HomeMy WebLinkAbout05-13-14 (2) INVENTORY
REGISTER OF WILLS OF �+ ,.x�,� I��,-Ic: „ r� COUNTY,PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA ' I �'`� / ,�
COUNTY OF � SS File Nutnber � �� `1 ` V l..l��
Personal Representative(s)of the Estate of
deceased,deposels)and say(s)that the items appeating in the following inventory include all of tlie 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 vatue as of the date of the decedent's death, and that Decedent owned no reai estate outside of the
Commonwealth of Pennsylvania except that which appears in a memorandum at the end of this inventory.
I verify that the statements made in this Inven-
tory aze true and conect. I understand that false state-
ments herein are made subject to the penalties of
18 Pa.C.5. §4904 relating to unsworn falsification to
authorities.
Attorney-- (Name) (Supreme Court I.D.No.)
(Address)
(Telephone)
DATE OF DEATH LAST RESIDENCE
, - �V( -1 3' J �V ti-°J `F� S-�1'r �� ��7 1�1 ec I\G:i1 ��'�
FIGURES MUST BE TOTALED
'VU e>f�.-,� ��,.c.1-1.�;r.�..o 's,=e �-1 �.h W: �� � 7, ��"�`l
Pn� � I�..,�� � ��y.ts � ��r,�s, a���r.��,r. � r�-�:�.SQW.4z�, ��,Cr��,� ��,c:�a
� ;� �. - �..�ti r� 1:, �.; �►.r�,�.',-�y �3,�5 �
Seltc4- Rssc�-t- mu.,.����t,.�e�fi `75iln� `i
Vi;,�(( s ��:r5 a I S, �5"G L
jS� , � il
__ _____ _
__ _ . _
_ __�._. _.._�__
� rV C� 111 �:. ��y YY�G:i�e t j y� L`C v
��, � �`� I �
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0 C: .`�- ��
: �': .r �� CT't
� _, � cn p
c..':
(Attach additional sheets as needed)
TOTAL: 0.00
NOTE: The Memorandum of real estate outside the Commonwea(th of Pennsylvania may,at the election of the personai representative include the value of each
item,but such figures should not be ext��d inw the total of the Inventory. (5ee 20 Pa C.S§330/(b))
Form RW-09 rev.IOJ3.06