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HomeMy WebLinkAbout11-10-10 (3)13509.1.guardian.inventory.pdf GUARDIAN'S INVENTORY COURT OF COMMON PLEAS OF CUMBERLAND ORPHANS' COURT DIVISION COUNTY, PENNSYLVANIA ~ an Incapacitated Person WILLIAM HERBERT OCKER 1 Estate of I ' ®a Minoru ^a 0 21-09-0695 No ~~ z . ~'a O ~~~ C G ~ .V~ ~ ~ ~ _ ~~- O ~X i ~ ' ~ ~ 7 ~ C~ C'~ __7 1. Real Estate: (Location, by whom occupied and rental Estimatalue: w .=~= terms, if applicable) `~° ~, ~ ~7 ~ w ~' Sub-Total for Real Estate: 0.00 2. Personal Property: Estimated Value: Clouse Trucking Inc. 401 K for William Ocker (value fluctuates based on 12,500.00 market ) 3. Jointly Held Property: Estimated Value: (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 Real estate at 730 Mountain Road, Newville, Upper Mifflin Twp., held as tenants by entireties with spouse 90,000.00 M&T Checking account, joint with spouse and son 5,821.48 M&T Savings account, joint with spouse and son 1,563.27 Form G-04 rev. 10.13.06 Page 1 of 2 Estate of WILLIAM HERBERT OCKER 4. Anticipated Assets: (Set forth property of any kind expected to be acquired hereafter, together with anticipated date of acquisition.) Property Anticipated Date of Acquisition Payment by Praetorian Insurance Co for purchase of conversion van to transport Incapacitated Person 12/09 ~~ an Incapacitated Person ~ a Minor Sub-Total for Personal Estate: (Attach additional sheets if necessary) TOTAL OF ITEMS 1, 2, 3, and 4 : ............................ . Commonwealth of Pennsylvania . ss. County of Cumberland Estimated Value: 22,572.07 132,456.82 132,456.82 Kimberly Sue Ocker ,says that the foregoing is a full, Guardian true and complete Inventory of the Estate of WILLIAM HERBERT OCKER 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. ) Attorney for Guardian: George B. Faller, Jr. Supreme Court I.D. No.: 49813 Address: 10 E High St Telephone: (717) 243-3341 Carlisle, PA 17013 Form G-04 rev. 10.13.06 Page 2 of 2