HomeMy WebLinkAbout06-15-10GUARDIAN'S INVENTORY
COURT OF COMMON PLEAS OF Cumberland
ORPHANS' COURT DIVISION
COUNTY, PENNSYLVANIA
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®an I itated~rso ="?
Estate of Susan J. Myers ~ } ~. .:'
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No.21-10-0220 cam' ~i ~ ,-,
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Ofl~i 3 'r
1. Real Estate: (Location, by wham occupied end rental Estimated Valu~p ~-"'
terms, if applicable]
Sub-Total for Real Estate:
2. Personal Property:
M&T Bank Checking Account
PSECU Checking Account
PSECU Social Security Representatives Payee Account
Northwestern Life Insurance Policies and Met Life Policy
Genworth Financial Long Term Care Policy ($200.00 per day)
3. Jointly Held Property:
(Set forth real and personal property owned 6y the Incapacitated Person JOINTLY with any
other person(s). State whether held as tenants 6y the entireties; ijnot, whether the right of
survivorship exists.)
Joittdy Held Property
2009 Toyota Corolla (joint with Jane C. Myers Trust)
o.oo
Estimated Value:
1,000.00
1,000.00
2,000.00
50,000.00
Estimated Value:
11,000.00
Form G-04 rev. 10.13.06 Page 1 of 2
V
Estate of Susan J. Myers 1®an Incapacitated Person
' I®a Minor
4. Anticipated Assets: Estimated Value:
(Set forth property ojany laird expected to be acquired hereafter, together wick
anticipated date ojacquisition.J
Property An6ctpated Date
ojAequtslNon
Sub-Total for Personal Estate: 65,000.00
(Atta.: h addrtioncl sl~~ts ~ r~acsssary~
TOTAL OF ITEMS 1, 2, 3, and 4 :.............................. 65,000.00
Commonwealth of Pennsylvania
ss.
County of m
Patricia A. M. Havens ,says that the foregoing is a full,
Guardian
true and complete Inventory of the Estate of Susan J. Myers
the aforesaid Incapacitated Person or Minor; and that all of the information set forth herein is
true and convect to the best of the Guardian's knowledge and belief.
I verify that the statements made in this )
Inventory are true and convect. I under- )
stand that false statements herein are )
made subject to the panaities of )
18 Pa.C.S. § 4904 relating to unsworn )
falsification to authorities. )
~~
Guardian
Attorney for Guardian: Steven P. Miner, Esquire
Supreme Court 1.D. No.: 38901
Address: 1035 Mumma Road, Suite 101
Wormleysburg, PA 17043
Telephone: (717) 724-9821
Form G-04 rev. !0.13.06 Page 2 of 2