HomeMy WebLinkAbout09-24-13 (4) ,
! INVENTQRY
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' REGISTER OF WILLS OF C�MRER49w�11 COUNTY, PENNSI'LVANTA
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CCI ONWBALTH OF PENNSYLVANIA 1�
ca oe �v�f����An►,� I ss 19$'3ci- ��Sn Fue x�r�� "�ai 3 —tb89�..
Pers� 1 Representative(s)of the Estate of �L�flJ�� R, Qv'f'T]�Q
dece ed,depose(s)and say(s)that the items appearing in the following inv�tory include all of the personal assets wherever situate
and ofthe real estate in tfie Commonwesith of Pennsylvania ofsaid I}ecedent,thatthe valuation plac�!apposite each item of said
inv�ry represents its fair value as of the date of the decedant's death, and that Decedent awned no rea( estate outside of the
Ca onwealth of Pennsylvania except that which sppeazs in a mecnorandum at the end of this inventory.
I verify that the ststements made in this Invan- _���niARx1 /�, �.�J�'T€/L- JR�
tory true and correcc. I understand that false state-
monts herein are made subject tn the penaliies of �.� p�� b`�,��
i S Pa .S. §4904 relating ta unsworn falsificatian to
sutha ties. �NO�A � (� i'7'Oo15
Atto eY-- (Name) �YE {Supreme Court I.D.No.)
(Acidress)
(7'elephone)
DA7E DEiTH tAuTRE5I0ENCE DECEDEM'SSCC.SEC.#10.
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FIGt7RES MUST BE TOTALED
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,4N,vv�r 3`$� Hil • s'+�
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�y.�rv ►�AnrcOC�(,, MvruA-1_ �v,vb = `'�� •�'�
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ToTnr.: �47 .�9' . 9
NOTE: � Memaro�mn of rsal asmte autsidc 8x Cammonxaslth of Pennsytvaaia may,az llu electlon of the pezsonat reprexrnative i�lixle tlx vaiix of e�h
,biu such figuros stxwtd imt be ezten8ed intu the tasi af Uu Im�mtory, {See Ib Pa.C.S§330I(bjj
Form RW 09 rev,/0.13.06 ��` L.
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