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INVENTORY � � � � ��,
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RECORDED 0 CUMBERLAND - � `"�' "' -�.�
EfE1�IS'�R OF WILLS OF COUNTY, PENNSY�VANIA
REGISTE� 9F WILLS
CQf�MO1�VEe,�jj�Q�f�SVLVANIA
�IS(,"�!mITYISF `!'��'��q}`�-J�1 ys FileNumbcr .Z i� I S— D� Q/!%
U.iuA,JNE MpiQiNo /�1 �Gi2£fV`/ '�'
—C C_`?
9flfbNal�c"{SresEntatipe(s)oftheEstateof �ANlf L T' l�1 £,UN 1"� )
GU�1q$@�Qi,depase(s)anQsay(s)that the items xppearing in Ihe following inventory indude ail of the personal assets wherever situete
and all of the real es[ste in the Commonwealth of Pennsyivania of said Decedent,tha[the valuation placed opposite each item of said
inventory represents its fair vnlue as of the date of the decedenfs death, and that Decedent nwned �o real es[ate ouuide of the
Commonwealth of Pennsylvania excep[that which appears in a memorandum at the end of this inventory.
I verify tha[the statements made in Uiis Imen- 9� Q�_`d rn C .N
tory are Ime and correcL i understand that false state- � � ��G�C.<
ments herein are made subject to the penalties ot�
18 Pa.C.S. § 4904 relating to unswom falsification to
authorities.
Attorney-- (NomeJ � oRN.V[— lH19�Ql�o MrU2£�i/y (SupremeCourlLD. NoJ��a
�: (Address) « �- .S t.tJ E.ST S,T C h IQ L.) .S Lc �j] � �./) /3
, .. .(Telephone) ' —O o � O ,✓£ . O ^ CfL�-
�ATEOFDEATN LASiPESI�fNCF
� / OECEOENTSSOC.SEC.NO.
o SI S . Co�t,�G£ S'T. C,FK J[c (�/� ^
FICURES MUST BE TOTALCD
Rld/GIPAL �( `CSi 1` Cf .S� S C.o�G-FGF Si C°qQ�IS�[ n � a� �/ / tlG OU
Oo u^v d L £ L ea ,VDiT nl JO , dO
G' T �S
e LCkN[r � 0604 ('�' j' 61...31
a co ooJe i s
� & � Sg S
a e .8.�
C� ODao .2
� S L' .� oeaa S / 5'
c oaa� a �3i �
T Q
� �Htcki.vn- o oaeo �� a � s � ��
. 2 v /S o� Y �Y a 3s' o '��
_Q c 0 � 3 �� 03 v�g li a 3 b �f' S :�8
, � � 3 0 3 a 4 S , f S�,
. � Lp v i a,
(Anach add7t7analshee(s as needed) . S��
TOTAL: le ;7D oo, �
NOiF,�. Thc MemoranEum of rcol estaie oulsidc �he Commonwenith of Pennsylvania mny, al the clectlon of Ibe personel reprctentntivc Inclutle�he value uf wch
ikm,bm such fgura should no�be ex�endeC imo ibe ro�nl oftM1e Invrnmry. (5'ee IO Pa.CS §330/(b)) ,,/ J�
£ormftW.09 rm. 1013,06 � � •/� -..) L�
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INVENTORY i
REGISTER OF WILLS O� CUMBERLAND (;OUNTY, PENNSYLVANIA
COMMONW6AL"����'SYL�ANIA 1 S5 FileNumbcr � O I �— O� I�
COUNTYOP �� 1
Personal Representative(s)of che Esta[e of
daceaved,depose(s)arid say(s)that the itmns apDearing in the(olbwing inventory include al I of Ihe ptrSonal assets wherever situere
and all of the real estate in the Commonwealih of Pennsylvania of said Decedent that the valuation placed opposiro each icem otsaid
inventory rcpresenu its fair �nWe as of the date of the decedent's death, and that Decedent owned no reel estate outside of Ihe
Commonweelth of Pennsy��ania except Ihal which appears in a memorandum at the end o(this inventory.
I veAry thet the slatem<nts made in this Imen- � _ __ , _ .
lOfy 8R lNt Afld COITCCt. I UOdCfS[dnd [hat f81se Slale-
ments herein are made subject to the penalties of
IS Pe.C.S. § 4904 rclaeing�o u�swom falsification to
authorities.
(Supreme Courll.D. Na.)
Attorney-• (Nanc) _
(Address) -- .— ___.. .—
(falePhone) Ve,;,o�„,.,,o� ,.�..o.
WTEOiOBLTn �A9iAE410ENCE
FIGURES MOST BE TOTALED
s�c u 3`"
(a SMR�e£� S� p3 00
�dr
, G__n-------- � C � p a
Sc�v£�- E'° � u c. u ,u S 3 .6/
W �LLS F
C P 3t o � 1,6g
.. .. C � ci..0 a �v'
�/ Lc � 3 �
�VN
tw PZ2sRtc ✓Y a o 3 r3
w Z�J FAa� o o N 3 3 3�
T RKEt �✓�o Lr C � 3 �
' W il.L3 FA �� A _r� ?wD n� - z �
L�l F
L o � G E U R P24 AeCl/F� �'�
' S£21 £S � E �
S v S /
,— � � 3 �.�
� (Attach addUbnal sheels as needeA) TOTAL:
N01'E'. dembYlSuchfBu�essM10ulJ5noltboexmnJ`edmm��hemulotthelnvenwrya(See10N`CS.§3J0fl6Jlt1i< n<r��enm�ivOe�vn1yC4' e
Fo.m PW 09 nv.1013.06 �
INVENTORY � �
i
REGISTER OF WILLS OF CUMBERLAND LOUNTY, PENNSYLVANIA
COMMONWE�����JSYLVANIA l a�/'f — � ��r /
COU1dTYOF J 5$ FileNumbcr
Personal Represmtative(s)of the Estate of
deceased,depose(s)and say(s)Iha[Ne i[ems appearing in the fol lowing inventory include al I of[he personal assets wherever situa[e
end all ofthe real es[a[e in the Commonwealth of Pennsylvenia of said Decedent,that�he valuation placed opposite each item of said
inventory represenk its fair vulue as ofthe date ofthe decedent's death, and that Decedent owned no real estate outside ofthe
Commonwealth of Pennsylvania except that which appears in a memorandwn at the end of this inventory.
1 verify Ihat the statements made in this Inven-
�ory are true and correcL I understand that false state- �
ments herein are made subject to the penalties of
IS Pa.C.S. § 4904 relating m unswom falsification to
authori[ies.
Attorney-- (Name) (Supreme Court LD. No.J
(Address)
(Telephone)
D�TFOFOFATH L�SiqESIDENCE OECE�ENTSSOC.SEC N0.
FIGURES MUST BE TOTALED
anJ 2 �o, ..a .
n� o L 7 � ( L
, P a s7ss
� �- �2 ° 3
4ssi�
�
(Attach aCdUbnW sbeets as rteedeA)
� TOTAL: S $�/ � , 6�
NOTF.: TM Memomndum of rcel es�ale outsiJe Ihe Commonweni�h of Pennsylvonim m�y, al Ihe elcclion of the personal represemnlivc inciude Ihe value of each
imm,bw such fguru shoulJ not be ex�enUea Imu the io�al of ihe invcnmry. /See 101'a.C S.§)30l(bl/ //'���
FormRW.09 rev. l0.f306 .-�j��f`�L �� �'�N-�p�(5.- � J `� �
� � 1, 871, 635R. 3 0
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