INVENTORY
REGISTER OF WILLS OF
File Number
(Name of Law Firm) _____________________________________________________________________________
(Address)
DATE OF DEATH
LAST RESIDENCE
DECEDENT'S SOC. SEC. NO.
FIGURES MUST BE TOTALED
(Attach additional sheets as needed)
TOTAL:
(Telephone)
___________________________________________________________________________________
____________________________________________________________________________
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.
__________________________________
Signature of Personal Representative
__________________________________
Signature of Personal Representative
Corporate Fiduciary (if applicable)
________________________________
Name of Corporate Fiduciary
________________________________
Name of Representative and Title
________________________________
Signature of Officer/Representative
(Email)
__________________________________
Date
(Supreme Court I.D.#)
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 rev. 01.01.20
I verify that the statements
made in this Inventory are true
and correct. I understand that
false statements herein are
made subject to the penalties
of 18 Pa.C.S. § 4904 relating
to unsworn falsification to
authorities.
Attorney --
(Name)
}
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