HomeMy WebLinkAbout06-20-14 (2) INVENTORY
REGISTER OF WILLS OF C.uMBEkLAk4D COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA I SS -,)-I ^ I I I
COUNTY OF File Number L. `-F
Personal Representative(s)of the Estate of gc±±V A .
deceased,depose(s)and say(s)that the items appearing iA the following invento 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 in a memorandum at the end of this inventory.
I verify that the statements made in this Inven-
tory 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 unswom falsification to
authorities.
Attorney-- (Name) (Supreme Court I.D. No.)
(Address)
(Telephone)
DATE OF DEATH HST RESIDENCE DECEDENT'S SOC SEC,NO.
05� 2014 5ZIG BoslerAue.• 17043
FIGURES MUST BE TOTALED
CASE{ AMt> PERSONAL PROPERTY
Gash on (land %0.00
A,u�0VW i L-& 2007 14ovda F t+ q )750. 00
t+ou-nehold seodS 600, 00
, N
FUtr41LSlLthgg c o Q-DA.00
Jeweltr J ac 0 05°01
3
m O C�
e1o1%i- _Y-0V4gtFD PROPERTY " , o -°
Dade wade jotrtt' 0 4/14/2100(o F m
M 4 Bahk) 344 S. Its S4-., L.emoytne, PA 17043 °
Accoun} No. roS540$ l/o Cc�t�InO
C3alavice on dair cPr death T. *34. 3 90. 00
Decedem&s lrr�eresE : 5c)%
Date o�-d ea{(n va(oe 4 dec edehiils i rrferesE 17) I q i5.00
(Attach additional sheets as needed)
TOTAL: 2q 000.00
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 ��