HomeMy WebLinkAbout07-27-12GUARDIAN'S INVENTORY
COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA " ~.~
ORPHANS' COURT DIVISION
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Estate of Raymond Clark ~
, an inctatec~ erson~ ~~
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No. 21-12-000 r
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i. Real Estate: (Location, by whom occupied and rental __, ..
estimated va `,~
lue:
terms, a licable)
Total for Real Estate: $.oo
2. Personal Pro er >~sumatea value:
Total for Personal Property .oo
3. Jointly Held Property: Estimated Value:
(Set fourth 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
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suroiuvr~ni a.i
Total for Jointly Held Property: $.oo
4• Anticipated Assets• Estimated Value:
(Set fourth property of miy kind expected to be acquired hereafter, together with
anticipated date of acquisition.)
Property Anticipated Date of Acquisition
$.00
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Estate of Raymond Clark , an incapacitated Person
TOTAL OF ITEMS 1, 2, 3, and 4:.....
5. Monthly income:
................................................. .oo
PBGC -Bethlehem Steel pension $819.86
Social Security $1,392.00
Total for monthly income $2,2u.86
6. Outstanding debt:
Golden Living West Shore I $13874.24
Total for outstanding debt I $13~g74.24
Commonwealth of Pennsylvania
ss.
County of Cumberland
Keystone Guardianship Services ,says that the foregoing is a full,
(Guardian)
True and complete Inventory of the Estate of Raymond Clark ,
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-
Standthat false statements herein are
made subject to the penalties of
i8 Pa.C.S. § 4904 relating to unsworn
falsification to authorities.
KEYSTONE GUARDIANSHIP SERVICES
uardian
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