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04-30-13
GUARDIAN'S INVENTORY COURT OF COMMON PLEAS OF Ou m t3C-4L j vn COUNTY,PENNSYLVANIA ORPHANS' COURT DIVISION Estate of C—m a y ��v� M t LLc-te 't J[3®&°Incapacitated Person ' a Minor No. 2 ! -12-954, 1. heal Estate: (Location,by whom occupied and rental Estimated Value: terms,if applicable) 255 & )OOPLRR 5T. _ PA t7a22 40,000 CLta-r7+t3E'T'HrDwrt 13ateo: L14NfT_Rs7Er? C©. r?CCVFpEfI"f3y : C—Mt�t ,J/}NF Ml tt_EQ ltuP Di�vr.fftER. LORI R Mtf-L .P Sub-Totat for Real Estate. 4 0,0 o0.00 2. Personal Property: Estimated Value: IN Accounrr ( xcrtRr-Menr imyesrmavr) 69,35S CERTIPtCarF 09 Df'Pos.r, lgmo. mz-marws Isr 9.ojgr Gf eck� tNCr:. I'Aa"GE'es /5r, M/PoLr-1r.WN 9,S'97 1. SVS @VEHffxtxPr 8&141, F.LtzAx3ETN7bt1N $74.7 s4yiN 'b-$ : MC`rvt82RS tST. 5- L15 -511Vt465 BON05 2, taa f}PPLtt)rtcz-t. .�fCs /ZR*fCrE, w,gslfEV, ,(�RYEr' W"Octo FORht t Yuri£ . 7`v 2,,5Ov kRWN EQylrm ENT- t'J.riC? t d7,8 6 S 3. Jointly Held Property: Estimated Value: U- forth real anrsonal property owned by the fncapachated Person JORMYwith any O r person S.. Zwe whether held as tenantr by the endredes;tfnor,whether the right of la.t ,,,ny'vlvonhip�sls.}- _ n Cr JolndylfeldProp" Z Ns - "_ ca c. U.. ��Pelz Form Ga+ rev.10.13.06 Page 1 of 2 Estate of C-m It Y JM�e icLC-R Gan Incapacitated Person ❑a Minor 4. Anticipated Assets: Estimated"Value: (&tforth property ofm1'Mnd ap-*d to be acqutred hereoer,together with andcoated date of"Uwdon.) prop" AfiNc>pami Date afAcqu6Won Sub-Total forPersonal Estate: 0.00 (Attach additional sheets if necessary) TOTAL OF ITEMS 1,2,3,and 4: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . t q -7,9 70.00 Commonwealth of Pennsylvania ss. Countyof Cu>u+SeRLA�40 CWFrRt`r-s m Co GA-v&N says that the foregoing is a full, Guardian true and complete Inventory of the Estate of F Nt 1 LY J",- M+t,t e R 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. § 4404 relating to unworn ) Guardian falsification to authorities. ) Attorney for Guardian: Supreme Court I.D.No.: Address: Telephone: Form G-w rev.10..19.06 Page 2 of 2