HomeMy WebLinkAbout10-10-06
Incapacitated Person's Estate
(Rev. 10/04)
In the Court of Common Pleas of~~ennsylvania
Orphans' Court Division
Estate of
Joseph M. Feldish, Sr.
: No. 2006-411
, an incapacitated person
Inventory
The undersigned guardian(s) of the estate of the above named incapacitated
person verify(ies) that the following inventory constitutes a true and complete statement of all
assets of the incapacitated person that have come into the possession of the guardian(s), with the
estimated value of each asset, together with a statement of any additional assets of the
incapacitated person that the guardian(s) expect(s) to acquire in the future. The Wldersigned
guardian(s) understand(s) that false statements made in this inventory are subject to the penalties
of 18 Pa.C.S. ~4904 relating to unsworn falsification to authorities.
Date: 10/4/06
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Signature of Authorized Officer
Typed Name: Tina M. Hess, BS, CMC, RG
Title: VP of Operations
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TypedName:Douglas H. Gent
Supreme Court 1.0. No.: 29964
Office Address: 1157 Eichelberger St.
Hanover, PA 17331
Signature of Individual Guardian
Typed Name:
Signature of Individual Guardian
Typed Name:
Telephone Number: (717) 632-4040
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