HomeMy WebLinkAboutOC1969-1310 - ESTATE OF TIMCOl'orm 11 Relf. Wlllll-ltev. 1-18.
INVENTORY
of all real and personal estate of ......... i!".~!P.-~-~--~:---~-~!P.~-~--------------------------------------------------·-·--·-·-·-----·----------deceased, · ·
late of .... ~-~-~g_<?. __ g_~~~~-~--~9-~9 ............ ~----------.:fjP.t.~Y..Y.H1~-----·--·--·--·--·---City _____________________________________________ Ward
·-··--·-····----·--·--·------·--·--····-·---·--·····-··-············--·Borough ..................................................................... Township, Penn.sylvania.
See Article IV
of the Fiduciaries
Act of 1949,
as amended.
Claims of the
decedent against
the executor or
administrator
must be included.
Encumbrances on
personal property
should be noted.
See additional
instructions on
page4.
PERSONAL ESTATE SCHEDULE
Proceeds of settlement of Civil Action No. 2481, October Term, 1967,
Court of Common Pleastof Allegheny County, Pennsylvania
$1,500.00
J
..
See Article IV
of the Fiduciaries
Actof1949,
as amended.
Description of
real estate need
not be by metes
and bounds but
muat be adequate
to ideAtify the
property.
Kortgag~
judgments,
and other
encumbrances
on real.estate
lbould· be DOted.
See additional
instructions on
pap'-
"
REAL ESTATE SCHEDULE
REAL ESTATE IN PENNSYLVANIA
NONE
AFFIDA Vl'l OF EXECUTOR OR ADMINISTRATOR
STATE OF PENNSYLVANIA. I SS.: COUNTY OF ALLEGHENY
P · II b f th d · d th "t rtotctrv nublic · d f "d C t ersona y e ore me, e un ers1gne au on y, a ______ : ___ ~------'--~-----------------------------·---m an or sa1 oun y
and State, appeared _________ EDWARD .. R. •. ,HJHHCK_L __________________________________________ who, being dW sworn according
to law, deposes and says that he is the executor or administrator of the estate of .... J.9JJ1§_§ ______ , ___ ]:':i:mS_9. ____________ ,
deceased, that the fore.r;oing schedules constitute a complete inventory and appraisement of the real and
personal estate of ___________ ?..m.~_§ __ W: ... Tti9.:~_<}. ____________________________________________________________________ , deceased, except real estate
outside the Commonwealth of Pennsylvania, that the figures opposite each item of real and personal estate
in the foregoing schedules are determined and stated by the undersigned to be the fair value of said items as
of the date of the decedent's death.
Sworn and subscribed before me }
this .... .L .. ~M.day of.~Jg_, __ f ___ (_~ef ____ lf ___ ~~------
·--········ ····--······joWffrmo-;"Norm·-f~---········
Executor-Administrator
Edward R. Hubicki
PITJSBURGH. AllEGHEHY COUNTY
MY CQMMISSION EXPIRES MIIY 1, 1971 .. ' :
ADDmONAL INSTRUCTIONS
1. An inventory must be filed Within three months after appointment of personal representative.
2. A supplemental inventory must be filed within thirty days of discovery of additional assets.
3. An original and two copies must be filed.
4. Additional sheets may be attached as to personalty or realty.
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Real estate
outside the
Commonwealth
must be shown.
The value thereof
may be indicated
but should not be
carried into the
total of the
inventory or
included as real
estate in the
accounting.
1:.:.. ·-'
MEMORANDUM OF REAL ESTATE OUTSIDE
THE COMMONWEALm OF PENNSYLVANIA
NONE