HomeMy WebLinkAbout03-08-07 (3)
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IN THE COURT OF COMMON PLEAS
OF CUMBERLAND COUNTY, PENNSYL VANIA
ORPHANS' COURT DIVISION
IN RE:
JI-Ow-{)&SD
Myrtle A. Drawbaugh, an incapacitated person FILE NO. 21-06-02
GUARDIAN OF THE ESTATE ANNUAL REPORT _ FI tl A L
[20 Pa.C.S.A. 5521 (c))
FROM / I r- ( , 200 ~ TO / - I ( , 2007
1) I am the Limited X Plenary Co-Guardian of the Estate of my ward,
named above. I was appointed Guardian by Order of Court dated August 24;;;~006,
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which was /was not modified by Court Order(s) dated (~S5 ~ ~.
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:-=:=:r: .._
Is the incapacitated person still living?
If no, answer the following:
;Vo
1'0
2)
I
CD
(a) Date of Death 6/- /1- 67 , 'D
(b) Place of Death iJc;S-r S/hXl1f' I-ICth.-ra- ~ f.r=fffti5 / ~p f6u~
(c) Name of Administrator/trix or Executor/trix ~tJ '1:1?1hJ(!;Oru,--I-I
(d) Date Guardian of the Person filed the last Annual Report I D - 20 --6 Cc (-:rf\l J'TfPrtJ
PLEASE ANSWER THE FOLLOWING QUESTIONS WHETHER THE INCAP ACIT A TED
PERSON IS LIVING OR DECEASED:
3) My initial Inventory was filed on I c> - 20 - 0 ~ and listed a total estate value of
$ 5~CfQD. 2-~ .
The Inventory listed a total monthly income of $
-D-
comprised of
the following:
(SS t. f!.,J.-i"'_-J.-k-..-fih L.W.L ~ ~
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~
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4) At the beginning date of this reporting period, my initial balance on hand was
$ 55100. 22--
5) During this reporting period, the following reflects all sources of income (other than
social security) received by me for my ward: (Add additional pages if needed)
Date Received
Source of Income
Amount
1.
2.
3.
4.
5.
6.
6) During this reporting period, the following reflects all payments I have made for my
ward: (Add additional pages if needed)
Date
To Whom Paid
Reason for Pavment
Amount
--.-
.s~ A(f'4c/~P
1.
2.
3.
2
,}
4.
5.
6.
7) The present principal assets of my ward are:
Description of Asset(s)
Present Value
"-
;V6
A35~-rS
-
1.
2.
3.
4.
5.
6.
TOTAL:
8) The present amount and sources of income for my ward are:
Source of Income
Amount of Income
(indicate Whethe~on~
quarterly,annualy
1.
,<;Q('-(~ Sc.~ 12-~'3.60
1?t:.-'11/LG ftt~ rJ-r ~r; ~ lor1 L{-q 1. z (
po-r It /AJAr S r: rJ ( D /Il.~ C- '1 L-'{ "7i> f'fllt,JoL f!J#!flE ]
2.
3.
4.
5.
6.
9) The regular monthly expenses of my ward which I pay are:
To Whom Paid Amount
1. fY}AAL)fL~ ~p UtLL (~II/IY(6l9) '-f 300 .. oD ~/-
2. ~~lIftftcy kxfCcJS 0 - Vf),Jl-lA~ u;- I D{). DD +/-
3. rpgzSOrJu J:f"E/vI5 (CLo-rilfrJ~ ( E"lL) ""'VA<2IM}u;' / D O. 6() -I-/-
4. tJe--r Stf,.u ~'I+ f 41MB (}1/2'1'1."-) (p ~DD.bo +/-
II" 11:77
5.
6.
10) I have~irc1e one) petitioned the Court for permission to invade principal to
meet the needs of my ward.
(If applicable) The following expenses of my ward have been paid from principal:
To Whom Paid
Puroose
Amount
1.
2.
4
.
.
3.
4.
5.
6.
I haQCirc1e one) paid myself compensation for servIces I rendered as
guardian.
The amount I paid myself totaled $ and was calculated at the
following rate: $ per week/month (circle one).
11 )
12) Check the correct response and complete, if appropriate.
/
There will be no need for extraordinary expenditures on behalf of my ward
in the next twelve (12) months.
There will be a need for extraordinary expenditures on behalf of my ward
in the next twelve (12) months because:
13) Check the correct response and complete, if appropriate.
A.
B.
t/c.
My ward receives monthly social security benefits directly.
I am the designated payee to receive my ward's social security benefits.
Th d. d f d ?~f ,'c,ti ~~ fi'
e eSIgnate payee 0 my war's socufl securIty bene Its IS:
fY1 ft-rJ oIL CIt-r~ f.-ltw. P MLL
Whose address is '700 MA-~( Sf. t!.AmfJ IItL-L- -&. 170 II
And i~ircle one) related to my ward as (insert relationship:) _
5
J
.,
14) Please note any concerns about the incapacitated person's physical or mental well-being
or the finances that the Court should know.
fi,JlJqJc.l.AL A-~5E.:1S in~. Lt/IIll-rt. t:> /tWO WILL JD().-J de EJ(,'~.) Itd>
--f3'( Co.) 'fs fJr ~tzl>l~ ~ur. t<r::.mAlrlltJ6 Ul U 6C ])IS(~(8"'-'7~D fQuAuy
.(/) -rth;; ':) Ll VI rJ {, (;1/ It... o~,J 6r /YI1{("7u~ A ' {::>(2.fbJ ~Au4 if Ih:o,tt.P1 (Ii f, to fk.(L
U(SIfe!. .
15)
I /am
am not guardian of the incapacitated person's person. If yes, report is
attached.
I CERTIFY under the penalties of perjury that the information contained in this report is true and
correct to the best of my knowledge, information and belief.
Name: (. <) J-t-A-(Zo,J Lr. nt2.AW&tw.6-11
Telephone No. (7/7) Lf~1~()~'lz- (home)
Address: '1353 F(;#/~11 rRk€IL~r;y fl:p.
~sBWlb -&-. f"7l12-
(7/,) 531--- 5q/~ (work)
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Signature
3-3-07
Date
Send to:
Register of Wills
Cumberland County Courthouse
One Courthouse Square
Carlisle, P A 17013
(717) 240-6345
(./5 Nl.~ru.-)
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