HomeMy WebLinkAbout07-20-15 GUARDIAN'S INVENTORY
COURT OF COMMON PLEAS OF C�BERLAND COUNTY, PENNSYLVANIA
ORPHANS' COURT DIVISION
��an Incapacitated Person
Estate of REBECCA M. MAURER � �a Minor
No.21-15-92 �
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1. Real Estate: (Location, by whom occupied and rental Estirrr(at� �alu� r�� �
terms, if applicable) ` ' ;:., <�
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Sub-Total for Real Estate: 0.00
2, Personal Pro er Estimated Value:
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3. Jointly Held Property:
Estimated Value:
(Set forth real and persona(property owned by the Incapacitated Person JOlNTLY tivith any
other person(s). State whether held as tenants by the entireties;if not,whether the right of
survivorship exists.)
Jointly Held Property
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C�• � �
Pa�e 1 of 2 \
Form G-04 rev. l0.13.06
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Estate of REBECCA M. MAURF,R ��an Incapacitated Person
' �a Minor
4. Anticipated Assets: Estimated Value:
(Set forth properry of any kind expected to be acquired hereafter,together with
anticipated date ofacguisition.)
Property Anticipnted Date
ofAcquisitron
�..1 i>>t ,Q
Sub-Total for Personal Estute: 0.00
(Attach additional sheets if necessary)
TOTAL OF ITEMS 1,2,3, and 4: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0.00
Commonwealth of Pennsylvania :
. ss.
County of CUMBERLAND ,
(���.�:��a ��. (�Q,11r�U���11�e�n(� �� �.ii"�'��55►1�.� �� rnQ�r��ays that the foregoing is a full,
Guardian
true and complete Inventory of the Estate of REBECCA M. MAURER
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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- ) /p �- +� l
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: \�
Supreme Court I.D.No.: ��'
. .�„
,,
Address:
Telephone:
Form G-04 rev. 10.13.06 Page 2 of 2