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Here is the text we could read:

 INVENTORY 
REGISTER OF WILLS OF

File Number

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)

________________________________ 
Name of Corporate Fiduciary 

________________________________ 
Name of Representative and Title  

    __________________________________ 
Signature of Personal Representative

    __________________________________ 
Signature of Personal Representative

________________________________
Signature of Officer/Representative

__________________________________ 
Date

(Supreme Court I.D.#)

(Name of Law Firm) _____________________________________________________________________________ 

 }

        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) 

(Address)

(Telephone)___________________________________________________________________________________
(Email)           

  ____________________________________________________________________________

DATE OF DEATH

LAST RESIDENCE

DECEDENT'S SOC. SEC. NO.

FIGURES MUST BE TOTALED

(Attach additional sheets as needed)

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   rev. 01.01.20

Form RW-09 - rev. 10-13-06 - Inventory

This info page is part of the LIT Lab's Form Explorer project. It is not associated with the Pennsylvania state courts. To learn more about the project, check out our about page.

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About This Form:

Sourced from www.pacourts.us (2023-03)
Page(s): 1
Fields(s): 49
Average fields per page: 49
Reading Level: Grade 12
LIST Grouping(s): GO-00-00-00-00.

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Identified Data Fields:

We have done our best to automaticly identify and name form fields according to our naming conventions. When possible, we've used names tied to our question library. See e.g., user1_name. If we think we've found a match to a question in our library, it is highlighted in green. Novel names are auto generated. So, you will probably need to edit some of them if you're trying to stick to the convention.

Here are the fields we could identify.

text was Text15 (0.97 conf)
representative was Representative (0.38 conf)
name_estate_deceased was Name of the Estate of the Deceased (0.40 conf)
name_counsel was Name of Counsel (0.36 conf)
supreme_court was Supreme Court I.D. No (0.34 conf)
address__1 was Address1 (0.35 conf)
address__2 was Address2 (0.35 conf)
users1_phone_number was Telephone (1.00 conf)
email was Email (0.38 conf)
date_death was Date of Death (0.41 conf)
last_residence was Last Residence (0.28 conf)
decedent_social_security was Decedent's Social Security No (0.43 conf)
county was County (0.39 conf)
name_corporate_fiduciary was Name of Corporate Fiduciary (0.42 conf)
name_representative_title was Name of Representative and Title (0.40 conf)
file_number was File Number (0.34 conf)
name_law_firm was Name of Law Firm (0.51 conf)
signature_date was Date (1.00 conf)
signature_personal_rep__1 was SignaturePersonalRep1 (0.44 conf)
signature_personal_rep__2 was SignaturePersonalRep2 (0.44 conf)
officer_representative was SignatureofOfficer/Representative (0.38 conf)
item__1 was Item1 (0.43 conf)
item__2 was Item2 (0.35 conf)
item__3 was Item3 (0.35 conf)
item__4 was Item4 (0.35 conf)
item__5 was Item5 (0.35 conf)
item__6 was Item6 (0.35 conf)
item__7 was Item7 (0.35 conf)
item__8 was Item8 (0.35 conf)
item__9 was item9 (0.35 conf)
item__10 was item10 (0.35 conf)
item__11 was item11 (0.35 conf)
item__12 was item 12 (0.35 conf)
item__13 was item13 (0.35 conf)
item__14 was item14 (0.35 conf)
value__1 was Value1 (0.35 conf)
value__2 was value2 (0.34 conf)
value__3 was Value3 (0.35 conf)
value__4 was Value4 (0.35 conf)
value__5 was Value5 (0.35 conf)
value__6 was Value6 (0.35 conf)
value__7 was Value7 (0.35 conf)
value__8 was Value8 (0.35 conf)
value__9 was Value9 (0.35 conf)
value__10 was Value10 (0.35 conf)
value__11 was Value11 (0.35 conf)
value__12 was Value12 (0.35 conf)
value__13 was Value13 (0.35 conf)
value__14 was Value14 (0.35 conf)

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The Legal Innovation & Technology Lab's Form Explorer Beta @ Suffolk Law School Last updated 2023-04-02

Form RW-09 - rev. 10-13-06 - Inventory

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The Legal Innovation & Technology Lab's Form Explorer ^Beta @ Suffolk Law School Last updated 2023-04-02