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["Inventar"]
[]
["Gemäss Art. 405 Abs. 2 ZGB, "]
["über die Vermögensverhältnisse von"]
[]
[]
["Name"]
["Vorname"]
["geboren"]
["Heimatort"]
["Wohnadresse"]
["Aufenthaltsadresse"]
[]
["Massnahme"]
["Beschluss"]
["Beistand"]
[]
[]
[]
["Aufnahme"]
["Datum"]
["Ort"]
["Anwesend"]
[]
[]
[]
[]
[]
["Stichtag"]
[]
[]
[]
[]
[]
[]
["a)  Allgemeine Verhältnisse"]
[]
["1. Wohnverhältnisse"]
[null,null,"Fr."]
[]
["2. Erwerbstätigkeit"]
[null,null,"Fr"]
[]
["3. Versicherungen"]
["a)   Lebensversicherung "]
[null,null,"Fr."]
[]
["b)   Krankenversicherung"]
[null,null,"Fr."]
[]
["c)   Hausrat- und Haftpflichtversicherung "]
[null,null,"Fr."]
[]
["d)   Unfallversicherung "]
[null,null,"Fr."]
[]
["e) Rechtschutz"]
[null,null,"Fr."]
[]
["f) weitere Versicherungen"]
[null,null,"Fr."]
[]
["4. Rentenansprüche"]
["a)   AHV/IV - Rente"]
[null,null,"Fr."]
[]
["b)   andere Sozialversicherungen"]
[null,null,"Fr."]
[]
["c)   Pensionskasse"]
[null,null,"Fr."]
[]
["d)   Zusatzleistungen zur AHV / IV-Rente"]
[null,null,"Fr."]
[]
["5. Ansprüche an unverteilten Hinterlassenschaften (Erbschaften)"]
[]
[]
["6. Nutzniesungsansprüche"]
[]
[]
["7. Unterhaltsansprüche / -verpflichtungen"]
[]
[]
["8. Bürgschaftsverpflichtungen"]
[]
[]
["9. Testament / Ort der Aufbewahrung"]
[]
[]
["10. Patientenverfügung"]
[]
[]
["11. Vorsorgeauftrag"]
{"$rows_empty":8}
["b)  Vermögensverhältnisse"]
[]
["     I.    Aktiven"]
[]
["1.   Liegenschaften (Grundeigentum/Baurechte) "]
[null,null,"Fr."]
[]
["2.   Wertschriften, Sparhefte, Konten "]
[null,null,"Fr."]
[]
["3.   weitere Guthaben "]
[null,null,"Fr"]
[]
["4.   Schrankfächer "]
[null,null,"Fr"]
[]
["5.   Barschaften"]
[null,null,"Fr"]
[]
["6.   Mobiliar / persönliche Effekten (Fahrhabe) "]
[null,null,"Fr"]
[]
["7.  Mietzinsdepot / Heimdepot"]
[null,null,"Fr"]
[]
["8.   Weitere Aktiven "]
[null,null,"Fr"]
[]
[null,"Total a)","Fr.",{"$f":"SUM(D107:D130)","v":{"v":0,"d":"0.00"}}]
[]
[]
[]
["     I.    PASSIVEN"]
[]
["1.   Grundpfandgesicherte Schulden "]
[null,null,"Fr."]
[]
["2.   Fahrnispfandgesicherte Schulden "]
[null,null,"Fr."]
[]
["3.   Schulden gemäss Betreibungsregisterauszug / Schuldscheine"]
[null,null,"Fr."]
[]
["4. Übrige Verpflichtungen "]
[null,null,"Fr."]
[]
[null,"Total b)","Fr.",{"$f":"SUM(D137:D148)","v":{"v":0,"d":"0.00"}}]
[]
["   II.    REKAPITULATION"]
[]
["a) Total Aktiven",null,"Fr.",{"$f":"D131","v":{"v":0,"d":"0.00"}}]
["b) Total Passiven",null,"Fr.",{"$f":"D149","v":{"v":0,"d":"0.00"}}]
[]
[null,"Vermögen","Fr.",{"$f":"SUM(D153-D154)","v":{"v":0,"d":"0.00"}}]
[]
[]
[]
[]
["Die Richtigkeit und Vollständigkeit der vorstehenden Angaben bescheinigt in Kenntnis von \n§ 76 EGKESR (Straffolgen wissentlich falscher Angaben zum Inventar):"]
{"$rows_empty":11}
[null,"Klient, wenn möglich, ansonsten begründen"]
{"$rows_empty":7}
[null,"Beistand / Beiständin"]
{"$rows_empty":8}
[null,"Kindes- und Erwachsenenschutzbehörde"]
{"$rows_empty":10}
["Dübendorf, "]

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