Register Of Wills printable pdf download

INVENTORY

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COMMONWEALTH OF PENNSYLVANIA

File Number

County of

The undersigned, _______________________________________________________________________________, Personal

Representative(s) of the Estate of ___________________________________________________________________________

deceased, depose(s) and say(s) that the items appearing in the following Inventory include all of the personal assets wherever

situated 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 Decedent's death, and that Decedent owned no real estate

outside of the Commowealth of Pennsylvania except that which appears in a memorandum at the end of this Inventory.

Corporate Fiduciary (if applicable)

I verify that the statements

made in this Inventory are true

________________________________

__________________________________

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and correct. I understand that

Name of Corporate Fiduciary

Signature of Personal Representative

statements herein are

false

________________________________

__________________________________

made subject to the penalties

of 18 Pa.C.S. § 4904 relating

Name of Representative and Title

Signature of Personal Representative

to unsworn falsification to

________________________________

__________________________________

authorities.

Signature of Officer/Representative

Date

(Supreme Court I.D. No.)

Attorney --

(Name)

(Name of Law Firm) _____________________________________________________________________________

(Address)

(Telephone) ___________________________________________________________________________________

(Email)

____________________________________________________________________________

DECEDENT'S SOC. SEC. NO.

DATE OF DEATH

LAST RESIDENCE

FIGURES MUST BE TOTALED

(Attach additional sheets as needed)

$0.00

TOTAL:

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. (See 20 Pa. C.S. § 3301(b))

Form RW-09 eff. 09.01.16

Register Of Wills

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