseet,Wormteysburg,PA 17043
(Telephone) �17-232-4701
DATE QF DEATH l.AST RESIDENCE
FIGXJRES MUST BE TOTALED
], M&T Bank Acoount#9847692655 29,969.2$
2. 1995 GMC Van,very poor condition-not able to drive 250.06
3. Comcast,Refund 69.55
4. Cloffiing and Personal Items 500.00
� �
�c a `�' ,.�h m
� � '� � c�
'a �a ..... o
. � S '-� ti? �2t
r.�. a -; .�
y, � � n-r rrs
�. ua � r�
o �,.; o 0
c� c� ' � � -+�
o c .�w �^
F-.
-o � ^> � m
. . .m .-� fn O
-- '�7
(A#ark additinnnt sheets as aeeded} . ,
TOTAL: 3Q728.$3
NOTE: "I'fie Memorandum of reai esiate oufside the Corsunonwealth of Pennsylvania may, at the election of[he persanat representative mcludc the vat�of each
item,but such 5gures shoWd nat be extrnded inco the tota(of the InvenWry. (See 20 Pa.C.S,¢3301lb)J
FprmRW-09 rev/0./3.OS �