HomeMy WebLinkAbout11-20-13 (3) GUARDIAN'S EWENTORY
COURT OF COMMON PLEAS OF COUNTY,PENNSYLVANIA
ORP ANS' COURT DIVISION
Estate of d
'If ""/T//� tt an Incapacitated Person
�1 j a Minor
No.
1. Real Estate: (Location,by whom occupied and rental Estimated Value:
terms,if applicable)
Su&Total for Real Estate. 0.04
2. Personal Prope Estimated Value:
0 .
�u
w m
0
C7
.� Dr N rnrn
o -n n �
c7o h � Cl>
N r rn
-V ca u' --n
3. Jointly Held Property: Estimated Value:
(Setforth real andpersonat property awned by the incapacitated PersanjoflMr with any
other person(s). State wherherheidar tetmnts by the entireder iicnA whether the right of
survivorship ertsac)
Jointly Hold Property
FhnnG44 rev.10.13.06 Pagel of2
Estate of C c t l/ Q�Q b �•l f y i9Kan Incapacitated Person
Qa Minor
4. Anticipated Assets: Estimated Value:
($¢+forth p-perq+of any kind expected ro be acquired hereafter,+ognherwith
anacipared dale of acquirMon.)
Properly AnddpatedDate
ofAcquisidan
Sub-Total far Personal Estate: 0.00
(Attach additional sheets if necessary)
TOTAL OF ITEMS 1,2,3,and 4: . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . 0.00
Commonwealth of Pennsylvania :
: ss.
County of C-rint ems%
says that the foregoing is a full,
Guardian �, /� � �� ,/�
true and complete Inventory of the Estate of t � Gt-fMY'c/i G� �
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 unswom } Guardian
falsification to authorities. ) ,' -,y
Attorney for Guardian: •'t�7�.u_ 6A
Supreme Court I.D.No.: F j vU
Address: �,r
/)t,
Telephone: Z,4 _�3 3 `74
Form GOC nw.10.13.06 Page 2 of 2