HomeMy WebLinkAbout12-06-13 (4) INVE//NTORY
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REGISTER OF WILLS ��/�O�L L COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA G
COUNTY OF } SS /�� File Number
Personal Representative(s)of the Estate of ,q�v
deceased,depose(s)and say(s)that the items appearing in the following inventory inclu 11 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 th e o f tl*vv t
I verify that the statements made in this Inven-
tory are true and correct. I understand that false state- o'
ments herein are made subject to the penalties of
18 Pa.C.S. § 4904 relating to unsworn falsification to
authorities. x;;V-y; ��� ` 101�9 r 21743 O -0�5`�
Attorney-- (Name) (Supreme Court I.D.No.)
(Address)
(Telephone)
DATE OF D AT H� LAST RE ICES
DECEDENT'S SOC.SEC.NO
FIGURES MUST BE TOTALED
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Era 0�14J
RECORDED OFFICE OF
REGISTER OF WILLS
2013 DEC G
CLERK OF ORPHANS'COURT
CUMBERLAND COUNTY
(Attach additional sheets as needed)
TOTAL: S7, L_
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 10 Pa.C.S.§3301(b))
Form RW-09 rev.10.13.06