HomeMy WebLinkAbout09-06-13 (2) INVENTORY
REGISTER OF WILLS OF l ,��!�a�e�l r,�,1^ G�- COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA t SS � File Number � ^ I�^O U��
COUNTY OF J
Personal Representative(s)of the Estate of V i J i a� C �e h �I
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 decedenYs death, and that Decedent owned no real estate outside of the
Commonwealth of Pennsylvania except that which appeazs in a memorandum at the end of this inventory.
I verify that the statements made in this Inven- ��j � � Qo�
tory are true and conect. I understand that false state- �
ments herein are made subject to the penalries of
18 Pa.C.S. § 4904 relating to unswom falsification to
authorities.
Attorney-- (Name) (Supreme Court LD. No.)
(Address)
(Telephone)
DATEOF E'A�II � . ���$I� (r �� � �� ��u^. �� (��C � DECE�ENT'SSOC.SEC.NO.
5 •< �
- FIGURES MUST BE TOTALED
�(1'S� �UC�:� CYIAG�C��S GcLVL�.r��- � `rUS�/. Sb
c �-= �' m
� � rf;. `�i n
U� � ' Q
m = � , � �n
.Z7 Zy �--. �::7
� � r.� .� r.,.�
D G'� - . ;-:7
. �+-' � �ti �":�
. ...,
� �� . � :�... ..,,7
� t:� � � "�'1
_'
�^7 C: � � _ t7
. ,--�� c.� rn
� —t ._
y ..c u' °
0
(Attach�additiona!sheets as needed)
TOTAL: �OS�l. Po �99
NOTE: The Memo�andum of real estaro outside the Commonwealth oF Pennsylvania may, at the election of the personal reprcsentative include th< value of each
irem,but such figurcs should not be extended inm the torai of the Invrnmry. (See 20 Pa C.S§3307(b)J � �f,,..;�
Form RW-09 rev. 10.13.06 � ` `_\
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