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HomeMy WebLinkAbout07-09-13 (3) INVENTORY REGISTEROF WILLS OF COUNTY, PENNSYLVANIA COAib1pN\VEALTIi OF PENTISYLVANIA COUNTY OF SS File Number CAROL R 'WeFQATHAi4 Personal Representative(s)of the Estate of L WC.I Lt, t, P A LT L H N C 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 itemof 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- ments herein are made subject to the penalties of IS Pa.C.S. § 4904 relating to unsworn falsification to authorities. Attorney-- (Name) (Supreme Court T.D. No) (Address) (Telephone) DATE OF DEATH IAST RESIDENCE l DECEDENT'S SOC.SEC.N0. K-t9 - 13 8�t Iy• tt4tl\0V,89- ST CaT•lcste PA 1 7ot FIGURES MUST BE TOTALED clnec_v� 4.C}- 0 484843714a 401 , IS 1n3T POex-Qs (2.Sta1.F.,ns�•.'pSa•u••�q, acct- 3+ � Iroo4�lt8oSako4 t�ooS • 4�. I�ecp dov\} 1:wa ' i.. t�C6�e� room eahe 0-12Aft�,(A""0'�s �wY.a �r H I�pt 6v `l& G�aT�/ . o-\ a Mi6C¢�IOvw6vl S ) c C:) M m ?73l .fD -0 C `� r jew>t��`� °� �a �`� n U o (�' Q r' z m m z (f) a GO = C3 0 0 0 0 `T n _n �7 ~ ' n --1 tV r- _0 hl D O rn O b _71 (Attach additional sheets as needed) ( q,676 , 577 TOTAL: 0.00 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.C.S.§3301(6)) Form RIP-09 rev. 10.13.06