HomeMy WebLinkAbout10-25-13 INVENTORY
REGISTER OP WII,LS OF �COUNTY,PENNSYLVANIA
CdMM6NWEAL'ff�IOFPENNSYLVANIA �I�j� �
COLINI'Y OF � SS File Nwnber � �c/ D
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Perjso la R pres'enta've(s)of the Estate of �—tt��' ,��G�.��T �
deceased,depose{s}and say{s}that the items anng�n e 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 valuatipn placed ppposlte each itom of said
inventary represents its fair va2ue as of the date of the deoedenYs death, and that Decedent owned no real estate outside of the
Commonwealth of Pennsylvania except that which appeazs in a me andum at the end of this inveni ry.
I veTify that the staternents made in this Invan-
tory aze true and correct. I understand that false state-
ments herein are made snbject ta the penalties of
18 Pa.C.S. § 4904 relating ta unswom falsificarion to
authorities. �J
Attamey-- (Name) =----'��� (SupremeCourtZD.No.) �! 0 /�
(Adrlress) , �p �
(Tetephone) ��"`��—��G�„��
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OATE�F OEATH tABT RESIOENCE DECEDENTB SOC.SEQ NO.
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FIGURES MUST BE TOTALED
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p � -'t.r -�*r �
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tIl
(AttaeA addiHonal sheeRs as needed)
TOTAL: . 0.00
N01'E: The Memorendum of real esteh outside the Commonwealth of Pennsylvania may, at the election of the personal representative include the value oF pach
ittm,but such figures ahould not 6e exunded into the totai of the Inventory. (See 20 Pa C.S.§33QI{bJ}
FarmRW-OP rev. 10.l3.04 . �