HomeMy WebLinkAbout02-20-15 (2) INVENTORY
REGISTER OF WILLS OF 124AA6^4ZA4 COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA I SS
COUNTY OF File Number 0
Personal Representative(s)of the Estate of 70/ M
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 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 unsworn falsification to
authorities.
Attorney-- (Name) (Supreme Court M Nb.)�
rn
(Address)
r-n
(Telephone)
DATE OF DEATH LAST RESIDENCEW-IS SOXMC.NO-,.I
FIGURES MUST BE TOTALED
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L1 j1 E 5,5 6 9 S -
'4, 7-V5 - 3
X 17-C H614 5 Tuf-f
7, pjv/t/( Rooll
e 0
Moe, 0-ANd
13. 6,,Jrb6W7cvL5 i5'
Aceozo pii
rm_o F,1 B i 155
(Attach additional sheets as needed)
TOTAL: ICJ
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.C.S.§3301(b))
Form RPV-09 rev.10.13.06