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GUARDIAN'S INVENTORY
COURT OF COMMON PLEAS OF Cumberland COUNTY, PENNSYL VANIA
ORPHANS' COURT DIVISION
Estate of Rosa L. Thompson as of February 12,2007
No. 2006-869
1. Real Estate: (Location, by whom occupied and rental
terms, if applicable)
none known
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Sub- Total for Real Estate:
2. Personal Property:
Monthly Social Security Benefits - $1478.00
3. Jointly Held Property:
(Setforth real and personal property owned by the Incapacitated Person JOINTLY with ~
other person(s). State whether held as tenants by the entireties; ifnot. whether the right of
survivorship exists.}
none known
Jointly Held Property
I /f!-<JYlL- ~
Form G-04 rev. 10.13.06
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c:-=:::;
} IZJ an Inc..-'; itatedjrson
, 0 a Minor'~
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Estimated Value:
0.00
Estimated Value:
Estimated Value: t I~ ,;23
mDn1h~ \()CD~ : lPd549. OJ.
Page 1 of2
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...
Estate of Rosa L. Thompson as of February 12,2007
} IZJ an Incapacitated Person
, Da Minor
4. Anticipated Assets:
Estimated Value:
(Set forth property of any kind expected to be acquired hereafter, together with
anticipated date of acquisition.)
Property
Anticipated Date
of Acquisition
none known
Sub-Totalfor Personal Estate:
(Attach additional sheets if necessary)
TOTAL OF ITEMS 1,2,3, and 4: ..............................
0.00
t I LI-33
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Commonwealth of Pennsylvania :
: ss.
County of Cumberland
Tina Hess of GOOD NEWS CONSUL TING,Inc. , says that the foregoing is a full,
Guardian
true and complete Inventory of the Estate of Rosa L. Thompson as of February 12,2007
the aforesaid Incapacitated Person or Minor; and that all of the information set forth herein is
true and correct to the best of the Guardian's knowledge and belief.
I verify that the statements made in this )
Inventory are true and correct. I under- )
stand that false statements herein are )
made subject to the penalties of )
18 Pa.C.S. ~ 4904 relating to unsworn )
falsification to authorities. )
~~
Tina Hess, BS, CMC, RG-NGF
Guardian
Attorney for Guardian: Douglas Gent
Supreme Court LD. No.: 29964
Address: 1157 Eichelberger Street, Suite 4
Hanover, P A 17331
Telephone: (717) 632-8020
Form G-04 rev. 10.13.06
Page 2 of2
RECEIPT FOR PAYMENT
-------------------
-------------------
GLENDA FARNER STRASBAUGH
Cumberland County - Orphans Court
One Courthouse Square
Carlisle, PA 17G13-3387
Receipt Date:
Receipt Time:
Receipt No.:
3/09/2007
14:12:53
1032662
THOMPSON ROSA L
2006-00869
GOOD NEWS CONSULTING INC
WZ
------------------------ Receipt Distribution ------------------------
Fee/Tax Description Payment Amount Payee Name
File Number:
Paid By Remarks:
INVENTORY 15.00
----------------
Check# 217 $15.00
Total Received......... $15.00
CUMBERLAND COUNTY GENERAL FUN