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HomeMy WebLinkAbout11-25-13 (2) nwErrroRY . REGISTER OF�iVII..I,.S OF l.u►'Yl�t'�,4 r'1 cQ,____� CQLfNTY,PENNSYLVANIA► ax�ro�ws��oF PErrxsr�.vwivrw � ss COUNTY OF Cu m�r-�a rx;� F1e Nu�nbrr �.O 1 3 —d�2�� M'1GQ0. �.. �15�° , Perso�al Re4�nhqive(s)of t�e Eslaoe of_ w'a ( �e Y- S, �..,e�i-t m ct►� - deoeased,depose(s)aad sa�y(s}tl�t the i�ems a�pp�r�ng in the follo�ving inve��cn�y inclgde all of�e pe�i�onal ass�;ts whcx+eve�situate at�d all of the reat�im the Ca�mnanweald�of Pe�yh�ania of said Decedca�t�st t�e valuati,on p]�d crp�osite esch item of said invento�y r�ts its f�ir value as of the da�e of the deoed�s death,�d thst Decede�t own�d no�+eal estate o�utside of the C�wealth of Pen�rlva�ia exccpt thst which sppears ia a at the end of this inve�+o�y. I vetify th�t tt��made ia this Imre� `G�Cl�J�i tory are hve a�d oon+oct. I imde�sta�d ti�at f�e�e state- , . �.a� �ia a�e n�ade �eat to the pmalties vf _�Lti�C�a_ �� �-fe/5� � 1$Pa.C.S. �4904 relating t�unswo�a�L�ificatiase to anth�ities. Attorney--(Narme) � - (5upre,ne Co�rt I.D.No.) , (�►'�) � 7 s�'^�"�', r - a►�oF o�►n� ��a?�/y�e ss%Ct �'!��� o�+c�rs soc.9�c.No. ro �6 aa r 3 /l�ee1� cs � I?��.5=d (o � FiG�tIL�'S 11�35"��E 1'�OTAI.ED � . � M t�T �nk -C1ass�e, e�ec�i wr�-I� �n�eresf 3 �! �, 3.�' � ' (QS h ��'o00, o�o �..� � � � � � � .� ct� �t ,,,,.1 �.,�,�, �`""» E„5 '"". � ; Lat.. 1�,. � C'� � � - C� t� L"a L�,1 1,�,! � 4J �' � Ct,l ...� +p � 'c��` � �,. � _ � C� � +� C� .� , - � � � � � � � (���i�rl sliod��Aoadad� To�r�u.: g' 3/ .�3 aee- xOTE: 1'he M�amoraadum of�aal a�1e whide the Cum�o���h of Pea�grlta�a m�►,at d�e olectim of�e pasoe�i rapoe�ae�liv�e inc�nde�he va�ae af es� � iMae,bat adi 5gme��600ld nd be a�eoded iQOa t6a to4d a�8re Inve�r.(�eZDPa C.S¢33(il(bl) Forn�Ri�'-09 ner:10.13.(Af6 � � W � . �