HomeMy WebLinkAbout06-04-15 n INVENTORY
REGISTER OF WILLS OF (2(,gym 6f-e10L A COUNTY,PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA �l 15
COUNTY OF C u.rnb_rlcar J, SS File Ntimber 6032-7
Personal Representative(s)of the Estate of L g(e• E . M `-'��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-
toryare true and correct. I understand that false state-
ments herein are made subject to the penalties of ���� r'eQMer-
13 Pa.C.S. § 4904 relating to unsworn falsification to
authorities.
Attorney-- (Name) (Supreme Court LD.No.)
(Address)
(Telephone)
DATE OF DEATH LAST RESIDENCE DECEDENT'S SOC.SEC.NO.
,� !S �116e,-Af L-n T , dtmY � (C'na( � ;
FIGURES MUST BET
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(Attach additional sheets as needed)
TOTAL: �7OD3Q
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 RW-09 rev. 10.13.06 `
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