HomeMy WebLinkAbout04-20-12GUARDIAN' S INVENTORY
COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA
ORPHANS' COURT DIVISION
l ~ an Incapacitated Person
Ma A. Barzda
Estate of rY J
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1. Real Estate: (Location, by whom occupied and rental EstimaRied Valuer- ~•~
terms, if applicable) `°`
Undivided one-third interest in 429 Criswell Drive, Boiling Springs, PA 21,000.00
Sub-Total for Real Estate: 21,000.00
2. Personal Property: Estimated Value:
TransAmerica fixed annuity 116,000.00
TransAmerica single premium whole life insurance policy cash value 106,000.00
Allstate single premium whole life insurance policy cash value 108,000.00
PNC Bank check account 9,500.00
PNC Bank Certificate of Deposit 61,830.00
3. Jointly Held Property: Estimated Value:
(Set forth real and personal property owned by the Incapacitated Person JO/NTLY with any
other person(s). State whether held as tenants by the entireties; if not, whether the right of
survivorship exists.)
Jointly Held Property
Form G-04 rev. !0.13.06
Page 1 of 2
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Estate of Mary A. Barzda ~~an Incapacitated Person
' Da Minor
4. Anticipated Assets:
(Set forth property of any kind expected to be acquired hereafter, together with
anticipated date of acquisition.)
Property Anticipated Date
ojAcquisition
None
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 .
Ann P. Barzda
Estimated Value:
0.00
401,330.00
422,330.00
says that the foregoing is a full,
Guardian
true and complete Inventory of the Estate of Mary A. Barzda
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. )
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Guardian
Attorney for Guardian: Wayne F. Shade, Esquire
Supreme Court I.D. No.: 15712
Address: 53 West Pomfret Street
Telephone: (717) 243-0220
Carlisle, PA 17013
Form G-04 rev. 10./3.06 Page 2 of 2