HomeMy WebLinkAbout07-18-13 (2) INVENTORY
FtEGISTER OF WILLS OF Ct�g���,��J� COUNTY, PENNSYLVANTA
CdMMONWEAi.TH OF PBNNSYLVANIA
COFTN'i'YQF ��$gRLAND SS FiteNumbet 2013-091�9
Parsanal Representarive{s}of tha Estate of �.r�a t�_ rta rm
deceased,depose(s)and say(s)that the items appeazing in We following inventory include all of the personal assets wherever situate
and alI of thc real estate in the Commonwealth of Pennsyivania of said Dxe.d�t,that the valuation ptaced appasite each itern of said
inventory represents its fair value as of the date of the decedent's death, and that Decbdent owned no real estate outside of khe
Comrnonwealth of Pennsylvania except that whioh appears in a m arandum at the end of this inventory.
I verify khat the statemenu rnade in this Invrn- ���_ / ����
tory are true and carrxt. I nndersiand that false state- �L'
ments hereiu are made subject to the pcnalties of
I8 Pa.C.S. § 4404 retating to unswom falsification to
antharities.
Attoraey-- (Nmne) niarx T. Gj � � ��tPYy�,,, r,� {Supreme Cour11.D. Na.) �'i67j
(.4ddress) 5922 Linalestown Road , tiarrisbura. PA 17112
(7'etephane) t717) 671-150q
MTE Of DEATH W^T fiESIDENLE DECEDENTS StlG.SEC.NO.
O1/26/13 20 North 12th St , A t 123 , Lemo ne PA 207-22-0611
FIGURES MUST BE TOTALED
l . Susquehanna Bank checking account #5400631009 $4,425,43
2 . Refund fram Manor Care �84.4�
c� �;; :n m
3. Miscellaneous personal property � �? cQOc�}�,'
�u 7� f,f) •_+"'�
(� �� � r-•- ._..j '�4�.$
� r �.1 i f�
�' `�y
(� '��' � � ..:±'
A � � (�°y �..)
�.f '1:
J {'3 �•, � ...:1
� � '� C7
� c �""' i=- r�
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.� V � �, o
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{Attttch addiXoxat skeets as xred�d)
T4TAL: 5 549.43
NOTE: The Msmorandwn af resl estate nutside ths Commanweaith of Pennsyimnia may,at the eiection of the personai repreunsstive inclvde the vaiue of eath
itcm,but such figures should not bt ex�rnded into Ne total of the Invrntory. (Se<70 Po.C.S.§J3tl1(6)) (���
FornrNW-09 rev. 10.13.06 RW"09 `��}y
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