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GUARDIAN'S INVENTORY
COURT OF COMMON PLEAS OF Cumberland COUNTY, PENNSYLVANIA
ORPHANS' COURT DIVISION
Estate of Gladys Shughart l R1 an Incapacitated Person
'I®a Minor
No.21-2013-1249
As of 3/31/14
1. Real Estate: (Location, by whom occupied and rental Estimated Value:
terms, if applicable)
None
Sub-Total for Real Estate: 0.00
2. Personal Property: Estimated Value:
M&T Account k,U3.67
AXA CD t50.65m m
n
es
M n
.y ca
rn rn
--n
—t
rrt
n ca cn o.
3. Jointly Held Property: Estimated Value:
(Setforth real and personal property owned by the Incapacitated Person JOINTLY with any
other persions). State whether held as tenants by the entireties;ifnot,whether the right of
survivorship exists.)
Joint(v Held Property
None
Form G-04 rev. /0./3.06 Page 1 of 2
• Estate of Gladys Shughart 1®an Incapacitated Person
' 1a Minor
4. Anticipated Assets: Estimated Value:
(Set forth property ofany kind expected to be acquired hereafter,together with
anticipated date of acquisition)
Property Anticipated Dale
of Acquisition
Safe Deposit Box Contents May - unknown contents
Sub-Total for Personal Estate: 2,784.32
(Attach additional sheets if necessary)
TOTAL OF ITEMS 1,2,3,and 4: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2,784.32
Commonwealth of Pennsylvania :
: ss.
County of Cumberland
Neighborhood Services says that the foregoing is a full,
Guardian
true and complete Inventory of the Estate of Gladys Shughart
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 )
"W
stand
1345 it
made subject to the penalties of )
18 Pa.C.S. § 4904 relating to unsworn ) Gu is LANCASTER,PA 1960E-1543
falsification to authorities. )
Attorney for Guardian: Julie Cooper
Supreme Court I.D. No.: 80192
Address: PO Box 267
Elizabethtown, PA 17022
Telephone: (717) 367-1370
Form G-04 rev.!0./3.06 Page 2 of 2