HomeMy WebLinkAbout11-13-06
IN THE COURT OF COMMON PLEAS
OF CUMBERLAND COUNTY, PENNSYL VANIA
ORPHANS' COURT DIVISION
INRE:
MYRTLE A. DRAWBAUGH, an incapacitated person
FILE NO. 21-06-0650
90-Dav Inventory Report
Initial Inventory
FROM
~/2-Lf
,2006
TO
ID-/31
,2006
1) I am the Limited X Plenary Co-Guardian of the Estate of my ward,
named above. I was appointed Guardian by Order of Court dated August 24, 2006,
which was X was not modified by Court Order(s) dated
2) During this reporting period, the following reflects all sources of income received by me
for my ward: (Add additional pages ifneeded)
Date Received
Source of Income
1. ~ /~Lfl o&, ~LL1L.frJ () Al'r~ f)A:Lltrf<<
2. q III I o<.,.5u..flfZkN1JEfl.E;P Pr!\/rJ~nr ~ifT!?H-C1-
3. "j)' ( 2...4- ( blr.. ell v c- AI B'I (p CI.fI L1:>fL~,.)
4. (D If'kD '1f,iotJ/}~ €X-fE,JS€5
5. Ib!U>/IJi:, 7,v7C((.C3'{ I>rJ CifG..CiL',Nt,..l)-cc:,
6. A-u6 - DLI u;(.,
[jr 0 fn;J:>I-rlorJkL ItJc..,,...~ WILL U (Zf:U( VEl> 8Y fI'leJ
3) The present pnnclpal assets of my ward are: {As Above, 1155 fY1L"''i!dJ/~
Amount
/&3i./7
xrl (, 3 3. i i'
~~DJ. 60
10 .5rP
lrfht95 )
Description of Asset( s)
1.
2.
3.
4.
5.
6.
7.
8.
C-H~ (I ~L( rJ ~ It CLD({ IV (
Present Value
55006. 22-
~,.\~~o
".... a
.......'\;0~
.1 \ ~ ~
\ V ,', " " ,
. \\ \ -...,""'" , .,', \
;.,\_\ '\'~) ).'/ ..,'j
F' ~\j" S\iv.-
TOTAL:
~5CJoo. 22-
-1
, '/
,,\ '.'
_,"", :\J
-, \~:{~l ~'~
~
4) Check the correct response and complete, if appropriate.
A.
B.
v C.
My ward receives monthly social security benefits directly.
I am the designated payee to receive my ward's social security benefits.
The designated payee of my ward's social security benefits is: (It"'D 'PEr/Sro)
IYJA/lJo(L CA~ - ~p #IU-
Whose ad ess is /7DD (hA1ZJ4;'T S7": t/t/Y'f> HILL- fA /7011
And i IS not circle one) related to my ward as (insert relationship:) _
I CERTIFY under the penalties of perjury that the information contained in this report is true and
correct to the best of my knowledge, information and belief.
Name: Daniel D. Drawbaugh and Sharon L. Drawbaugh
Address: 7353 Fishing Creek Valley Road
Harrisburg, P A 17112
Telephone No. (717) 469-0472 (home)
(717) 531-5916(work)
:5~cf. ])~~
Sig~,ture
y /
4; ,,#&7 ~, jI.I'4'~
Signature
Date
. I t
10/Zo 60
/O/2:<fJ 10(,
Date
Send to:
Register of Wills
Cumberland County Courthouse
One Courthouse Square
Carlisle, P A 17013
(717) 240-6345
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