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GUARDIAN'S INVENTORY
COURT OF COMMON PLEAS OF Cumberland COUNTY, PENNSYLVANIA
ORPHANS' COURT DIVISION
Estate of Robert C_ Wallower
No. 21-09-1044
1. Real Estate: (Location, by whom occupied and rental
terms, if applicable)
Sub-Total for Real Estate:
2. t Gersonal Pro
q ~.~ c
3. Jointly Held Property:
(Set forth real and personal property owned by the Incapacitated Person JO/NTLY with arty
other person(s). State whether held as tenants by the entireties,' ifnot, whether the right of
survivorship exists.)
Jointly Held Property
Form G-04 rev. 10.13.06
an Incapacitated Person
a Minor
Estimated Value:
0.00
Estimated Value:
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C_.
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Estimated Value:
a ~ L~
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Estate of Robert C. Wallower
4. Anticipated Assets:
(Set forth property of any kind expected to be acquired hereafter, together with
anticipated date ofacquisition.J
Property A»ticipated Date
of Acquisition
Sub-Total for Personal Estate:
1~an Incapacitated Person
f [~ a Minor
(Attach additional sheets if necessary)
TOTAL OF ITEMS 1, 2, 3, and 4 :............................ .
Estimated Value:
0.00
0.00
Commonwealth of Pennsylvania
• ss.
County of~a~,~Q~,~, V.r,~:
L o -e i. L. 1~~A I ~ ~ ~ ~ ~t ~ 0 -
says that the foregoing is a full,
Guardian
true and complete Inventory of the Estate of Robert C. Wallower
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
I8 Pa.C.S. § 4904 relating to unsworn
falsification to authorities.
Form G-04 rev. 1 D.13.06
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Guardian
Attorney for Guardian: ~~~~~~ ~ ~ ~` J`~
Supreme Court I.D. No.: ~ ~ ~ ~
Address:
Telephone: ~ 1 ~ ~ ~ ~ `t 3-, ~ .~ ~'
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