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F:\FILESIDA T AFILElGeneral\CurTent\7094\2.oraeciDe.consc:nts-dr
~ Created: 4125/06 10:34AM
Revised: 3/12/07 2:29PM
IN RE: ROGER W. LINE
: IN THE COURT OF COMMON PLEAS OF
: CUMBERLAND COUNTY, PENNSYLVANIA
AN ALLEGED INCAPACITATED
PERSON
: ORPHANS' COURT DNISION
: NO.07-179 ORPHANS' COURT
PRAECIPE
TO THE CLERK OF THE ORPHANS' COURT:
Please attach the originals of the following documents to the PETITION FOR
APPOINTMENT OF PERMANENT GUARDIANS OF THE PERSON AND ESTATE IN
ACCORDANCE WITH 20 PA. CONS. STAT. ANN. & 5501 et seq. filed in the above action:
Consent and Joinder of Arthur P. Line;
Consent and Joinder of Susan Shotto;
Consent and Joinder of Jeffrey A. Line;
Sworn Statement of Physician.
Respectfully submitted,
MARTSON LAW OFFICES
BY:~~
Michael J. Collins, Esq Ire
LD. Number 200427
10 East High Street
Carlisle, P A 17013
(717) 243-3341
Attorneys for Petitioners
Date: March 12, 2007
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F:\FlLESIDA TAFlLEIGeneraI\Cum:nt17094\2.coDSClltS.siblilw
Created: 4125/06 10:34AM
Revised: 2/21107 4:12PM
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- /71 ORPHANS' COURT
CONSENT AND JOINDER OF ARTHUR P. LINE
COMMONWEALTH OF PENNSYLVANIA )
:ss.
COUNTY OF CUMBERLAND
)
I, Arthur P. Line, brother and presumptive heir of Roger W. Line, an alleged incapacitated
person, do hereby join in and consent to the foregoing Petition for Appointment of a Permanent
Guardians of the Person and Estate in Accordance with 20 Pa. Cons. Stat. Ann. ~ 5501, et seq.,
whereby it is requested that William P. Line and Winifred P. Line be appointed as permanent and
plenary guardians and Arthur P. Line be appointed as alternate permanent and plenary guardian of
the estate and Susan Shotto be appointed as alternate permanent and plenary guardian of the person
of the said Roger W. Line.
~PL
Arthur P. Line
Sworn to and SUb~e
dris ~t:L- ~
Notary Public
, 2007.
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COMMONWEALTH OF PENNSYLVANIA
NOTARIAL SEAL
Victoria L. Otto, Notary Public
Carlisle Borough, Cumberland County
My commission eX'pire~.~~t~~~~, 2010
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IN RE: ROGER W. LINE
AN ALLEGED INCAP ACIT A TED
PERSON
: IN THE COURT OF COMMON PLEAS OF
: CUMBERLAND COUNTY, PENNSYLVANIA
: ORPHANS' COURT DIVISION
: NO.07- /17 ORPHANS' COURT
CONSENT AND JOINDER OF SUSAN SHOTTO
COMMONWEALTH OF PENNSYLVANIA )
COUNTY OF CUMBERLAND
:ss.
)
I, Susan Shotto, sister and presumptive heir of Roger W. Line, an alleged incapacitated
person, do hereby join in and consent to the foregoing Petition for Appointment of a Permanent
Guardians of the Person and Estate in Accordance with 20 Pa. Cons. Stat. Ann. ~ 5501, et seq.,
whereby it is requested that William P. Line and Winifred P. Line be appointed as permanent and
plenary guardians and Arthur P. Line be appointed as alternate permanent and plenary guardian of
the estate and Susan Shotto be appointed as alternate permanent and plenary guardian of the person
of the said Roger W. Line.
J}bntl~
Susan Shotto
Sworn to ~d subscribed)l<;fore me
this 2l Yilayof ~ ,2007.
t~. b
Notary Public
COMMONWEALTH OF PENNSYL V ANIA
NOTARIAL SEAL
Victoria L. Otto, Notary Public
Carlisle Boroujh, Cumberland County
My commillion expires December 20, 2010
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INRE: ROGER W. LINE
: IN THE COURT OF COMMON PLEAS OF
: CUMBERLAND COUNTY, PENNSYLVANIA
AN ALLEGED INCAPACITATED
PERSON
: ORPHANS' COURT DIVISION
: NO.07- /11 ORPHANS' COURT
CONSENT AND JOINDER OF JEFFREY A. LINE
COMMONWEALTH OF PENNSYLVANIA )
:ss.
COUNTY OF CUMBERLAND
)
I, Jeffrey A Line, brother and presumptive heir of Roger W. Line, an alleged incapacitated
person, do hereby join in and consent to the foregoing Petition for Appointment of a Permanent
Guardians of the Person and Estate in Accordance with 20 Pa. Cons. Stat. Ann. ~ 5501, et seq.,
whereby it is requested that William P. Line and Winifred P. Line be appointed as permanent and
plenary guardians and Arthur P. Line be appointed as alternate permanent and plenary guardian of
the estate and Susan Shotto be appointed as alternate permanent and plenary guardian of the person
of the said Roger W. Line.
~e!4
Swom.~d subscribed beforcnme
this rP ~ of '7vt.taJ'-
(j J (at;
Notary Public
,2007.
COMMONWEALTH OF PENNSYLVANIA
NOTARIAL SEAL
Victoria L. Otto. Notary Pub~ic
CarliSle 8orou~ Qamber1and County
M commission Ilk ires December 20, 2010
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IN RE: ROGER W. LINE
: IN THE COURT OF COMMON PLEAS OF
: CUMBERLAND COUNTY, PENNSYLVANIA
AN ALLEGED INCAPACITATED
PERSON
: ORPHANS' COURT DNISION
: NO.07- /77 ORPHANS' COURT
SWORN STATEMENT OF PHYSICIAN
COMMONWEALTH OF PENNSYLVANIA )
: SS.
COUNTY OF CUMBERLAND )
The undersigned, being duly sworn according to law, deposes and says that:
1. He is a regularly licensed, practicing physician at Claremont Nursing and
Rehabilitation Center, where on ~ '/ , 2~Q.]he examined a patient therein, viz.:
ROGER W. LINE,
At the examination the following symptoms were observed:
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With a prognosis as follows:
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2. On the basis of the foregoing history and examination, the affiant is of the opinion
that the ability of ROGER W. LINE to receive and evaluate information effectively and
communicate decisions in any way is impaired to such a significant extent that he is totally unable
to manage his medical and financial condition to meet essential requirements for his physical health,
welfare and safety, and, therefore, that he is, and continues to be, incapacitated under Chapter 55 of
the Probate, Estates and Fiduciaries Code, as amended.
3. The physical and mental condition of said patient would be harmed by his presence
at the hearing on his incapacity.
4. It is my opinion to a reasonable degree of medical certainty that ROGER W. LINE
is in need of the full-service care that Claremont Nursing and Rehabilitation Center provides.
K=e~ IJ!P
Address: Claremont Nursing and Rehabilitation Center
1000 Claremont Road, Carlisle, P A 17013
Telephone No.: (717) 243-2031
Sworn to and subscribed before me
this~ dayof~,2007.
OvZi~Q.~
Notary Public
COMMONWEALTH OF PENNSYLVANIA
Notarial Seal
. Patricia A. Meek, Notary Public
Middlesex.T":'P" Cumberland County
My CommiSSion Expires Nov. 8, 2009
Member, PennsylvanIa Association of Notaries