HomeMy WebLinkAbout12-18-13 (2) INVENTORY
REGISTER OF WILLS OF Cumberland County COUNTY,PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF ss FileNuather 2012-00613
Personal Representative(s)of the Pttate of Brian K.Blouse
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 decedent's death, and that Decedent owned no real estate outside of the
Commonwealth of Pennsylvania except that which appears i morandutn at the end o is inventory, tj f 1 l
I verify that the statements made in this Inven- ��
tort'are true and correct. I understand that false state-
ments herein are made subject to the penalties of
18 Pa.C.S. § 4904 relating to unworn falsification to
authorities.
Attorney-- {Name) Be31iG. oC 1e J (Supreme Court LD.No.)a641�—� �
(Address) 1515 Market Street,Suite 1300 Philadelphia PA 19102
(Teleplurrrej 215-557-0066
DATE OF DEATH LAST RESIDENCE DECEDENT'S SCC SEE,NO
12/23/2011 516 North 2nd Street,Wormleysburg,PA 17043
FIGURES MUST BE TOTALED
Survival Claim 0.00
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(Attach addWonal sheets as weeded)
TOTAL: 0.00
NOTE: The Memorandum of teat estate outside the Commonwealth of Pennsylvania may,at the election or the personal representative include the value of each
item,but such figures should not be extended into the total ofthe Inventory. (SeeW Pa.C.S§3301(N)
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