HomeMy WebLinkAbout03-23-15 (3) INVENTORY
REG[S�CER OP WILLS OF G �f 1'h 6�Z�Z.I�� COUN�PY, PE\NSYLVANIA
C0Y1110S\VEALTH OF PCNKSY'L\'ANI.4 1 SS a(7/ y - O � L(E� f!'
COL'NTV'OF J Flle�umbe�
Pecsonal licpmsentative(s)ofthe Estatc of Q L° "'e
deceased,depose(s)andsay(s)thattheitemsappeanngiut efollowfnginvevloryi�cludeallofthepersoualassels�Yheeeversitua[e
and all of thc rcal esta[e in the Commouwealth of Pemsylvania of said Decedent,that the valuation placed opposte eath item ofsaid
inventory iepresents ia fair value as of lhe da[e of[he deceAenPs dcath, and that Decadent ow�ed no eeal estate outside of thc
Commomvealtli oF Peonsylvania except that which appeacs in a memoxandum at lhe end of thfs invenmry-
I cecify that the statements made in this Inveo- ��� � J�p�n��p�f
rory are nue and wrrec[ 1 understand tUat false stat�
ments herem axe made subject m She penallies of
!8 Pa.0 S. F 4904 celating to�mswom falsificatiou to
authorities.
Attnrney- (Name) (S¢prenie Court I.U. No�)
(AddressJ
(Telephane)
on<eovoearn usarsmervce oeceoENrssocsFcrco
o ei Uo v,., � i c - C Pz �-o( I S 5! S
NIGi:RES MtiST BE TOTALED
T'11 +� BAN�Z I �jO� . `I.�
mefiL� �c �s1mLIC � pG>O . 007
37 S
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(Atlneli nddilfaivn!sheets as needeA)
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no�F. n na ,� a r -i e�m«o���a< m< co�o,w�iin or e��>i � max a� m �i ��� or m�p �i �� �r��n�e roma� mn �,we or ea�
.L svif � _ tuldnoibecxtcidedinm�hemmlof�helmen� g (S .70PaC5$130[(b)1 �
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