HomeMy WebLinkAbout10-23-06 (2)
Regist~r of Wills of
aMHlli\N)
County, Pennsylvania
INVENTORY
Estate of
cmAIDINE D. MIlAIN
No.
21' DlrO/'1b
also known as ~ D. M:Cla.:in
Date of Death
1/'}f)/'}[Tf)
199-{)7-8J54
. Deceased Social Security No.
..J.::rIEs M:ilnilii, mall estate
P':,rsonal Hepresentative(s) of the above Eslate, deceased, verify that the items appearing in the following Inventory
:;1c1ude all of the personal assets wherever dt!JatEJ and all of the real estate in th;) Commonwealth of Pennsylvania of
said Decedent. thaI fhe 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 of the Commonwealth of Pennsylvania
except that which appears in a memorandum at the end of this Inventory. I Nle verify that Ihe .statements made in
this Inventory are true and correct. IN/e understand that false statements herein are made sLlbjed to the penalties
of 1 B P". C.::>. Sadlon 4904 ralating \0 unswOrn 'alsHieallon 10 aUlhorille:a.
Attorney: Ro1:Ert W. I.B{E, Jr. ~~~d"'z4A ,Ie
1.0. No.:
32537
294 Fast Mrin Street
Address:
Dated
to/dO)?.
:Roor:ir\g Sp::ing, PA 1ffi73
Telephone:
(814)224-4533
Description
Value
1. ~tLi.fe::lmes:r> @ ~ lEt proceajs
2. ~tLi.fe DivicHrl dECk
3. AMP refurl
4. POC}Hi{ accnnt
5. AllState refu:rl
6. JR) refurl
7. Life Ins. of lnErica
$1,047.38
27.00
213.50
4,171.31
32.00
~7 .00
3,814.03
(Attach additional sheets if necessary)
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~
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R
.......,
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c.u
Total:
NOTE: The Memorandum of real estate outside the Commonwealth of Pennsylvania may, at the eleClion'~.!€rhe per
ropresentativa, inaude the value of each item, but such figures should nol be extended into the lotal of lh9Inv~dry. ~
-" ~;,. . ........
'.
Form tlRW.1
Propared by ltlll Pennsylvania Bar As.socialion 1991
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