HomeMy WebLinkAbout01-15-14 (3) GUARDIAN'S INVENTORY
COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA
ORPHANS' COURT DIVISION
Estate of Pauline K. Cover , an incapacitated Person
NO. 179 Of 201�
i. Real Estate: (Location,by whom occupied and rental Estimated Value:
terms,a licable)
Total for Real Estate: $.00
2. Personal Pro e Estimated Value:
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Total for Personal Property $.00
g. Joindy Held Property: Esrimated Value:
(Set fourth real and personal property owned by the Incapacitated person JOINTLYwith any
other person(s). State whether held as tenants by the enrireties;if not,whether the right of
suruiuorshi exists.)
Total for Jointly Held Property: $.00
4. Anticipated Assets: Estimated Value:
(Set fourth property of any kind ezpected to 6e acquired hereafier,together with
anricipated date of acquisition.)
Property Anticipated Date ofAcquisition
$.00
Page .�
Estate of Pauline K. Cover , an incapacitated Person
TOTALOF ITEMS 1� 2� 3� and 4:..................................................................... $.00
5. Monthly income:
Totalfor monthly income
Commonwealth of Pennsylvania .
. ss.
County of Dauphin .
Keystone Guardianship Services , says that the foregoing is a full,
(Guardian)
True and complete Inventory of the Estate of Pauline K. Cover ,
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 ) KEYSTONE GUARDIANSHIP SERVICES
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 ) Guardian
falsification to authorities. )
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