HomeMy WebLinkAbout02-26-07
F:\FILES\DA T AFILE\General\Current\ 7094\2. petition.guardian
Created: 08/29/0208:34:38 AM
Revised: 02/26/0709:45:49 AM
IN RE: ROGER W. LINE
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
AN ALLEGED INCAP ACIT A TED
PERSON
: ORPHANS' COURT DIVISION
: NO.07---1.1..i ORPHANS' COURT
PETITION FOR APPOINTMENT OF PERMANENT GUARDIANS OF THE PERSON
AND ESTATE IN ACCORDANCE WITH 20 PA. CONS. STAT. ANN. ~ 5501 et seq.
AND NOW COME, the petitiorfrs, William P. Line and Winifred P. Line, by their attorneys,
MARTSON DEARDORFF WILLIAMS OTTO GILROY & FALLER, and file this Petition for
Appointment of a Permanent Guardians of the Person and Estate in accordance with 20 Pa. Cons.
Stat. Ann. S 5501 et seq. for Roger W. Line, an alleged incapacitated person, and respectfully
represents and avers as follows:
1. The Petitioners are William P. Line and Winifred P. Line, with an address of 301
Grahams Woods Road, Carlisle, Pennsylvania, 17015.
2. The Petitioners are the parents of the alleged incapacitated person, and are, therefore,
interested in his welfare.
3. The alleged incapacitated person is Roger W. Line, a 41-year-old adult individual
born on April 8, 1965.
4. The alleged incapacitated person currently resides at Claremont Nursing and
Rehabilitation Center, 1000 Claremont Road, Carlisle, Cumberland County, Pennsylvania 17013 and
is under the medical care and supervision of Claremont Nursing and Rehabilitation Center.
5. The names and addresses ofthe presumptive adult heirs and next-of-kin ofthe alleged
incapacitated person are as follows:
Presumptive Heirs: William P. Line and Winifred P. Line (parents)
301 Grahams Woods Road
Carlisle, PA 17015
Arthur P. Line (Brother)
80 McAllister Church Road
Carlisle, PA 17015
-,
-'-+"..1
')
" ,j
Susan Shotto (Sister)
1244 Creek Road
Carlisle, PA 17015
r......)
('.~,
C~:J
C)
c-.,
1
\
W
Jeffrey A. Line (Brother)
11 Topview Drive
Carlisle, P A 17015
The Petitioner knows the names and addresses of no other presumptive adult heirs of the alleged
incapacitated person not set out above.
6. The name and address ofthe person or institution providing hospital/medical services
to the alleged incapacitated person is: Claremont Nursing and Rehabilitation Center, 1000 Claremont
Road, Carlisle, Cumberland County, Pennsylvania 17013. He has been located in said facility since
November 9, 2006.
7. The alleged incapacitated person was born on April 8, 1965, with mental retardation
due to brain damage at birth.
8. Such alleged incapacitated person resided with his parents, the Petitioners, until the
age of 22 years, during which time he attended school for 18 years with Capital Area Intermediate
Unit and obtained his diploma.
9. The alleged incapacitated person then resided in a group home operated by Impact
Systems of925 Linda Lane, Camp Hill, Pennsylvania, 17011, for 19 years, until October 16,2006.
10. From October 16, 2006 until November 9,2006, the alleged incapacitated person was
hospitalized at Holy Spirit Hospital, Camp Hill, Pennsylvania, where he was treated for mental status
chagnes, toxic metabolic encephalopathy which included malnutrition, sepsis and seizures.
11. On November 9,2006, the alleged incapacitated person was transferred to Claremont
Nursing and Rehabilitation Center for additional treatment and for necessary 24-hour supervision
to ensure that his physical, mental and nutritional needs are being met.
12. On his admission to Claremont Nursing and Rehabilitation Center, the alleged
incapacitated person, who is approximately 5'8" in height, weighed approximately 114 pounds.
Following treatment there, he currently weighs approximately 140 pounds.
13. The alleged incapacitated person has been diagnosed by his physician, Kenneth Harm,
M.D. with Schizo Affective disorder and intermittent Explosive disorder. His cognitive skills have
been determined to be at athe level of a 1-1/2 year old. He further feels that the alleged incapacitated
14. Petitioners believe and aver that the alleged incapacitated person requires 24-hour
supervision and will be best served by continuing his confinement at Claremont Nursing and
Rehabilitation Center.
15. Petitioners therefore believe and aver that a permanent and plenary guardian of the
person and of the estate of the alleged incapacitated person must be appointed in accordance with
20 Pa. Cons. Stat. Ann. ~ 5511.
16. Plenary and permanent guardianship is sought because the ability of the alleged
incapacitated person to receive and evaluate information effectively and communicate decisions is
impaired to such a significant extent that he is totally unable to manage his financial resources and
personal being and welfare. Furthermore, plenary and permanent guardianship is sought and
warranted as the alleged incapacitated person is unable to pay bills, rent, and related financial
obligations, and a guardian is needed to assist in the payment of said bills, determination ofthe living
arrangements for such alleged incapacitated person and provision of medical care to his person.
17. Because of the severity of his mental condition and state, the alleged incapacitated
person lacks the capacity to make or communicate any responsible decisions concerning his estate
or person and, even with the assistance of other persons or services, would not be able to participate
in the making of any decisions concerning his person.
18. The alleged incapacitated person signed a Durable General Power of Attorney on
April 27, 1999, in which he appointed the Petitioners or his brother, Arthur P. Line, or his sister,
Susan Shotto, as his agents to make all financial and medical decisions on his behalf. A copy of this
Power of Attorney is attached as Exhibit "A".
19. Petitioners believe and therefore aver that the physical and mental condition of the
alleged incapacitated person is such that the alleged incapacitated person would be harmed by his
presence at the hearing on this Petition.
20. Although the alleged incapacitated person has signed the aforementioned Durable
General Power of Attorney, the Petitioners hereby request the appointment of a plenary and
permanent guardian to reinforce such Power of Attorney.
21. The specific areas of incapacity over which it is requested that the plenary and
permanent guardian be assigned powers are the management of all financial resources and property
3
in the alleged incapacitated person's estate, as well as the provision of, and decisions involving,
medical care and treatment for the alleged incapacitated person.
22. The names and address of the persons to whom Petitioners ask to be appointed
emergency guardians of the estate and of the person are: William P. Line and Winifred P. Line, 301
Grahams Woods Road, Carlisle, Pennsylvania, 17015. As required by C.C.O.C.R. 14.2-2, the
proposed permanent guardians' consent to serve as permanent guardians of the estate and of the
person is attached as Exhibits "B" and incorporated herein.
23. Other than their sole status as parents and heirs of the alleged incapacitated person,
the proposed guardians have no interest adverse to the alleged incapacitated person.
24. The gross value of the alleged incapacitated person's estate, if any, is de minimis.
25. The alleged incapacitated person's annual net income from all sources is de minimis.
26. No other Court has assumed jurisdiction in any proceeding to determine the capacity
of the alleged incapacitated person and no other Court or other body has appointed an emergency,
limited or plenary guardian for the alleged incapacitated person or his estate to the best of the
knowledge and information of the Petitioners.
27. The severity of the alleged incapacitated person's mental and/or physical condition
and the lack of viable, less restrictive alternatives necessitate that a plenary guardian of his estate be
appointed to manage and handle all aspects ofthe alleged incapacitated person's estate, specifically
including, but not limited to: all issues relating to his cash, checks, and any bank or savings accounts
held in his name, his stocks and bonds, his personal property, his life and other insurance of which
he is a beneficiary, his entitlement to any governmental and non-governmental benefit plans, federal,
state, and local taxes, claims made or to be made on behalf of him or against him, the execution of
documents, entry into contracts affecting him and the payment of reasonable compensation or costs
to provide services for him.
28. The severity of the alleged incapacitated person's mental and/or physical condition
and the lack of viable, less restrictive alternatives necessitate that a plenary guardian of his person
be appointed to handle all issues relating to the person of the alleged incapacitated person,
specifically including, but not limited to: his living arrangements, his medical and psychiatric care,
the administration of medication to him, and the employment and discharge of physicians,
4
psychiatrists, dentists, nurses, therapists and other professionals for his physical and mental treatment
and care.
29. The Petitioners request the appointment of Arthur P. Line, the aforementioned brother
of the alleged incapacitated person as alternate permanent plenary guardian of his estate in the event
the Petitioners hereunder are unable or unwilling to act or continue to act in such capacity.
30. The Petitioners further request the appointment of Susan Shotto, the aforementioned
sister of the alleged incapacitated person, as alternate permanent plenary guardians of his person in
the event the Petitioners hereunder are unable or unwilling to act or continue to act in such capacity.
WHEREFORE, Petitioners pray and respectfully request this Honorable Court, pursuant to
the provisions of Chapter 55 of the Probate, Estates and Fiduciaries Code (20 Pa. C.S.A. ~550l, et
seq.), to award and issue a Citation directed to Roger W. Line, the alleged incapacitated person, and
such other persons as this Court may direct, to show cause why the said alleged incapacitated person,
Roger W. Line, should not be adjudged an incapacitated person and why the said William P. Line
and Winifred P. Line should not be appointed as the permanent and plenary guardians of the estate
and of the person of the said Roger W. Line and why the said Arthur P. Line should not be appointed
as alternate permanent and plenary guardian ofthe estate and Susan Shotto should not be appointed
as alternate permanent and plenary guardian ofthe person ofthe said Roger W. Line in accordance
with 20 Pa. Cons. State. Ann. ~ 5511.
Respectfully submitted,
Date: February ~3, 2007
MARTS ON LAW OFFICES
By: ~ r~JqsJ.
Attorneys for Petitionels
Michael J. Collins, Esquire
LD. Number 200427
10 East High Street
Carlisle, P A 17013
(717) 243-3341
Attorneys for Petitioners
5
COMMONWEALTH OF PENNSYLVANIA )
: SS.
COUNTY OF CUMBERLAND )
William P. Line and Winifred P. Line, Petitioners herein, being duly sworn according to law,
depose and say that the facts set forth in the foregoing Petition are true and correct to the best of their
knowledge, information and belief.
w~Q.~
William P. Line
~ .,t, f? '-.t/ . .
Winifre~ p~fJj~~ ~
Sworn ~d subsc~ed before me
this~ daYOf~~ ,2007.
ii~L?6.
Notary Public
COMMONWEALTH OF PENNSYLVANIA
NOT ARlAL SEAL
Victoria L. Otto, Notary Public
\ Carlisle Borough, Cumberland County
My commission expires December 20, 2010
F 'FILES' DA T AFILE\WlLLS',7Q9~.2 PQA
DlJRABLE GE:'l'ERAL POWER OF A TTORi'iEY
K.~OW ALL ME~ BY THESE PRESENTS, that I, ROGER W. LINE, of Cumberland
County, Pennsylvania, hereby revoke any general power of attorney that I have heretofore given to
any person and do hereby appoint my father, WILLIA.M P. LINE, or my mother, WINIFRED P.
LINE, or my brother, ARTHUR P. LINE, or my sister, SUSA..'i SHOTTO, acting jointly or
severally (hereinafter "my Attorney") my true and lawful attorney for me and on my behalf to
perform all such acts as my Attorney in my Attorney's absolute discretion may deem advisable, as
fully as I could do if personally present.
DURABLE POWER
This Power of Attorney shall not be affected by my subsequent disability or incapacity.
GENERAL GRANT OF BROAD POWERS
My Attorney is hereby given the fullest possible powers to act on my behalf: to transact
business, make, execute and acknowledge all agreements, contracts, orders, deeds, writings,
assurances and instruments for any matter, with the same powers and for all purposes with the same
validity as I could, if personally present.
SPECIFIC POWERS INCLUDED IN GENERAL POWER
Without limiting the general powers hereby already conferred, my Attorney shall have the
following specific powers which are included in the foregoing general powers:
1. Banking and Financial Institutions: General Financial
Powers.
(a) To deposit any funds received for me in my accounts in such bank or trust
company or other depository as my Attorney may select, either in my name or in my
Attorney's name as attorney-in-fact.
(b) To withdraw from and to draw any check or other draft against any moneys
held for me at any bank, saving fund or other place of deposit, whether such account
was created by me or by my Attorney.
(c) To endorse notes, checks and other instruments which may require my
endorsement.
(d) To pay all debts now or hereafter incurred by me.
(e) To borrow money and to mortgage or pledge any property, real or personal,
now or hereafter owned by me as security therefor and to satisfy or record any
-1-
indentures of mortgage now or hereafter standing in my name or acquired for my
account.
(f) To have access to any safe deposit box standing in my name or in my
Attorney's name for me, and to add to or remove the contents of such box; provided,
however, my Attorney shall not use such box as a place in which to deposit or keep
any personal property of my Attorney.
(g) Generally, to transact any and all business for me with any bank, trust
company or other depository.
2. Stocks. Bonds. Securities and Investments.
(a) To sell, exchange, pledge, assign, transfer and deliver to any person, at my
Attorney's discretion, all or any part of any stocks, bonds, notes, mortgages, interests
in partnerships or other securities, and any and all personal property standing in my
name or belonging to me, or over which I may have any power or control. To make,
execute and deliver on my behalf all necessary deeds, assignments or transfers.
(b) To register any or all of my securities in my Attorney's name as attorney-in-
fact for me.
(c) To vote my securities in person or by proxy.
(d) To transact all business in relation to any stocks, bonds, securities, or other
property in the nature thereof; to deposit the same under agreements of deposit; to
participate in any plan of lease, mortgage, merger, consolidation, exchange,
reorganization, recapitalization, liquidation, receivership, or foreclosure with respect
thereto; to exercise any rights to subscribe to new issues thereof; and generally to
exercise all rights of management and ownership with respect thereto.
(e) To invest in any form of property, all funds and securities held or received for
my account, keeping such cash reserves as, in my Attorney's discretion, are
necessary or desirable to meet conditions as they may exist from time to time. In the
exercise of this power, my Attorney may invest in any variety of real and personal
property as in my Attorney's discretion appears to be prudent investments, and my
Attorney shall not be liable to me for any error of judgment in the making or
continuing of any investment.
3. Real Estate.
(a) To sell, exchange, pledge, assign, transfer and deliver to any person, at my
Attorney's discretion, all or any part of my real property, standing in my name or
belonging to me, or over which I have any power or control.
-2-
(b) To make, execute and deliver on my behalf all necessary deeds, assignments
or transfers.
(c) To operate real property, separately or jointly with others.
(d) To lease for any term any real property and to vary the terms, including rent
payable, of any lease.
(e) To alter, repair, improve, mortgage, divide, exchange, join in the partition of,
or give options with respect to, real property.
(f) To buy in at judicial sale any property on which I hold a mortgage.
(g) Generally to transact all business and to exercise all rights of management
and ownership relating to real property.
4. Claims. Law Suits. Compromise and Miscellaneous Powers.
(a) To demand, sue for, levy, collect, and give proper receipts for all sums of
money or property now or which may hereafter become due me from any source
whatsoever, including all estates or trusts, proceeds of insurance policies or other
property of any kind whatsoever.
(b) To join with other parties in the compromise or settlement of any claims.
(c) To make, negotiate, sign and perform any and all agreements and contracts
now in course of negotiation, execution and settlement by me, or which may
hereafter in the opinion of my Attorney be to my interest or advantage; to effect,
procure and continue insurance of any and every kind and description; and with full
power and authority to manage any real and personal property and conduct my affairs
generally.
(d) To employ attorneys at law and such other agents, employees or
representatives as my Attorney may think proper, and to pay any claims, fees,
expenses, wages, demands or obligations for which I may now be or may hereafter
become liable.
5. Tax ~latters.
To prepare, execute and tile in my behalf and in my name any and all income tax declarations
and returns, and any other tax returns and reports (including, but not limited to, protests, claims.
elections, consents, closing agreements, "vaivers of statutes of limitations and extensions), and to
represent me before the Internal Revenue Service or Treasury Department and any state or local
ta.xing authority with respect to any claim or proceeding having to do with my ta.x liabilities, federal,
state or local, for any and all years.
-3-
6. Power to Delegate.
To substitute one or more attorney or attorneys under my Attorney, to carry out any of the
general or specific powers hereby granted.
7. Specific Financial Powers Defined by Statute.
The following powers are granted pursuant to Chapter 56 of the Pennsylvania Probate Estates
and Fiduciaries Code as further defined therein:
(a) To make limited gifts. My Attorney may make gifts on my behalf to any
donees and in such amounts as my Attorney may decide subject to the following:
(i) The class of permissible donees shall consist solely of my children,
my grandchildren and my great grandchildren (including my Attorney ifmy
Attorney is a member of such class).
(ii) During each calendar year, the gifts to each donee pursuant to this
power shall have an aggregate value not in excess ofTen Thousand Dollars
or such lesser (or greater) amount as, and shall be made in such manner as,
to qualify in their entirety for my annual exclusion from the Federal gift tax
as provided in Section 2503(b) of the Internal Revenue Code of 1986, as
amended, without regard to Section 2513(a) thereof (or any successor
provision allowing gifts to be split with a spouse).
(b) To create a trust for my benefit.
(c) To make additions to an existing trust for my benefit.
(d) To disclaim any interest in property.
(e) To renounce fiduciary positions.
(f) To withdraw and receive the income or corpus of a trust.
8. Specific Personal and ~ledical Powers Defined by Statute.
The following powers are granted pursuant to Chapter 56 of the Pennsylvania Probate,
Estates and Fiduciaries Code, as further defined therein:
(a) To authorize my admission to a medical, nursing, residential or similar
facility and to enter into agreements for my care.
(b) To authorize or refuse medical and surgical procedures.
-4-
(c) To arrange and consent to procedures to make an anatomical gift of all or part
afmy body.
DL'RA TION OF PO\VER. RELIEF FROM LIABILITY. REVOCATION
1. This power shall not expire by reason of lapse of time.
2. I hereby ratify and confirm all that my Attorney acting hereunder shall do or cause
to be done under this Power of Attorney. I specifically direct that such Attorney shall not be subject
to any liability by reason of any of such Attorney's decisions, acts or failures to act, all of which
shall be conclusive and binding upon me, my personal representatives, heirs and assigns.
Furthermore, except in the case of malfeasance of office, I agree to indemnify such Attorney, and
hold such Attorney harmless, from all claims that may be made against such Attorney as a result of
such Attorney's service hereunder and I hereby agree to reimburse such Attorney in the amount of
any damages, costs and expenses that may be incurred as a result of any such claim.
3. This Power of Attorney shall be revoked by my giving to such Attorney acting
hereunder written notification of the revocation, which notice shall not be considered binding unless
actually received.
IN WITNESS WHEREOF, ~ intending to be legally bound, I have hereunto set my hand
and seal this).. 7 day of Irr rl ( , 1991
SIGNED, SEALED AND DELIVERED
IN THE PRESENCE OF:
COl\lIMONWEAL TH OF PENNSYLVANIA
(SEAL)
WITNESS:~
COUNTY OF Cl.JMBERLAl'ID
)
: SS.
)
On the ~') It~ day of '(, 199), before me, a ~otary Public, personally
appeared ROGER \V. L~"E, and in due form ofla\ acknowledged the foregoing Power of Attorney
to be his act and deed and desired that the same ml ht be recorded as such.
\vlT::\l"ESS my hand and notarial seal.
-----~----I
i
- ,.s-, . '.. 1/
~ /. ;,' ,_ C ' I ,_ ,/ /. ,F / " (. f.-
I '", ~
., t
-~~--_. _. -- -- .-
~otary Public
._~'_ '~~d, ::
tn. ."
-5-
IN RE: ROGER W. LINE
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
AN ALLEGED INCAPACITATED
PERSON
ORPHANS ' COURT DIVISION
NO. 07- ORPHANS' COURT
CONSENT AND STATEMENT OF PROPOSED GUARDIANS
COMMONWEALTH OF PENNSYLVANIA )
): ss.
COUNTY OF CUMBERLAND )
The undersigned, being duly sworn according to law, depose and say that they are willing to
serve as plenary and permanent guardians of the estate and of the person of Roger W. Line, that
they are the parents of the alleged incapacitated person, that they hold no interest adverse to the
alleged incapacitated person, and that they only have an interest in the estate as potential testate or
intestate heirs of the alleged incapacitated person.
The undersigned further depose and saythattheyare citizens ofthe United States of America,
and are able to speak, read and write the English language; and that they are not the Fiduciary or an
officer or employee of a corporate Fiduciary of an estate in which the alleged incapacitated person
has an interest nor the surety or an officer or an employee ofthe corporate surety of such a Fiduciary.
w~ rp ~
William P. Line
'-U1;~eL Y?'~
Winifred P. ne
Sworn to and subscribed before
me thi~ay of February, 2007.
'j
/;1c2_~J 1!2U-
Notary Public
COMMONWEALTH OF PENNSYL VANIA
NOTARIAL SEAL
Victoria L. Otto, Notary Public
Carlisle Borough, Cumberland County
My commission expires December 20, 2010
_n.._..... .__
.S. Postal ServiceTM
ERTIFIED MAILM RECEIPT
Domestic Mail Only; No Insurance Coverage Provided)
~I
:?; ~ .
I"-L
a
.::t"
I"-
Postage $
Certified Fee
ru
a Return Receipt Fee
a (Endorsement Required)
a
Restricted Delivery Fee
a (Endorsement Required)
...rJ
~ Total Postage & Fees $
Postmark
Here
...rJ Sent To (\(\ ~ I _" \
a \ 1 \ '( e:, IJ--.l \...1\ VlZ
a Sireei."Ap"f iiio:;' -.... .... .....i\l ~......... - -. -............ ........ -......... -.....
I"- or PO Box No. \ COO \..Q I(' e fY\.O Y'\ + (<cA
CitY;Siaie,'zIPd;;~~:~\~.m.9.A""'i'~;"j3....mm..........
PS Form 3800, August 2006 See Reverse for Instructions
ITI
....=I
I"-
LIl
U.S. Postal ServiceTM
CERTIFIED MAILM RECEIPT
(Domestic Mail Only; No Insurance Coverage Provided)
I"-
a
.::t"
I"-
ru
a
a
a
a
...rJ
I"-
ru
...rJ SentTo ~ ~
~ Sfr(iei.'APf~f\._.....~........~~........~...........m........
I"- ~t;~~~;'.;~+4" .~~;~-f~'~.P;i..1:1"6r~m..........
Postage $
Certified Fee
Return Receipt Fee Postmark
(Endorsement Required) Here
Restricted Delivery Fee
(Endorsement Required)
Total Postage & Fees $
a
[]""
...rJ
LIl
I"-
a
.::t"
I"-
postage $
Certified Fee
postmark
Here
ru
a Return Receipt Fee
a (Endorsement Required)
a Restricted Delivery Fee
a (Endorsement Required)
...rJ
I"-
ru
Total postage & Fees $
..D Sent To ro I" A.(jb~...e.".~~.~~."C"..~'T"".
~ ;~~~:t;:::.:;'.<tiS' ~~j\\\ ~kr..~~~~...(~......
.City,.siaie:Zip.........\.... \ ? A II 0 ) ~~
\.s. e..
a
ru
I"-
LIl
U.S. Postal Service TM
CERTIFIED MAILTM RECEIPT
(Domestic Mail Only; No Insurance Coverage Provided)
I"-
a
.::t"
I"-
Postage $
Certified Fee
ru
a Return Receipt Fee
a (Endorsement Required)
a
Restricted Delivery Fee
a (Endorsement Required)
...rJ
I"- Total Postage & Fees
ru
....D
a
a
I"-
Postmark
Here
~ " . .
....D
a
I"-
LIl
U.S. Postal Service TM
CERTIFIED MAILM RECEIPT
(Domestic Mail Only; No Insurance Coverage Provided)
I"-
a
.::t"
I"-
Postage $
Certified Fee
ru
a Return Receipt Fee
a (Endorsement Required)
a
Restricted Delivery Fee
a (Endorsement Required)
....D
I"-
ru
Postmark
Here
Total Postage & Fees $
....D Sent To t'<\ S
00 .S.._............:~.m.m~~~ S'no..
I"- ~::~~~;;:;~:~\~~tj...~.~\:z:..R..~.~...................
City, State, ZIP \..JjJ \ \~ \e....~A.....i~~-i..........m..m.........
ITI
<0
....D
LIl
U.S. Postal Service TM
CERTIFIED MAILM RECEIPT
(Domestic Mail Only; No Insurance Coverage Provided)
I"-
a
.::t"
I"-
ru
a
a
a
a
....D
I"-
ru
~ :;r;e:~AJ]~..~...m[~.....~!1.~.~~.P...~.~.....
I"- ~.':~~.~~~.~~:...J9.J..G r ~ 6 ad ~
City, State IP+4 ......................................................
0...( h:;,le (/ p 110 \
Postage $
Certified Fee
Return Receipt Fee Postmark
(Endorsement Required) Here
Restricted Delivery Fee
(Endorsement Required)
Total Postage & Fees $
ORPHANS' COURT DIVISION
COURT OF COMMON PLEAS OF
III Re ROGER W. LINE
AN ALLEGED INCAPACITATED PERSON
CUMBERLAND COUNTY
PENNSYLVANIA
NO. 21-07-0179
CERTIFICATE OF SERVICE OF ORDER
ORDER DATE: 02/26/07
JUDGE'S INITIALS: KAH
TIME ST AMP DATE: 02/26/07
l ('0'< (e(:4e6 orcAe0
IN RE:
PRELIMINARY DECREE
SERVICE TO:
ROGER LINE, SUSAN SHOTTO, JEFFREY A LINE, ARTHUR LINE.
ADMINISTRATOR CLAREMONT NURSING AND REHAB CENTER
MR & MRS WILLIAM LINE
METHOD OF MAILING:
ENVELOPES PROVIDED BY:
~ USPS
DRRR
o HAND DELIVERED
o OTHER_
D PETITIONER
D JUDGE
I2$] CLERK OF ORPHANS COURT
MAILED: 02/2Q/07
SERVICE TO:
MICHAEL COLLINS ESO
METHOD OF MAILING:
ENVELOPES PROVIDED BY:
o USPS
DRRR
~ HAND DELIVERED
o OTHER_
D PETITIONER
D JUDGE
I2$] CLERK OF ORPHANS COURT
:vlAlLED: 02/2$/07
D~4k
Clerk of Orphans' Court