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" i"/ ",f , f'l'l " . , '.\' ,,/ .1 '" "':.":I'<'~"'I:' ',t: " ",j, \1' ,. " ..' I,:' 'it I,; 'I.",. .' '," , ., ,. '. " .. r, ." ,," " I:, , .' ~ !. ". :/1, " " '1'1 " I , ,~ ;' " e " I.' h 'I;' .' , '" , 1'1. , .. ;(';,1" !.. 1 .' ,I( .'.', ., . IN THE MATTER OF FRED HOOVER An Alleged Inoompetent 1 IN THE COURT OF COMMON PLEAS 1 OF CUMBERLAND COUNTY, PENNSYLVANIA 1 ORPHANS' COURT DIVISION 1 1 NO. 95-480 INCAPACITATED PERSON J{OTION 1) ~ovant is Robert L. O'Brien, Esquire, solioitor for the cumberland/perry county MH/MR. 2) Movant has been informed by the Cumberland/Perry County MH/MR offioe that the parents of Mr. Fred Hoover have decided to deoline the plaoement of their son into the 2176 Waiver program. WHEREFORE, Movant respectfully requests this Honorable Court disoontinue the petition and hearing soheduled in this matter for Thursday, July 6, 1995 at 4100 p.m. before the Honorable J. Wesley Oler, Jr. Respectfully submitted, O'BRIEN, BARIC & SCHERER BY c:-~ c;(StI ~ . Robert L. O'Brien, Esquire Solicitor for the cumberland/ perry County MH/MR Office 1.0. # 28351 17 West South street Carlisle, pennsylvania 17013 (717) 249-6873 '~\A" .,~!/I.'''''.(''''''-'f..''1 ,,;I~;.~r{;'" "'''~- .-..,......,' " '.., . , ,;', . ' , ' 1" . \:..' , , , 'J ~ '." 1,'; .. ), PI: I,' ., IN THE MATTER OF FRED HOOVER An Alleged Incompetent IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION NO. INCAPACITATED PERSON NOTICE A petition to have you adjudged an incapacitated person has been filed with this Court by Robert L. O'Brien, Esquire. A hearing is scheduled in this matter for , the , day of __ , 1995, at a.m./p.m., in Courtroom * , Cumberland County Courthouse, Carlisle, Pennsylvania. You are strongly enoouraged to be present at the hearing, and you are warned that important rights may be lost as a result of the prooeeding. You have the right to be represented by counsel and the right to request the appointment of oounsel and to have counsel so appointed paid by the Court where you are unable to afford to pay an attorney. The Court of Common Pleas of Cumberland County is required by law to comply with the Amerioans with Disabilities Act of 1990. For information about accessible faoilities and reasonable accommodations available to disabled individuals having business before the court, please contact our offioe. All arrangements must be made at least 72 hours prior to any hearing or business before the oourt. You must attend the soheduled conferenoe or hearing. YOU SHOULD TAKE THIS NOTICE TO YOUR LAWYER AT ONCE. IF YOU DO NOT HAVE A LAWYER OR CANNOT AFFORD ONE, GO TO OR TELEPHONE THE OFFICE SET FORTH BELOW TO FIND OUT WHERE YOU CAN GET LEGAL HELP. Court Administrator Fourth Floor Cumberland County Courthouse Carlisle, Pennsylvania 17013 (717) 240-6200 IN THE MATTER OF FRP:D HOOVER An Alleged Incompetent IN TH~ COURT OF COMMON PLEAS OF CUMBERI~ND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION NO. 9$ ~1fjo INCAPACITATED PERSON ORDER or COURT AND NOW, this ~ day of -..J'""c.. , 1995, upon review of the attached Petition, a hearing is scheduled in this matter for -IhhIA"id...<-f , the Iou day of ~)ld":) V v iI 1995, at J/ ;tJo a.m.~~.~;', in Courtroom # _..1:..._, Cumberland County Courthouse, Carlisle, Pennsylvania. Personal servioe of this Order and accompanying Notice and Petition shall be caused to be made upon the alleged incapacitated person by Petitioner in accordance with the Probate, Estates and Fiduciaries Code. Notice shall also be given to all other persons and entities required to be notified under the Code. Proof of service shall be furnished at the above-soheduled hearing. BY THE COURT, r'J .e.~ '""I ~') J fl. .q M ll. " N N r: ~ ." '.' () ." .., f, (.:1 ~ '.. t: &rL: ~8 jU 't ~f(;.( IN THE MATTER OF FRED HOOVER An Alleged Incompetent I IN THE COURT OF COMMON PLEAS . I OF CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION . NO. INCAPACITATED PERSON PBTITION rOR APPOINTMENT or A TBMPORARY GUARDIAN or THB paRSON PURSUANT TO 20 PA. C.S.A. 5513 1) Your Petitioner is Robert L. O'Brien, Esquire, Solicitor for the CUmberland/Perry Mental Health/Mental Retardation Cffioe. 2) Respondent is Fred Hoover, l"esiding at 927 West Trindle Road, Mechanicsburg, Pennsylvania. Respondent is an adult individual being presently 47 years of age with a birth date of April 21, 1948. Attaohed hereto, marked as Exhibit "A", and inoorporated herein by reference is a Petition prepared by the Cumberland County MH/MR Offioe. Attached hereto, marked as Exhibit "B", and incorporated herein by reference is notarized statement from Dr. Ira Paokman. 3) Petitioner requests that the Court appoint Harold Hoover and Ruth Hoover, as guardians for the limited purpose of oonsenting to the plaoement of Fred Hoover into the 2176 Waiver Program and to execute any documentation needed to facilitate the plaoement of Fred Hoover into said program. WHEREFORE, Petitioner, Robert L. O'Brien, respectfully requests that the Court order that Respondent Fred Hoover be adjudged an incapaoitated person in reference to his placement in the 2176 Waiver Program to receive home based s~rvices. ,}. ',." " , , "I' " ',(, I" ". I' , . IIlI '1'BE r~A'M'En OF , IN THE cocaT or CCnnQI PLEAS . I , ComrrY, h.urn.u.~NIA , , ORPHA..'lS' COURT DIVISION , IN Ill!: 'NO. AN AaEClEC Il;COMPETEUT . , t' . P!Tr~ION FOR APPOItTTMENT OF A .TEMPORARY C;UARDI~I or THE POSCN PURSU~~T TO 20 Par C.S.~. 5~ The Petition of Fred Hoover I rllpect~l.I11y represents I 1. 'lol.lrPet.i tione-r is Harold and Ruth Hoover .. > - 2. Fred Hoover is cur:lntly receiving care at 3. his parents home Fred Hoover domiciled &t. 927 West Trindle Ibad, Mechanicsburg, PA 17055 4 , Fred Hoover 47 is years of agl haVing been born on April 21, 1948 "" 5 . Fred Hoover 's mari tal natns is sin!l*e, never rrarried . 6. Tho.e persons, if any, who ue Fred Hoover's n.xt-of-~in and theLr relati~nship t~ sam., of whom yo~ Petitioner has knowledge are as foll~WII Ruth Hoover, M:lther Harold Hoover, Father EXHIBIT "A" 7. ~lo other Court ',~i thin the COl!llllonwIllth of which Pltitionlr hit Knowlldql has appointld a 9ulrdian tor Fred Hoover a. Fred lloovor i. mlntally rltardld. 9. alcau.1 of mlnt:l dlti:ilncy, lacltl .ut!ichnt capaci:,! to maitl or communiclltll ruponlible dICi.iQ~1 concerning his, ler person al Sit for:h in the attached At!idavl.t prepared by Dr. Ir.a Packm:1n , marked II Exhibit ~ and made a part he~3~:. 10. Harre Based is in nlld of ~ mental Fred Hoover , r8tarca:i:n services. 11. Fred Hoover ~as :een accepted tor placemlnt R in the 2176 Waiver Program to received hare based services upon the condi:ion that a guar=~3n of the plrson bl appointed to ccnsen: :0 3aid ?lac3men: :n ~~. ~er =ehalf. 12. Harold and Ruth Hoover , havi"9 no intlre.: advlrsl to Fred Hoover has aqreld to act II rlmporary OUIrdhn of the Person of Fred Hoover if this Honorable Court shall so appoint. WHtRE!ORE. Petitioner prays this Court pllce ~ Hoover under the :ampon:'y guardianship of Harold and Ruth hoover . purs:':.:ln; ~:l :0 Pa. C.S.';. ~ SSlJ and empower SI1.:l temporuy guar:'!i.ln :: pro\'10e subSt~tuta conslnt tor such cc~munlti'-b3sed or instit:':;~:~31 services as may be nlc...ary to provL.:Ie for ~isiher needs. J':': Susan Williams Mental Retardation ServIces Case Manager \ . 0" t~ THE :1A'M'!R OF Fred Hoover mAm~tO I~CC:IPI'':TE::IT I I~ ':'HE COURT OF COMIlON PLEAS I COUNTY, p!:~mSYLVANtA I I ORP!!A:IS' COURT DIVISIO~I I It! i\E NO. COMMOtllt!ALTH OF PENNSYLVANIA comm OF I I ...1 I Dr. Ira Packm:ln , bel~; rtuly sworn acc~rding to law, 1190SIS and say th~~: , 1. HI is a :icensed, prac:l:ing physician who is emploYld Cp,vrr (l. (J (.- PI). Ttvrt f' (J "'/,1fT "f tt/')./lrr at whlre en vi: I 1:lame) ( Sex) Male on C/o' he eumined pati.n~ thereinl Fred Hoover . (Agel 47 \~ho \~as adr.u,':.-:'!ld :::::::1 !fvlh€ , 'lJi:~ OGrrv..., ,r~4'1?i<( a~~ a his-:::-y of L-Irrl/.'_ At. the elC!mi:'::ltion. the fol:::\~ing symp~oms were observed I fJV1rI ~,A.~ ~-<-1(~ c.--~ ~~ fA'W;Iv). (~ ~~Jt'4' ~~ ~;.y, fr:::m whi~h the dl~gnosis ~ade LS: i"":,-,. -,..' .t'...., EXHIBIT "B" with a progno.is .. followlI 0/ fJ trPL - .. ','I l :~- . 2. On the basil of the foregoing hi.tory and attiant il of the opinion that ~Jf~ ~\~ examination. the , b,cau.. . .f.. ..i.'.l ot mental deficilncy. lacks sufficient capacity to make or communicate relpanlible decisions conclrning hi./h.r choicl to reclive community-based or institutional servic~. for the mentally retarded. 3. geeauI. of the physicalrbr mental condition ot ..i~ patient, hil/h.r welfarl would/would not beproraot.d by hil/hlr prlllncl in Court. .Jl_j f~ ., SliOlUl ';'0 AND SUBSCRIBEO BEFORE: :.IE ';'HIS 19'i,' DA'i or :::1(.1,,(.. InS" '" ..q.. ~~fsL~~ .....~.1 ,__ Nalartal Seal Janet L Nye, NotatY Public LImoyne BOlO, Cumbel1lnd County My Cllmmllllon Expire. May 4, 1900 MImber, f'lmsyt;tlr/a~ of NoI.,,1eo " 'J,f"';~','~';"';":"',:':r';;TT'~~~~IfJ'"'lIt~n~(~~~~I"rI ,,:,.,~'li-\i",'ij\~'J~,tY.1f1"~I;'I';',~If:'''W~''''''''I',~.!(\m,''' "L',",i,',;;>'.'--':"j.,!!t, ~ii,- , ,I _'\ ..... ',) ,.' , ! I,: .., , .. (-, ,:_ ( ,I 'i',: ;.-' .:., -. COMMONWEALTH OF PEtING'lLVAlI1A I I COUNTY OF I AtF1DAVIT We ~, Harold and Ruth Hoover , Petitioner in thb matter, being duly sworn accor'.\inq to law, tio depoI.e and .tau we are that ~ Harold and Ruth Hoover ' , and that the . tact. .It ~orth in the foregoing Petition are true and correct to the belt of my knowledge, information and belief. )} ah1l., H ~ '-;I-'n:~;{. ~~~ SWORN ~~ AND SUBSCRIBED BEFORE :,IE ':'915 I, DAY or ' ~^L /9~r , ~tc~ N~larlnl Snnl J~M' l. Nyo, Ilntary puUlo lomoyno f<l(O, Cumt'OfIMd Counly My Cotn,pl:,;'I:lO I:~piroa M~y 4, Hln~ M~rN~,i~,::;~~~~~~N;JI)ljO' , 0' ' ; '-,: . 1/: 1:1:' " ," , "1 " " . \,. , " I,I;!!" 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