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INVENTORY
, Deceased
No.
Date of Death 1/27/2005
Social Security No. 187324963
2005-00384
Estate of Hornbeck, Janet W.
also known as
James W. Hornbeck, II, Executor
Personal Representative(s) of the above Estate, deceased. verify 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 the Commonwealth of Pennsylvania except that which appears in a memorandum at the end of this inventory. I/We
verify that the statements made in this inventory are true and correct. I/We understand that false statements herein made are subject to the
penalties of 18 Pa. C.S. Section 4904 relating to unsworn falsification to authorities.
Personal Representative:
1L
Name of
Attorney: David R. Getz, Esquire
I.D. No.:
34838
Address: 508 North Second Street
Harrisburg
Telephone: (717) 234-4182
Dated
It) Its 10':)
, ,
PA 17108
Description
Value
ING Account 210007797
11,651.71
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Total
11,651.71
(Attach Additional Sheets if necessary)
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.
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