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HomeMy WebLinkAbout02-13-15 GUARDIAN'S INVENTORY COURT OF COMMON PLEAS OF �vw��etl�► c� COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION Estate ofI C 11 an Incapacitated.Person 'I EjKa Minor No.o2G l q — 101y� 1. Real Estate: (Location, by whom occupied and rental Estimated Value: terms, if applicable) M n ` C co (r) �j "'t"# Sub-Total for Real Estate: rn 2. Personal Property: Estimated V4e: o n 5CW 1 0 e 130 --t- b �10 0 ry . 0 0 Ln0 o S 1)-) i ( (,r W, LrD 00 c, k's Iloo a�At -9 d [ces a � iDr;-s�4-5r,IrL Woks jj*a s' 3. Jointly Held Property: Estimated Value: (Set forth real and personal property owned by the Incapacitated Person JOIN71Y with any other person(s). State whether held as tenants by the entireties;if not,whether the right of survivorship exists) Jointly Held Property Form c-04 rev. 10.13.06 Page ] of 2 Estate of ( r, Elan Incapacitated Person ' 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 ofAcquisition Sub-Total for Personal Estate: P''-SO 0.00 (Attach additional sheets if necessary) ��'��� '� 0U TOTAL OF ITEMS 1,2,3, and 4: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5. Commonwealth of Pennsylvania , �`"_ 1 : ss. County of C�N�VJ2J`6W�U Cl.u�.e l 1�0✓,ti V� , says that the foregoing is a full, Guardian true and complete Inventory of the Estate of e �Rii , 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 ) Tnventory are true and correct. I under- ) stand that false statements herein are ) ��� •/�, _�..�`��' made subject to the penalties of ) Y� 18 Pa.C.S. § 4904 relating to unsworn ) Guardian falsification to authorities. ) Attorney for Guardian: Supreme Court I.D.No.: C�o2 (0`l Address: /07-7 Sov,44)_ -cam.e��� 6fi-e�f� 16�0, /3axg�� Telephone: 717- h`[Z- 7e-2 S© Foran c-04 rev. /0.13.06 Page 2 of 2