HomeMy WebLinkAbout07-02-4 GUARDIAN'S INVENTORY
COURT OF COMMON PLEAS OF CUMBERLAND COUNTY,PENNSYLVANIA
ORPHANS' COURT DIVISION
Estate of Sanya M. Wagner 1 0 an Incapacitated Person
I 0 a Minor
No.21-14-0311
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:
PNC Bank individual checking account 1,941.06
Miscellaneous personal effects 500.00
PNC Bank account with contributions received for the Sanya Wagner Fund 7,200.00
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3. Jointly Held Property: Estimated-Vdlll l --,
(Se(forth real and personal property owned by the Incapacitated Person JOINTLY with any
other person(s). State whether held as tenants by the entireties;ifnot,whether the right of --I /V r M
survivorship exists.) N CA C)
Jointly Held Property Co "rl
None
Form G-04 rev.10.13.06 Page I of 2
Estate of Sanya M. Wagner �✓ an Incapacitated Person
'IM a Minor
4. Anticipated Assets: Estimated Value:
(Set forth property ofany kind expected to be acquired hereafter,together with
anticipateddate ofacquisition)
Property Anticipated Dale
of Acquisition
Additional cash contributions to Sanya Wagner Fund (Unknown) Unknown
Sub-Total for Personal Estate: 9,641.06
(Attach additional sheets if necessary)
TOTAL OF ITEMS 1, 2,3, and 4: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9,641.06
Commonwealth of Pennsylvania :
: ss.
County of Cumberland
Douglas K. Wagner says that the foregoing is a full,
Guardian
true and complete Inventory of the Estate of Sanya M. Wagner
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 ) Douglas K. Wagner
18 Pa.C.S. § 4904 relating to unsworn ) Guardian TT
falsification to authorities. )
Attorney for Guardian: Mark E. Halbruner
Supreme Court I.D. No.: 66737
Address: 2109 Market Street
Camp Hill PA 17011
Telephone: (717) 731-9600
Form G-04 rev.10.13.06 Page 2 of 2