HomeMy WebLinkAbout12-29-14 GUARDIAN'S INVENTORY
COURT OF COMMON PLEAS OF ( ./t�,'1r�lc)�r i G'� COUNTY, PENNSYLVANIA
ORPHANS' COURT DNISION
,� � l ' an Incapacitated Person
Estate of %l,l� L��M r'�/1'1��..�'� J'�3'�P �f�a Minor
No.� ���3 --C�, `-�`�
1. Real Estate: (Location, by whom occupied and rental Estimated Value:
terms, if applicable)
l�'�
Sub-Total for Real Estate: o.00
2. Personal Property: Estimated Value:
�� -r � n,�w 2� _2�`�t�7, !�
�
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3. Jointly Held Property: Est�}ated Val�: �
(Set forth real and personal properry owned by the lncapacrtated Person JOINTLY with any � � -� r� f�"1
other person(s). State tivhether held as tenants by the entireties;if not,whether the right of ' � �"'> �.�� �
survivorship exists.) f� '�7 � G� Q
Jointly Held Property =z= � „_„� ��
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Form c-oa reV.10.13.06 Page 1 of 2 ^
V
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� c- 1 .[�an Incapacitated Person
Estate of /111.�-�:�i,� ���u.l.._. �`}�_. �I�a Minor
4. Anticipated Assets: Estimated Value:
(Set forth properry of any kind expected to be acquired hereafter,together wrth
anticipated d¢te of acguisifion.)
Proper[y Andcipated Date
ofAcquisition
--�b;�r
Sub-Total for Personal Estate: 0.00
(Attach additional sheets if necessary)
TOTAL OF ITEMS 1,2,3,and 4: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . �..J,L�l� 0.00
.__,
Commonwealth of Pennsylvania :
: ss.
County of�i.t.�_���L�,-�L� :
� J 1(`�� ��Q , says that the foregoing is a full,
Guardian
true and cornplete Inventory of the Estate of ����,�, ������( �1��..P ,
,
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: 1 JC,�,��t� �-�c.:+'�.-� �v��r
Supreme Court I.D.No.:
Address: Zt.,X�71�t�:�-�� �'�C.r��1 u_`_ �_,�..--
�c%��-1�,� � P� �1��►3
Telephone: �11 ' �-Lf '�" � �� �
Form G-04 rev.10.13.06 Page 2 of 2