HomeMy WebLinkAbout07-11-13 �xv�rrroxy
REGISTE1tOFWII,LSOF_C4L�'46�':1LLA�C� COUI�TT'Y,PENNS'YLVANIA
COMMONWEALTHOFPENNSYLVANiA �1
cour,rYae �uMSERLAN;�l ss � '�.��0'��.�9 F'kN� a0/3- l�ab8/
Personat Representafive(s)of the EstaGe of L
deaased,depose(s)and say{s)that the itc�appeariug in the fallawing inventrny inrd�ail of t1u persanaI assets whenver situate
aad all of the reai estate in ti�e Cc>mmonweahh of Peansytvania of said Ikcsdeat,that the vatusti�placcd oppositc each ieem of said
invrnWry repreaents ia fair velue u of the dau of the deccdwYs destU, and that Dxedent ow�d na real estate outcide of the
Commonwoalth of Penasylvania except that which agpeacs in a memorandum st tl�t end of this inven�ry.
I verify that thc statements mada in this Inven- R �" �.J. �+�,_
tory are true and carxect. I understand that fatse atate-
zncats hsmin are made subject io t2� ptnatiiea of ' r
i 8 Pa.C.S. § 4404 rolating ta uaswom falsificatian to
anthorities,
Attoraey-- {Name) (SuPreme Gsw�t I.D.No.)
(Address)
(T'etepkone)
MTE OF DL'ATH USi NESIGE1iCE 6 .� S /�,G/ (V� O�CEOENI'8 9pC.3�.N0.
cTUNE `� �d�3 � A u a o
FIGtTRES MUST BE TOTALED
1`� � T �q�K�Cl4�r�{r�C, Aceoun� No, anooQOa��69�ib�� � !63<5:�r
SA�INGS �cCt�ic.�t7' 1tjc�. D15OD�a24�b'S��?l g�rj�5�,7�
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w��'�Ros€ � �,
�ewet�� 1�..�o�rty Cd�ru�t� J��Ir�� � � � ��rt�. eo
t'�finta � � rn ,—� ri.; �J,rp. av
(,,,Ut"1"AR z v.' � � c, o�Opi (3D
1���, ti�c� Rr���r t�u�n��r��� ° o � � -�F -�� ao,.00
$�d�Roor�► Fu/'hJi-ruR� :' c � � :: ;��o v� o0
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R�GHTS o� SuRvlVo�syjp W/TH tlus�ANA� FR�b��e.�tk cT.
'fi��'l t L E , nt�uT�LUS Ccy+r..uvvM��rftltw, u+Jrt'80�Flayler-&Pac�f
AHb VACAN7' �.°�' rN PAf��I �'oASlr� �'l. ,
t�n�k«ae;r�an�t sa�us���
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NOTE: the Memorandum oF rmi ewm oueside tlu Commonvvaai�of Pkivuyivmia miy,u che ekctipn of dx persond mprebemaNve includq tl�e velun ot nch
ican,but wah fig�rtcs ffiouW ao[6e ataeded huo Me roW ofMa Invdiwry. (Sss IO Pa GS¢3�1@)J
( Form RW-0¢ reu l0.13.Ok � .�y1�'
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