HomeMy WebLinkAbout12-06-13 (2) INVENTORY
REGISTER OF WILLS /Il'OIL L COUNTY,PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF SS File Number ��� 0 3 _ y�
O
Personal Representative(s)of the Estate of 0"
deceased,depose(s)and say(s)that the items appearing in the following inventory inclu Il 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 decedent's death, and that Decedent owned no al estate outside,of the
Commonwealth of Pennsylvania except that which appears in a me and- a the e It
I verify that the statements made in this Inven- lC �J
tory are true and correct. I understand that false state-
ments herein are made subject to the penalties of
IS Pa.C.S. § 4904 relating to unswom falsification to
authorities. P
E 9 z; , ��� ` Al r — -21? �3 0 -OT36
Attorney-- (Name) / (Supreme Court I.D.No.)
(Address)
(Telephone)
DATE OFD TH LAST RESI ONCE —�
N DECEDENT'S SOC.SEC.NO.
G+ ! cd Zoe 20—TO
FIGURES MUST BE TOTALED
„r ,� d�c= �,�i - C=am �,�✓.v > ��-e.�.�`�' °7 92)
alls<ic
(Attach additional sheets as needed)
TOTAL:
NOTE: The Memorandum of real estate outside the Commonwealth of Pennsylvania may, at the election of the personal representative include the value of each
item,but such figures should not be extended into the total of the Inventory. (See 20 Pa.CS§3301(b))
Form RW-09 rev.10.13.06