HomeMy WebLinkAbout01-22-08 (4)
GUARDIAN'S INVENTORY
COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA
ORPHANS' COURT DIVISION
Estate of Mark A. Mower
No. 21-06-0972
1. Real Estate: (Location, by whom occupied and rental
terms, if applicable)
N/A
Sub- Total for Real Estate:
2. Personal Property:
Clothing
Stereo & radio
Jewelry
3. Jointly Held Property:
(Setforth real and personal property owned 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 Property
N/A
Form G-04 rev. 10.13.06
'0
} Ii] an Incapacitated Person
, DaMinor
Estimated Value:
(:
'~-,::,(~
-~,.J
':::; 0.00
C..-:::"J
(:..:J
,....,
...
00.00
...j
\'0
Estimated Value:)
100.00
150.00
350.00
Estimated Value:
0.00
Page 1 of2
.
Estate of Mark A. Mower
}IZI an Incapacitated Person
, DaMinor
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
N/A
0.00
Sub-Totalfor Personal Estate:
(Attach additional sheets ifnecessary)
TOTAL OF ITEMS 1,2,3, and 4: ..............................
600.00
600.00
Commonwealth of Pennsylvania
: ss.
County of Cumberland
Peter D. Mower
, says that the foregoing is a full,
Guardian
true and complete Inventory of the Estate of Mark A. Mower
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. )
~Atr
~uardian
Attorney for Guardian:
Supreme Court J.D. No.:
Address:
Telephone:
Form G-04 rev. 10.13.06
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