Pennsylvania Guardianship Form 1Pennsylvania Guardianship Form 1Pennsylvania Guardianship Form 1
Download the document to the computer for easy use
There are more pages to preview,Read on

Reset Form

ANNUAL REPORT OF
GUARDIAN OF THE ESTATE
COURT OF COMMON PLEAS OF
COUNTY, PENNSYLVANIA
ORPHANS’ COURT DIVISION

Estate of

, an Incapacitated Person
No.

I.

INTRODUCTION
, was appointed

“ Plenary “ Limited Guardian of the Estate by Decree of

, J.,

.

dated

“ A. This is the Annual Report for the period from
,
to
,
(the “Report Period”); or
“ B. This is the Final Report for the period from
to

,

,
(the “Report Period”), and is filed

for the following reason:
1. The death of the Incapacitated Person. Date of death:
Name of Personal Representative:
2. The Guardianship was terminated by the Court by Decree of
J., dated

Form G-02 rev. 10.13.06

Page 1 of 5

Estate of
II.

III.

, An Incapacitated Person

SUMMARY
A. State the value of the estate reported on the Inventory

$

B. State the value(s) of principal assets at the beginning of
the Report Period. (Same as Inventory if first Report,
otherwise, ending balance from last Report.)

$

C. What is the total amount of inco