HomeMy WebLinkAbout07-07-08GUARDIAN'S INVENTORY
COURT OF COMMON PLEAS OF G1'M [~ rI G ~ 4/ COUNTY, PENNSYLVANIA
ORPHANS' COURT DIVISION
Estate of ! /~,~ ~ /1 n S Y1 ~ ~ ~ ®an Incapacitated Person
' ~ a Minor
No.,~ ~ , ~ 7 , ~~ d
1. Real Estate: (Location, by whom occupied and rental Estimated Value:
terms, if applicable)
Sub-Total for Real Estate: o.oo
2. Personal Property: Estimated Value:
hJ
c -..L~_ ~ i~:
C
~~ c`, '.
~'f-P"1 ! r' -'
t r, ~ ~--1 ~ _ . _-7
3. Jointly Held Property: Estimatedue: ~ -
(Set forth real and personal pr»perty owned by the Incapacitated Person JOINTLY with any _ .{ °' r .-
other person(s). State whether held as tenants by the entireties; if not, whether the right of ~ N
survivorship exists.) ~
Jolntty Held Property
9VbN~
Form G-04 rev. l0. /3.06
Page I of 2
JJ'' 1 an Incapacitated Person
Estate of ~N~ ~ C~ ~Cty /S 'I®a Minor
4. Anticipated Assets:
(Set forth property of arty kind expelled to be acquired hereafter, together with
anticipated date of acquisition.)
Property
AteHdpttted Date
of Acquisition
N~~r-
Estimated Valae:
Sub-Total for Personal Estate: ~ ~ 5~ (l
(Attach additional sheets if necessary)
TOTAL OF ITEMS 1, 2, 3, and 4:......... .................... ~75 i (~
Commonwealth of Pennsylvania
ss.
County of .Xl.
C 1~lri a J ~ ~ 4~` t .S _ ~c~ -C s ,says that the foregoing is a full,
Cntardian r---
true and complete Inventory of the Estate of ~,~,~ l ~ ~ 5
the aforesaid Incapacitate P~ 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 )
I8 Pa.C.S. § 4944 relating to unsworn )
fa(sifcation to authorities. )
Guardian
Attorney for Guardian: l,/ ~1,y1_G, I+<< , K~„U~~'
Supreme Court LD. No.:
Address:
Telephon
Form c-oa rev. ~o,t3.o6 Page 2 of 2