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Here is the text we could read:

COURT OF COMMON PLEAS OF

 COUNTY, PENNSYLVANIA

ORPHANS’ COURT DIVISION

GUARDIAN’S INVENTORY(cid:3)FOR (cid:36)(cid:3)(cid:48)INOR

              
Estate of
 
              

No.

 
 
,

   } 

a Minor

1. Real Estate: (Location, by whom occupied and rental

Estimated Value:

terms, if applicable)

      Sub-Total for Real Estate:

2.

Personal Property:

Estimated Value:

3.

Jointly Held Property:
(Set forth real and personal property owned by the Minor 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 Effective July 1, 2018

Page 1 of 2

              
Estate of

,   }

a 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

       of Acquisition

Attach Additional Sheets if necessary 

Sub-Total for Personal Estate:

TOTAL OF ITEMS 1, 2, 3, and 4: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Commonwealth of Pennsylvania :

: ss.

County of                                     :

      Guardian

Inventory of the Estate of

, says that the foregoing is a full, true and complete 

 , a 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- )
)
stand that false statements herein are 
)
made subject to the penalties of         
)
18 Pa.C.S. § 4904 relating to unsworn
)
falsification to authorities.

Guardian Signature

  Attorney for Guardian:

  Supreme Court I.D. No.:

  Address:

  Telephone:

Form G-04 Effective July 1, 2018

Page 2 of 2

(Untitled)

This info page is part of the LIT Lab's Form Explorer project. It is not associated with the Pennsylvania state courts. To learn more about the project, check out our about page.

Downloads: You can download both the original form (last checked 2023-03) and the machine-processed form with normalized data fields.

About This Form:

Sourced from www.pacourts.us (2023-03)
Page(s): 2
Fields(s): 63
Average fields per page: 31
Reading Level: Grade 9
LIST Grouping(s): HO-00-00-00-00.

Use our Rate My PDF tool to learn more. Go beyond the above insights and learn more about this or any pdf form at RateMyPDF.com, includes: counts of difficult words used, passive voice decetion, and suggestions for how to make the form more usable.

Identified Data Fields:

We have done our best to automaticly identify and name form fields according to our naming conventions. When possible, we've used names tied to our question library. See e.g., user1_name. If we think we've found a match to a question in our library, it is highlighted in green. Novel names are auto generated. So, you will probably need to edit some of them if you're trying to stick to the convention.

Here are the fields we could identify.

jointly_held_property__1 was Jointly Held Property 1 (0.60 conf)
jointly_held_property__2 was Jointly Held Property 2 (0.39 conf)
jointly_held_property__3 was Jointly Held Property 3 (0.39 conf)
jointly_held_property__4 was Jointly Held Property 4 (0.39 conf)
jointly_held_property__5 was Jointly Held Property 5 (0.39 conf)
jointly_held_property__6 was Jointly Held Property 6 (0.39 conf)
county_name was CountyName (0.36 conf)
docket_number was CaseNumber (1.00 conf)
sub_total_real_estate was SubTotalAllRealEstate (0.42 conf)
estimated_value__1 was REEstimated Value_5 (0.25 conf)
estimated_value__2 was REEstimated Value _6 (0.25 conf)
estimated_value__3 was REEstimated Value_4 (0.25 conf)
estimated_value__4 was REEstimated Value_3 (0.25 conf)
estimated_value__5 was REEstimated Value_2 (0.25 conf)
estimated_value__6 was REEstimated Value_1 (0.25 conf)
r_eterms_applicable__1 was REterms if applicable_1 (0.42 conf)
r_eterms_applicable__2 was REterms if applicable_2 (0.42 conf)
r_eterms_applicable__3 was REterms if applicable_3 (0.42 conf)
r_eterms_applicable__4 was REterms if applicable_4 (0.42 conf)
r_eterms_applicable__5 was REterms if applicable_5 (0.42 conf)
r_eterms_applicable__6 was REterms if applicable_6 (0.42 conf)
personal_property__1 was PersonalProperty_1 (0.46 conf)
personal_property__2 was PersonalProperty_2 (0.46 conf)
personal_property__3 was PersonalProperty_3 (0.46 conf)
personal_property__4 was PersonalProperty_4 (0.46 conf)
personal_property__5 was PersonalProperty_5 (0.46 conf)
personal_property__6 was PersonalProperty_6 (0.46 conf)
personal_property__7 was PersonalProperty_7 (0.46 conf)
personal_property__8 was PersonalProperty_8 (0.46 conf)
personal_property__9 was PersonalProperty_9 (0.46 conf)
personal_property__10 was PersonalProperty_10 (0.46 conf)
personal_property__11 was PersonalProperty_11 (0.46 conf)
pp_estimated_value__1 was PPEstimated Value_1 (0.31 conf)
pp_estimated_value__2 was PPEstimated Value_2 (0.31 conf)
pp_estimated_value__3 was PPEstimated Value_3 (0.31 conf)
pp_estimated_value__4 was PPEstimated Value_4 (0.31 conf)
pp_estimated_value__5 was PPEstimated Value_5 (0.31 conf)
pp_estimated_value__6 was PPEstimated Value_6 (0.31 conf)
pp_estimated_value__7 was PPEstimated Value_7 (0.31 conf)
pp_estimated_value__8 was PPEstimated Value_8 (0.31 conf)
pp_estimated_value__9 was PPEstimated Value_9 (0.31 conf)
pp_estimated_value__10 was PPEstimated Value_10 (0.31 conf)
pp_estimated_value__11 was PPEstimated Value_11 (0.31 conf)
jhp_value_line__1 was JHPValueLine_6 (0.29 conf)
jhp_value_line__2 was JHPValueLine_5 (0.29 conf)
jhp_value_line__3 was JHPValueLine_4 (0.29 conf)
jhp_value_line__4 was JHPValueLine_3 (0.29 conf)
jhp_value_line__5 was JHPValueLine_2 (0.29 conf)
jhp_value_line__6 was JHPValueLine_1 (0.29 conf)
aline__1 was AAline_1 (0.32 conf)
aline__2 was AAline_2 (0.32 conf)
aline__3 was AAline_3 (0.32 conf)
aa_estimated_value__1 was AAEstimatedValue_1 (0.37 conf)
guardian_name was GuardianName (0.46 conf)
attorneyfor_guardian was AttorneyforGuardian (0.44 conf)
supreme_court_id was SupremeCourtIDNo (0.34 conf)
attorney_address__1 was AttorneyAddress_1 (0.51 conf)
attorney_address__2 was AttorneyAddress_2 (0.51 conf)
attorney_telephone was AttorneyTelephone (0.47 conf)
aa_estimated_value__2 was AAEstimatedValue_2 (0.37 conf)
aa_estimated_value__3 was AAEstimatedValue_3 (0.37 conf)
county was CountyOf (0.41 conf)
signatureof_guardianofthe_estate was SignatureofGuardianoftheEstate (0.47 conf)

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The Legal Innovation & Technology Lab's Form Explorer Beta @ Suffolk Law School Last updated 2023-04-02

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The Legal Innovation & Technology Lab's Form Explorer ^Beta @ Suffolk Law School Last updated 2023-04-02