HomeMy WebLinkAbout10-12-07 (3)
GUARDIAN'S INVENTORY
COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA
ORPHANS' COURT DIVISION
Estate of Cynthia N. Stager
No. 2107-0541
1. Real Estate: (Location, by whom occupied and rental
terms, if applicable)
Sub-Total/or Real Estate:
2. Personal Property:
Mobile Home - 980 Walnut BoUrn Road, Carlisle, PA (in very poor condition)
Commerce Bank Checking
3. Jointly Held Property:
(Set forth real and personal property awned by the Incapacitated Person JOINTLY with any
other person(s). State whether held as tenants by the entireties; ifnot, whether the right of
survivorship exists.)
Jointly Held Properly
Form G-04 rev. 10.13. 06
v
} IZI an Incapacitated Person
, Da Minor
Estimated Value:
0.00
Estimated Value:
0.00
38,668.1 0
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Estimated Value:
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Estate of Cynthia N. Stager
}IZI 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
Sub-Totalfor Personal Estate:
(Attach additional sheets ifnecessary)
TOTAL OF ITEMS 1, 2, 3, and 4: ..............................
38,668.10
38,668.10
Commonwealth of Pennsy lvania
: ss.
County of Dauphin
Keystone Guardianship Services , says that the foregoing is a full,
Guardian
true and complete Inventory of the Estate of Cynthia N. Stager
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. S 4904 relating to unsworn )
falsification to authorities. )
Keystone Guardianship Services
~J.~~
Attorney for Guardian:
Supreme Court I.D. No.: 89302
Address: 129 S. Market Street
Dale K Kenter
Millersburg, Pa 17061
Telephone: (717) 692-2345
Form G-04 rev. 10.13.06
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