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Guardians Inventory G-04 - Pennsylvania

Guardians Inventory Form. This is a Pennsylvania form and can be used in Guardianship Orphans Court Statewide .
 Fillable pdf Last Modified 11/28/2006
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GUARDIAN'S INVENTORY COURT OF COMMON PLEAS OF ORPHANS' COURT DIVISION COUNTY, PENNSYLVANIA Estate of No. ,} an Incapacitated Person a Minor 1. Real Estate: (Location, by whom occupied and rental terms, if applicable) Estimated Value: Sub-Total for Real Estate: 2. Personal Property: Estimated Value: 3. Jointly Held Property: (Set forth real and personal property owned by the Incapacitated Person JOINTLY with any other person(s). State whether held as tenants by the entireties; if not, whether the right of survivorship exists.) Jointly Held Property Estimated Value: Form G-04 rev. 10.13.06 Page 1 of 2 American LegalNet, Inc. www.FormsWorkflow.com Estate of ,} an Incapacitated Person a Minor 4. Anticipated Assets: (Set forth property of any kind expected to be acquired hereafter, together with anticipated date of acquisition.) Property Anticipated Date of Acquisition Estimated Value: Sub-Total for Personal Estate: (Attach additional sheets if necessary) TOTAL OF ITEMS 1, 2, 3, and 4: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Commonwealth of Pennsylvania : : ss. County of : , says that the foregoing is a full, Guardian true and complete Inventory of the Estate of 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 understand that false statements herein are made subject to the penalties of 18 Pa.C.S. ยง 4904 relating to unsworn falsification to authorities. ) ) ) ) ) ) Guardian Attorney for Guardian: Supreme Court I.D. No.: Address: Telephone: Form G-04 rev. 10.13.06 Page 2 of 2 American LegalNet, Inc. www.FormsWorkflow.com
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