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HomeMy WebLinkAbout06-07-13 CLERK Oi ' ORPHANS- COURT RECNWR�,AANoLcof; PA REGISTER OF 'V,1Lt_S }}�((� ���� INVENTORY 1UI3 AN EGISITR O� )GILLS OFQ_, &!Se(A,_1 n COUNTY, PENNSYLVANIA CLERK OF 'UN 01 �AIro1GI'D CO MANIA L SS OI S ©O J L4 BERLANO.CO.. PA f /ll File Number j?,, 1 Personal Representative(s)of the Estate of_ � 'o/-&J /7 Z/V/✓ate l 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- tory are true and correct. I understand that false state- o mens herein are made subject to the penalties of ��JL I8 Pa-C.S. § 4904 relating to unsworn falsification to f lYt authorities. Attorney-- (Nance)- / (Supreme Court M No.) (Address) ('Telephone) � ?DATE OF DEA/T�H jLASTRE'SMENCE/01�_' Q/t��y � ,�NU,Cry�JL,�(�}tq���p��, DE�CED7E . /f Ut1 �./I� tKM(5kLY041 (,aT�iK al LT ll) �jJ -/O l/G.r✓"'F9/ G.�/�^�'�'adj`JO FIGURES KIST BE TOTALED . f✓am,� /z�<5112cjc.0 .' lob A. \>L tom' I&A- /��'� S'pv- (D o Z. Poc 2s S 2_S_ (Attach additional sheets as needed) TOTAL: 7Z; 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. CS§3301(b)) Form RW-09 rev. 10.13,06 �l