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HomeMy WebLinkAbout94-01016 ~<~ .. ...-.... --1IiII C' IN REI ANGELA M. BENFIELD, an alleged incompetent person IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION NO.~, -CfL4 - 1c:J/~ On the Petition of Alice Benfield AND NOW, this ORDER '1:5 ~ay of me v~ 1994, after consideration of the petition filed by Alice Benfield and having heard testimony thereon, it is hereby Ordered and Decreed that Angela Benfield is found to be an incapacitated person in that she is unable to manage and invest her financial resources. Alice G. Benfield is appointed limited legal Guardian. llo{F It / garold . She y, JUdge (') 0 :n ,"" ~ , ",+ [;.j I-.} W , ._~ , ..1 r:,'-' ."., ......' ;.1 _;~-4 ~.- \.>' ,. , ~ \ C Ge>P;;:;. &6&) g~,dC/ ~@(@ rn-J$~ . - -- M ClI1'4!. " .. )V~I S~-el 4l.lX-'. '1E5~:O- f~;f-~__: t!1;,...,.'VL '1 -feJcJ QJI'4,/x l'lA.y ,res u Lk-uJ-- c.e~~ fAls'j,: o1Jo: cr~f t4.iJ'7 -eh . " rtL-r > oed c..os I-ftP /ex l I ""'iM ~ ~ ~ 6-c5c:: L-. G J 0. -N uJ N olf --. l. r- L VOl" ~f': 1'(3' I f"~S: c.~~ 1-0 "k c. ",c.~~ 9- lV,U€SV-~ (u-.JJ. lIb-rvdf-J Me-U"e..) u~cI'~Lrz....c.,/,- qDh.M-~~J.) ~ - ,t q: .,f..'E;!/J~~' ,O:T~:.. <I (/~~~'r f)f!'JeQ .-..,: '~F!:;""'(;{ Ier! T~-<<L ~ r.r ""', _A" \ )V\c...s-Qo h1 'M c..",-c.~ 5'- t\" ...efr- ~ ?"1.." ...AI"'). '" (Ie(c:JcJVCQ..) . (/',.xAp;- l.A-t'> L-r ,^e-v'2 ~ t<-€c.rJ- - fief f.-t. ~v fk.J- .3. ~. - ()or 6DI, ~a J . ___ () rr:kr- OftTe: j l/2-S /W , (lep"r-h,,} Iel-~ ~ II<- '" Ororl9r: rJr( Nr7 - Ac;.\-r,~ ? ;)J()l5)-' ....J .. -...~.-...... -...-'-.._~... , .c~-_ , . It " ~ ':c.i,. . 'I I , .. .,. n.;. , , I J < .t\ 'r . r- ..t ,. , . w" t.. · > . ." v . '[61 .... . r.. . 'I "i"';,f l' ., , . .. 'I: " .' .;. ,." I .~ r' , " fl' . -, t .' . \ \, ., ...- hj_ .~.. __,A - r~ ~- -'Of>:'-.. Y! I .' \ ., ...~.-...--. -...7""" r . IN RE: ANGELA M. BENFIELD, an alleged incompetent person ) IN THE COURT OF COMMON PLEAS OF ) CUMBERLAND COUNTY, PENNSYLVANIA ) ORPHANS' COURT DIVISION ) NO. .xl-Cf4' lallo mAllOlS YOU ARE HEREBY NOTIFIED THAT THE ATTACHED PETITION FOR THE APPOINTMENT OF A GUARDIAN HAS BEEN FILED WITH THE ORPHANS' COURT OF CUMBERLAND COUNTY AND THAT A HEARING ON THE PETITION HAS BEEN SCHEDULED BEFORE#tW. JlALLJld E (J.a~F 1~,fJ, IN COURTROOM NUMBER~, LOCATED IN THE CUMBERLAND COUNTY COURTHOUSE, AT THE CORNER OF HIGH AND HANOVER STREETS, CARLISLE, PENNSYLVANIA, ON THE.t3~DAY OF 1JI.JlY~JY)~E/t.. , 1994, AT/.(/: 30 O'CLOCK d..M. (PREVAILING TIME) . THE PURPOSE OF THIS HEARING IS TO DETERMINE: 1. WHETHER YOU SUFFER FROM ANY MENTAL OR PHYSICAL IMPAIRMENT WHICH WOULD AFFECT YOUR ABILITY TO MANAGE, INVEST AND REINVEST SUMS RECEIVED FROM A LAWSUIT FILED IN THE UNITED STATES MIDDLE DISTRICT OF NORTH CAROLINA; AND \ 2. WHETHER YOU HAVE THE ABILITY TO MANAGE, INVEST AND REINVEST SUMS RECEIVED FROM SOCIAL SECURITY. AT THE TIME OF THE HEARING, THE COURT WILL RECEIVE EVIDENCE ABOUT YOUR ALLEGED INCAPACITIES OR FUNCTIONAL LIMITATIONS. IF THE COURT DETERMINES THAT INCAPACITIES OR FUNCTIONAL LIMITATIONS EXIST, THE COURT MAY APPOINT A GUARDIAN TO ACT ON YOUR BEHALF. THE APPOINTMENT OF A GUARDIAN IS A MATTER OF GREAT IMPORTANCE SINCE IT WOULD RESTRICT AND INFRINGE UPON YOUR LEGAL RIGHT TO PERFORM CERTAIN ACTIVITIES OR TO MAKE CERTAIN DECISIONS, INCLUDING THE RIGHT TO HANDLE YOUR OWN MONEY. DUE TO THE SERIOUSNESS OF THIS PROCEEDING, YOU HAVE THE RIGHT TO REQUEST THE APPOINTMENT OF COUNSEL AND TO HAVE COUNSEL APPOINTED IF THE COURT DEEMS IT APPROPRIATE. PETITIONER BELIEVES AND THEREFORE AVERS THAT ANGELA'S PRESENT COUNSEL, THOMAS D. GOULD, 2 EAST MAIN STREET, SHIREMANSTOWN, PA 17011, HAS BEEN NOTIFIED OF THE WITHIN PETITION. IF YOU DO NOT HAVE AN ATTORNEY, OR CANNOT AFFORD ONE, GO TO, OR TELEPHONE THE OFFICE LISTED BELOW TO FIND OUT WHERE YOU CAN GET LEGAL HELP. CUMBERLAND COUNTY LAWYER REFERRAL SERVICE COURT ADMINISTRATOR CUMBERLAND COUNTY COURTHOUSE CARLISLE, PA 17013 - 2 - YOU ALSO HAVE THE RIGHT TO REQUEST THE COURT TO ORDER AN INDEPENDENT EVALUATION OF YOUR ALLEGED INCAPACITIES. ADDITIONALLY, YOU HAVE THE RIGHT TO A TRIAL BY JURY ON THE ISSUE OF YOUR ALLEGED INCAPACITIES. YOU HAVE A RIGHT TO BE PRESENT AT THE COURT HEARINGS UNLESS YOUR PHYSICAL OR MENTAL CONDITION WOULD BE HARMED BY YOUR PRESENCE, OR IF YOU ARE OUT OF PENNSYLVANIA, YOU HAVE THE RIGHT TO APPEAL THE COURT'S DECISION REGARDING INCAPACITY OR FUNCTIONAL LIMITATIONS AND THE APPOINTMENT OF GUARDIANS BY FILING NOTICE OF APPEAL TO THE SUPERIOR COURT OF PENNSYLVANIA WITHIN THIRTY DAYS OF THE COURT'S DECISION, YOU ALSO HAVE THE RIGHT TO PETITION THE ORPHANS' COURT OF CUMBERLAND COUNTY FOR A REVIEW HEARING TO MODIFY OR TERMINATE THE GUARDIANSHIPS WITHIN 10 DAYS OF THE COURT'S DECISION. YOU MUST ACT PROMPTLY IF YOU HAVE REASONS WHY YOU THINK YOU ARE NOT AN INCAPACITATED PERSON, AND IF YOU OBJECT TO HAVING A GUARDIAN APPOINTED FOR YOUR PERSON AND/OR FOR YOUR PROPERTY, YOU MUST TELL THE COURT YOUR REASONS, OR HAVE YOUR ATTORNEY TELL THE COURT THE REASONS BEFORE OR AT THE TIME OF THE HEARING. By: J. - 3 - ""_';.'~':,_~c"d'.':"ik,__>::~T':_~'I;,,,,",..,~_;S-;JYh~~~"'~''''~,j~""";";',,..i.~ David B. Dowling, lequire Attorney 1D No. 2501 Rhoad. , Sinon one South MArket Square P. O. Box 1146 Harrl.burg, PA 11101-1146 Attorney. tor petitioner IN RE: ANGELA M, BENFIELD, an alleged incompetent person l IN THE COURT OF COMMON PLEAS OF l CUMBERLAND COUNTY, PENNSYLVANIA l ORPHANS' COURT DIVISION l NO, On the Petition of Alice Benfield PETITION TO ADJUDICATE INCOMPETENT Am> ~ GUARDIAN FQR ANGELA BENFJELQ TO THE HONORABLE PRESIDENT JUDGE OF SAID COURT I 1. Angela Benfield, the alleged incompetent person, current resides at 204 E, Simpson Street, Mechanicsburg, Cumberland County, Pennsylvania with her mother and Petitioner, Alice Benfield. 2. Angela was born on December 14, 1975 in Rowan Memorial Hospital, Salisbury, North Carolina. At the time of her birth, she suffered from severe complications, including shoulder dystocia, erbs palsy, fetal distress, fetal asphyxia with resultant cerebral palsy. 3. On December 1, 1993, a lawsuit on behalf of Angela Benfield was filed by her mother as guardian ad litem in the United States District Court for the Middle District of North Carolina. Alice Benfield was appointed guardian ad litem for the purpose of that lawsuit, 4. The Complaint alleged that Angela'S birth injuries and resultant cerebral palsy was caused by the negligence of various health care providers who were involved in her delivery at the Rowan Memorial Hospital. 5. Since her birth, Angela Benfield has been cared for by numerous health care providers, therapists and counselors. She currently resides with her mother. Angela's father, John Benfield, is living, but is separated from her mother, Alice. He was not a party to the litigation in North Carolina. petitioner believes and therefore avers that he consents and does not oppose to the within Petition. 6. After extensive discovery and pre-trial litigation, the lawsuit in North Carolina was settled pending Court approval. 7. The hearing to approve the agreed-upon settlement is scheduled for December 1, 1994 in the Middle District Court of North Carolina in Greensboro. ~ attached Exhibit "A." Rule 213 of the Middle District Rules of North Carolina requires that - 2 - amounts received on behalf of an incompetent shall be paid to a legal guardian approved by the Court. 8. petitioner believes and therefore avers that Angela Benfield is not competent to manage, invest and reinvest the settlement proceeds. 9. The names and addresses of the persons who could be intestate heirs (or next of kin) of Angela Benfield are as follows: a. Mother - Alice G. Benfield " t,; " b. Father - John A. Benfield, Sr. 372 Blue Bell Drive Mountville, PA 17554 c. ~ibling - John A. Benfield, Jr. 204 E. Simpson Street Mechanicsburg, PA 17055 u ,"-" ;f;,. '!t. '" ~ '1 t~ ~, ,"- fir " ,- ~'i g. i ~ 10> ~, 10. Angela Benfield's physician is Bradford Wood, M.D., Lutztown Road, Boiling Springs, PA. 11, Alice Benfield, the proposed legal guardian, has no interest which is adverse to the interests of her daughter, Angela Benfield. 12. A recent psychological evaluation, performed by the Capital Area Intermediate Unit indicates that Angela's verbal IQ is - 3 - -~- ~ I .\1 58, performance IO is 60, and full scale IO 57, The report, a copy of which is attached hereto as Exhibit "B" prepared by Mrs. Buzan Seitz, School Psychologist, states "Angela's overall functioning at this time is falling at the lower limits of mild retardation with little difference between verbal and performance scores." 13. The Petitioner believes, and therefore avers, that no Court has ever assumed jurisdiction in a proceeding to determine whether Angela Benfield is incompetent with respect to managing and investing sums received from the lawsuit currently pending in North Carolina. 14. The Petitioner believes, and therefore avers, that no legal guardian has ever been appointed for Angela Benfield. The Petitioner requests that the guardian be granted powers to act for Angela Benfield in the following specific areas: I{ l' if: il} it; ,~ ~f,~' r~ ~, ?, ~J ~; i (a) the power to manage, invest, reinvest and distribute, hold in trust, and serve as trustee for Angela Benfield any and all sums received on behalf of Angela Benfield with respect to the litigation pending in the United States District Court for the Middle District of North Carolina. - 4 - (b) The power to collect, manage, invest, reinvest and distribute for the benefit of Angela Benfield, any sums received from Social Security, 15. The approximate value of the settlement proceeds to Angela Benfield is $45,000, Angela also receives approximately $274.00 per month in Social Security benefits. WHEREFORE, Petitioner requests the Court to grant the within Petition. Respectfully submitted, RHOADS & SINON By: d B. Dow J.ng One South Market Square P. O. Box 1146 Harrisburg, PA, 17108-1146 (717) 233-5731 Attorneys for Petitioner Dated: November 21, 1994 72113 - 5 - J,.;.'''''H." ,'., - "..c.. ' c " , "'..,,.',....<,",.., ":,',, ",', , : " , " ',' "... ":".., :,..." ....,c "...', ' -J,;':.:.: .. . .~~.' ~~:, ".>,-.)"~ ~ ".': .,' ..' "U.~lAtU.",,~u:O, ....... ..., MnOlID I:t\. . :--.,i' . -. ,',', -',' " W ::. : '" . ' ~:'b ." :' <:'.:,:::,:' ' c' '. < "{"~;::;:""':-;' '.,' ;- ,,'. ' ',' " ", ':" ' ,,_ . -', " ' "'CO",,, " - ,;, ,':,,,,,..',,,,, ,c,,'. " "": :,,;'< . ,,' ,', " " ,}:,~",y ,,' i,' > c.'.. < .." , '" " c:', ""<:,:'; , , .'.. . >,;. ,- "- , '"'' , . '. :.':,::,;'" .." .<, :,,:," ,"::' , ";,,,;::' ;,)':."" :':,":', , ,'....c '.... ' " : .,' ': '., :,:'." :c:.:' ' , " <:',:',':,,' '" ,i"'.: ' c ',:,'" ',r. ',,': ;,>"" '.':," :' , ',; ~! ! ," , -:_..'0" , ;'", . , , ': ,',::~ ';;i;~ ,,';'> . 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'ce;- ":" :':" ,'; :., ,,:;;, ' " ;:". ;,' _ .. :..,.',', : ,::'~: 'i',: , ',~ ,',;L" .. " :'~' ',"" :./ ,.' ,'. ,::"; '.:~':;~<, ".:~~ . ' . " ; i' .. l~,~~~)'~~~:.;-,: <.<~ ; ..". ,. s '''' "j- : ~ '> '-' ) ;~ " ~ r ~ ~ t t . ,~ f " ~ ~ UNITED STATES DISTRICT COURT." MIDDLE DISTRICT OF NORTH CAROLINA Angela Benfield v. Malcolm P. Parada Case Number: 4:93CV70B !' Take notice that a proceeding in this case has been set/reset as indicated below: PLACBI U.8, Courthouse, 324 W, Market 8t" Greensboro, HC COURTROOM NO., 2 DATE AND TIMB, December 1, 19941 9130 a.m, PROCEEDING, Bearing on settlement involving minor Clerk , Deputy Clerk 9, " TO: ALL COUNSEL \,;' . y ~4' '~~ ! . ,,,- ';.": , " ~;' :f r ~~: ~, ,..; r~ t i~ i, ':ili~I;~~'4;)H~ 1~:30'_( _,C~IU us FAX NU. II /I.:li:!tlQ 14 r. U'/11 fMU" CAPITAL AIlEA Iln"nl.lllfl V'IT School P/ogrlml Ind St/.lces 55 MIIIII Strell, P,O, Box 4Bg 8ummerdlll, PA 17093,0489 717-732-8400; Fex 711-732-8414 COIlI!!!ENTIAL Initial Reeval, Student II. x _18.Q.~ft.Q:llL I'OR PROFESSIONAL.J!.5E ONLY REPORT ..Q!..!SYClIOLOGICAL BVALUATIOH NAllll. Anoe!8 Benfield SEX.-!- DOB. 12/14Lla- AGEI_18-l. Life GRADE. Skills PHONE'_1~G'2G42 SCHOOL I Hech8nic~bu~q Hi(lh School PARENT(S).-A!!Ee Benfield .__ ADDRESS. 204 E. Simpson Sts:m.,_ Mechenicsbut9.l....1A 17055_ REPORT SIlNT TO. Nsncv Black. I~echenicsburo School District REQUESTED By.---!~t POS ITIOlf. DATE ADMINISTERED.-lLl/94 RIlSULTS OF EXAMINATION. TESTS GIVEN. " "I ' ",,:, ",I'~'~~' "t ." 'oi,r' "'~. ,:. .'j~" '..:, ..:. ..;\', 'il! ..........: .,.L' ";'. ,'ti. ': ~ ~,,:t' Ilechsler Adult Intelligenco Sce1e--Revhed VERBAL 58 C.A. WIIIS-R SUBrEST SCORESI PERFOR/lANCE 60 ILA. INFOR/IATION ---L PICTURIl COIIFLETION ---L DIGIT SPAN 2 PICTURE ARRANGEllEllr 6 VOCABULARY --~ BLOCK DESIGN ~- ARITHMETIC ~ OBJECT ASSEMBLY --Z- COllPREHENilION--r- DIGIT SYMBOL ::::.~_ SIIIILARI'1'JES -L ag~ON FOR REl'g~ FULL SCALE 57- I.Q. Angela was referred for psychological testing os requested as e part of the tlDB process that i. currently in progress, BACKGROUND JNFoRMATION. Angela wes first known to the CAIU as /1 six year old et which point she was ettendinll a private nursery school and receiving physiCal therapy and speoch/languege therapy. Sho had previously received proschool p,'ograrnminll throullh UCP. In the .prinll of 1982, she entel'ed a multihandicapped clul\ and remained in MH placement throullh the 1983-84 .chool year, She attended physically hendicapped clasaes f,'om t~e 1984-85 school year throul/h the 1986-87 school yaar, and then WI\8 in II neurodovalopmehtal ClODS for the next school year (1987-88). Since that time, ahe WII in TMR placement, which has sinc~ become Lite Skills. s.Mn, uhooI _:,!rkl' ., lUupl"'" C~rl,fWI. ,..",., IItd Nonhf,,, YOlk COUl'NI.. An EQut' o,l(IOI'I'~r Etr.,:.Io,." ./."/,",, ~. .' '1 ~_~~~~'i1\r'&I'~(;:~~Vi!;ii!l~{"I');\\jh!;;':'I:'::(i;\:"",,:":1:'~:"I,'\: ' ',,:.:,; '.. ,,' ,', 'o';." .:..',..,;,:;,,~<,:', ,:..,:.. (;)E ~~~~\{1:~(~'ro.qt~}l~\\iJR\"~ '''I';'\~I~;\1\;1..lt~;\~~\;~~....l'''.H'Nd' ,.1:..., :. "'I'~"';"', .:; '.'0''-'-;::: .::,\J'{' , ~ MA.q:.'tO:'94 THU \2:3\ ,CAW '.0 FAX NO, 7l1n~~414 P.031\1 .. .\ .... . .... "'. . . Report of Psychological Evaluation. Angela Benfield r~\Ie 2 DOS. 12/14/75 Date of Evaluation. 2/1/94 Hedically, there are diagnoses of cerebral paley, seizure disorder, and microcephaly. There is bilateral hearillq loss. The most recent psychological was administered on 2/24/88 by Dr. Krbten Allqstadt. On the WISC-R, Angela scored a Verbal 112 of 47, a Performance II! of less thsn 45, and II Full Scale IQ of 41. BEHAVIORAL OBBBRVATIONS, Physically, Angela is observed to be an aHractive young lady, with Hqht brown hair and a slender figure. She WOl')c1 dominantly with her left hand. Although her apeech continue. to be defective, particularly in the omission of sounds I she malles every effort to articulate in a mallner that can be understood. Generally she could be understood within context, although what she was SlIying was less certain if context was not known, Additionally, she was noted to do gesturinq to further explain what sha was trying to say. Walkinq continues to be in a slow snd deliberate manner. Difficulties with fine motor tasks were also quite obvious, although again Angela made every effort to comply with the demands of the tasks, TEST RESULTS AND DISCUSSION, Angela'S overall functioninq at this time is falling at the lower limits of mild ratardation, with little difference between the Verbal and Performance scores. Although the scores are higher than recorded on any previous testing, it must be cautioned that this phenomenon frequently occurs in the change from the children's varsion of the Wechsler scalas to the adult version. Most skills continue to be two' 0'1' more standard' devilitio'ns below 'tne' meiul-;:',;Tl1e!subtest' scorn, reported are for adolescents of Angela I sage, while scaled scores comparing to the entire adult Pllpulation (used in calculation of the IQ scores) are one point lower on four of the six verbal subtests and on one of the five performllnce subtests. Within the Verbal scale, Angela was able to do some of the tasks ,<:>n all of the Bubtests except Similarities. This required verbal abstraction, and she wes unable to conceptualize what WIlS required even after correction was given. The only test with time limits within the 'Verbal scale is arithmetic, and l"Bther generous timinq was dona in this instance. She Was tentative with the appliclltion of processea, tailing some time to think through and talk through the correct answers. Without a calCUlator, she was able to do one-digit processes, Within the Performance scale, all of the subtests have time limits, and in some Cllses there are time bonuses. picture Completion requires some verbalization, and again timing was very generous if she was in the process of mllkillg an explanation. Picture Arrangement. requiring the sequencing of pictures to describe social situations, Was Angela's strongest area. This subtest has time limits but no time bonuses, and all of her successes were scored within totally standsrdized procedure. Block Design and Object Assembly both involve visual perceptual llbilities, and both give tima bonuses for quick completion. This'was not an issue in either case, however, as the'"e ...ere virtually no successes in any instances that could haVe earned time bonuses. Although motor limitations obviously caused difficulty on both of these subtests, it was also clear in both cases that she hsd difficulty adequataly perceiving items on mora difficult tasks. Tha Digit Symbol (called Coding on the children's version) subtest had not previously besn administered because of motor limitations. This examiner chose to administer it 80 ;,.". >i. ':' I: ,1- , ~ ;1 I~ if ,j t ~ ~ <, ~ ~ ~ , " , t ~ " '~~'U'ti.I, Ul\ol....,....... _ ....... ,.... .~. . ~~"'r.-#l::~:~. :~', ..n.i:..I::i.... ~ ...-.:......1......._... . 'Ii'"~ ...~, .. .. .......-."...,:.,'., ..' ..~-' . . ..' 'f''' .---.....,.... .r-"!"\.' -- ,..... ...... ...~. l ~.~ -u..- ..,. ,. . C"....,. ..' ' ~'": " Report' of rsycholo'gical Evdl. .ion, ~ ~:,DO~I 12/14/75' D_to at Evaluation I " " Page 3 Anqela Benfield 2/1./94 .s to be able to compare to her skills in other areas. In fact, her score is very l11uch within ranljje of othor subtest sCOl'OS, and she actually seemed to have less difficulty with this tasle than with sOl11e of tho others. This is possibly due to the frequency with which she perform. pencil/paper tasks at apposed to some other sorts of manipulative tasks. she did have difficulty limiting the size ot the symbols, but thie,same sort of difficulty is noted in her clas. work. Adaptively, Angela demonetrated a good deal of seneibility, knowing for instance the days she goes to CIT and the days that she C0l110S to Hechanicsburg. She said that ahe likes CIT better than school, and that she doesn't like school enymore. Her teacher indicates, however, that sho continues to have a cooperative and plea sent attitude'in,.pite of having articulated this frequently, SUHMARY AND RECOMMENDATIONS, Angola continues to demonstrate retardation in addition to ollpressive language and , fine and gross l11otor difficulties secondary to her cerebral palsy. She continues to need a structured .ducational placement, with low student to teacher ratio, It is tha opinion of this exal11iner that ahe ie appropriately placed in the Life Skills Program. i'-':.'III:"-'l'-;'~""~ :t.,l.t\:''f,-''".....~.:''-:.'1i ...' ........... . ", , , . ~~ Suun l~i~z ~ School Psychologist " .:-, '. ,.. ., \ SS/aml 94033DD3.psy '. :mRIDCA1mN I verify that the statements made in this petition are true and correct to the best of my knowledge, information and belief. I understand that false statements herein are made subject to the penalties of 18 Pa.C.S.A. 54904, relating to unsworn falsification to authorities. Date: II /1'( / "'1 , I ~ ~ .I~D~I::1. t9 A ce Benfield SWORN TO AND SUBSCRIBED III before me this ~ day of NWlmIwc- I 1994. My Commission Expires: (SEAL) NOTAAlAL SEAl. NAlNA J, SANGIM. Notary PublIC City 01 Ha_tg, Dauphin CounlY M CommissiDn e" ,es A ,ill,. 1998 .'.';fN ""./;>+ " '\".;,[~;'-;<lc"""""""'"tI"...."'ioc~'~',,*, ,;.~ IN REI ANGELA M, BENFIELD, an alleged incompetent person IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION NO. On the Petition of Alice Benfield 1. The name of the proposed guardian is: Alice Benfield, 2. The proposed guardian is the mother of Angela Benfield, age 18. 3. The proposed guardian speaks, reads and writes the English language. 4. The proposed guardian does not have an interest adverse to the interests of the alleged incompetent person. 5. The proposed guardian consents to act as guardian for Angela Benfield. Date: //./5'- c;t ~t1Lu. ,)j. g~ lice Benfield