HomeMy WebLinkAbout10-29-14 GUARDIAN'S INVENTORY
COURT OF COMMON PLEAS OF Cumberland COUNTY, PENNSYLVANIA
ORPHANS' COURT DIVISION
Estate of Martha Jean McCurdy an Incapacitated Person
' a Minor
No.21-2014-0815
1. Real Estate: (Location,by whom occupied and rental Estimated Value:
terms,if applicable)
Sub-Total for Real Estate: �,� �0.00
_.
2. Personal Property: Estirm-a#d Valli: o
Knights of Columbus Individual Retirement Account Annuity ;:0
� rn
..�.j rn
Nom/
C--) �
3. Jointly Held Property: Estimated Value:
(Set forth real and personal property owned by the Incapacitated Person JOINTLY with any
otherperson(s). State whether held as tenants by the entireties;ifnot,whether the right of
survivorship exists.)
Jointly Held Property
I 1 West Dulles Drive,Camp Hill,PA 17011(tenants by entirties w/husband) 120,800.00
Metro Bank Checking Account xxx305(joint with husband) 14,000.00
Form G-04 rev.10.13.06 Page 1 of 2
Estate of Martha Jean McCurdy1 an Incapacitated Person
'I a Minor
4. Anticipated Assets: Estimated Value:
(Set forth property of any kind expected to be acquired hereafter,together with
anticipated date of acquisition.)
Property Anticipated Date
of Acquisition
N/A
Sub-Total for Personal Estate: 143,800.00
(Attach additional sheets if necessary)
TOTAL OF ITEMS 1,2,3, and 4: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 143,800.00
Commonwealth of Pennsylvania
: ss.
County of Cumberland ;
Robert McCurdy , says that the foregoing is a full,
Guardian
true and complete Inventory of the Estate of Martha Jean McCurdy
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 unsworn ) Guardian /
falsification to authorities. )
Attorney for Guardian: Anna Borro Hays
Supreme Court I.D.No.: 70375
Address: Saidis Sullivan&Rogers
635 N. 12th St., Ste. 400, Lemoyne, PA 17043
Telephone: (717) 612-5800
Form G-04 rev.10.13.06 Page 2 of 2