HomeMy WebLinkAbout07-24-15 (2) i . u �e■ �
INVENTORY
REGISTER OF WILLS OF KHANG TH I DO COUN�f"i',PENNSYLVANIA.
COMMONWEALTH OF PIINNSYLVANIA 1 "�r' .� �""
GOUAITY OF f SS Fila Number___„�;_�%� - lJ �`��J
Personal Representative{s}of the Estate of KHANG TH( DO
deceased,depose{s)and say(s}that ttio items appearing in the followin$inventory include a�l af the pezsonal asset�wharever situate
and all of the reai estate in the Commonwealth of Pennsylvania of said Decedant,that th�vaRu�tion placed oppos�te each item of sai�d
invantory represants its fair value as of#he date of the decedent's death,and that Deced�nt owned no real estate outside of the
Commanwealth of Pennsylvania exoept that which appears in a memorandum at the cr�d�oi�this inrventory.
I verif�y t3aat the statemettts m.ade in this Inven- ��'
tory are true and correct. T understand that false state- "�7""�`'"�"(signature)
ments herein are made subject to the panal�es nf
18 Pa.C.S. §4904 relating to unsworn falsification to '""'�"' (signature)
authoritaes.
A�torney-- (Name) {5z���reme C�rt I.D,No.)
(Address) �_,
(Telephone) _.__.
flATE OF DEA'FFf LAS'f RESIDENCE ����••DECEDENT6&dC.8EC.IVO.
2/18/2015 3 KINGSBRIDGE CIR, CARLISLE PA 17013
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FiGURES MUST BE TUTALED
Orrstown Bank 10,725.79
2009 Toyota Corolla 2,750.00
Santander Bank-Checking 500.00
3 Kings Bridge Circle, Carlisle, PA 17013 145,000.00
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(Attach add�'tlonal sheets as needed) �
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�roT�z,: 158,975.79
biOTE: The Memorans2um of real astate outside tha Commanwealtb of Pennsyivania may>at the alecHon of qha pe�sonal representadve inclnde the value of eaah
item,but svch�gures xhouid not be extended into ihe total of the Inventory. (5ee 20 Pa.C.B,§3301(�))
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