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GUARDIAN'S INVENTORY
()
COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNS,YL VANIA
1,- '_ _~' .__
ORPHANS' COURT DMSION
Estate of
REGINALD WALLER
No. 2007-214
1. Real Estate: (Location, by whom oceupied and rental
terms, if applicable)
None
Sub-ToIIIl for Ret1l &11M:
2. Personal Property:
Resident fund baIaoce as of July 30, 2007
3. Jointly Held Property:
(Setfortlt rml ond~ propenyormed by tire hoc 'P"< it.w-I P_JOlNTLY with tmy
otIrer penott(s). Slate wItetIter held as teJIilIIIU by tire mIimies; if rrot, wItetIter tire right of
!IIII'ViwJrsIri aist.t..)
J....H8tI~
None
Form G-04 rev. 10.13.06
} III an IncaPacitatd(pperson
. DaMinor ~
Estimated Value:
0.00
Estimated Value:
1,200.00
Estimated Value:
0.00
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Estate of
REGINALD WALLER
}llJan Incapacitated Person
. Da Minor
4. ADtieipated Assets:
(Setforth prof1eTIy of any Idnd cpeaed kJ be acquired hereqfier. together wiJlr
antidpaIed date of DCqfIUiIiaL)
~ A....1- n '1MIr
-.fA'. . 'r..
Estimated Value:
None
Sub- TotJIl/OT Pet'SOIUIl EstIlte:
(Attach additional sheets if necessary)
TOTAL OF ITEMS 1, 2, 3, ad 4: ..............................
1,200.00
1,200.00
Commonwealth of Pennsylvania :
: SSe
County of CUMBERLAND
Faith, Hope & Love GuanJian~hip Sves me . says that the foregoing is a full,
Guardian
true and complete Inventory of the Estate of REGINALD WALLER
the aforesaid Incapacitated Person or Minor; and that all of the infonnation 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. 1 under- )
stand that false statements herein are )
made subject to the penalties of )
18 Pa.C.S. i 4904 relating to unsworn )
falsification to authorities. )
''L ;:; f1 j( 'f (
cI., MJ h'f j.t'; \il C c). I{\ co
Attorney fur Guardian: Doreena L. Sloan
Supreme Court I.D. No.: 44880
Address: 1849 State Street
Harrisburg, PA 17103
Telephone: (717) 232-0577
Form G4I rev. 10.1 JJJ6
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