HomeMy WebLinkAbout04-17-06 (3)
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Register of Wills of Cumberland County
INVENTORY
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Estale of I }-t<. /,~( 1S d~ ~ LJ i W
Also known as :r: > c,- b.:Ol ( g. 4J, Q,,/
Estate No. '- 0 (!) >" - 0 C 'j ~{;:i
Date of Death (p ( 't I Dc)
Social Security No. l ~ '2 - ( V r> S" I 0 S'
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, Personal Representative(s) of
the above Estate, deceased, verify that the items appearing on 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 ~ ufthe date of the Oecc:dent's death, and that Decedent owned no real estate outside the Commonwealth ofpcnnllylvania except that which
appears in a memor..mdum at the end of this inventory (PEr S 3301). lIWe 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.
, Deceased
k. t:.~
w -~..elf"'
C Lt /' L S.(. f1,.\ ~ V
Personal Representative: )<. ~.
Address: l 0 '1.. )' etA DE} t
.""( r.e fA to "', ~ T DE 4,( 8
It( . C.. (1)~ (2Q.~
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Name of Attorney:
1.0. No.:
Address:
Signature:
Telephone: (0 'DC( - "3 ~ 2-'" s: '2- 3 I
Date:
Value
Description
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12 OVl &l
(Attach Additional Sheets if necessary)
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1- '2, i 5 8 1. 2 ~
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1,. s: ()DO, () 0
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Total ~ Lf ~ I, 7S'r[J~
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NOTE: The Memorandum of real estate outside the Commonwealth of PeMsylvania may. at the election oflhe personal representative. include the
value of each item, bUI such figures should not be extended into the total of the Inventory.
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CONTINUATION OF INVENTORY
Estate of .r: ~ oJ,.../ 1!:,-~ H, t.!-~ .(J
Page '1.-
Estate No. ;l DO~ - OD ~ R ~
Description of Inventory
Description
\J 6..d IAvr& tfYI u+~ t LLU'-.Q>
-.D'~r7 J Ok (l'L~~ > i 't.L... V I ~ Clj -<-. A\ l.f C(,.... ~
C. " v\.t vd'( D f P P <-1ft wY>-<.vS-
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_ _ j ei\>- 't-It (s. 01,,) ~~ Li\L~ uJ~
~ / S f w "'&.-e/ '^ h ~ L I Wit ,.r
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Value
D ) jD1 q q l t <) '1
~'-/175~OO
S-.. tJ 0 0 '(I <0 V
q~.~Slf, if
Subtotal $
Grand Total S
2,,02 721.. I ~
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