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COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA
ORPHANS' COURT DIVISION 0 ~
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GUARDIAN'S INVENTORY
Estate of
LONIE RAY WITMER
No. 21-07-0937
1. Real Estate: (Location, by whom occupied and rental
terms, if applicable)
None
Sub-Totalfor Real Estate:
2. Personal Property:
None
3. Jointly Held Property:
(Set forth real and personal property owned by the Incapacitated Person JOINTLY with any
other person(s). State whether held as tenants by the entireties; if not, whether the right of
survivorship exists.)
Jointly Held Property
None
Form G-04 rev, JO,I3,06
r: 1
N
N
Estimated Value:
0.00
Estimated Value:
Estimated Value:
Page 1 of2
~
Estate of
LONIE RAY WITMER
} IZiI 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
Sub-Totalfor Personal Estate:
(Attach additional sheets ifnecessary)
TOTAL OF ITEMS 1, 2, 3, and 4: ..............................
0.00
0.00
Commonwealth of Pennsylvania
: ss.
County of
6<.-ft, 3. \J ,Tfl1 er
Guardian
true and complete Inventory of the Estate of
, says that the foregoing is a full,
LONIE RAY WITMER
the aforesaid Incapacitated Person or Minor; and that all of the information set forth herein is
true and correct to the best ofthe 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. )
Guar~
Attorney for Guardi
Address:
Telephone:
Form G-04 rev. 10.13.06
Page 2 of2
Commonwealth of Pennsylvania :
: ss.
"
County of
C I A.r e" Co e.. V V\} j' 1/11 e r , says that the foregoing is a full,
Guardian
true and complete Inventory of the Estate of L 0 f\ ; c. I( et 'f lU j t 111 er
the aforesaid Incapacitated Person or Minor; and that all of the information set forth herein is
true and correct to the best ofthe 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. )
~111~
Guardian
Attorney for Guardian:
Supreme Court LD. No.:
Address:
Telephone: