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II
REGISTER OF WILLS
CUMBERLAND COUNTY, PENNSYLVANIA
INVENTORY
Estate of
ROBERTJ.L1S
No. 21
05
00107
also known as
Date of Death 1/8/2005
Social Security No. 359-28-1699
, Deceased
Personal Representative(s) of the above Estate, deceased, verify that the items appearing in the following inventory include all of thei
personal assets wherever situate and all of the real estate in the Commonwealth of Pennsylvania of said Decedent, that the valuatio~
placed opposite each item of said inventory represents its fair value as of the date of the Decedent's death, and that Decedent owne<il no
real estate outside the Commonwealth of Pennsylvania except that which appears in a memorandum at the end of this inventory. IM/e
verify that the statements made in this inventory are true and correct. IMle understand that false statements herein made are subjedt to the
penalties of 18 Pa. C.S. Section 4904 relating to unswom falsification to authorities.
Name of
Attorney: David H. Radcliff, Esq.
1.0. No.: 25483
Address: 20 Erford Road, Ste 200
Lemoyne
Telephone: 717 236-9318
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,
Dated
PA 17043
Description
Value
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"'-':200.00' ! II
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Total
(Attach Additional Sheets if necessary)
200.00
NOTE: The Memorandum of real estate outside the Commonwealth of Pennsylvania may, at the election of the personal representiative,
include the value of each item, but such figures should not be extended into the total of the Inventory.
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