HomeMy WebLinkAbout01-09-08
ANNUAL REPORT OF
GUARDIAN OF THE PERSON
COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
ORPHANS' COURT DIVISION
N
Estate of Matthew James DeLuca
, an Incapacitated Person
No. 06-579
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INTRODUCTION
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Anthony L. DeLuca and Mariorie A. DeLur.n
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~ Plenary 0 Limited Guardian of the Person by Decree of Edgar B. Bayley ,1.,
d~ed July 17, 2006
:tl A. This is the Annual Report for the period from Jul y 1 7, 2006 ,
to Jul y 1 6, , 2 0 0 7 (the "Report Period"); or
o B. This is the Final Report for the period from
to
(the "Report Period"), and is filed
for the following reason:
1. The death of the Incapacitated Person. Date of death:
2. The Guardianship was terminated by the Court by Decree of
J., dated
For a Final Report, omit Sections II through IV.
Form G-03 rev. /0. /3.06
Page 1 of 4
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Estate of Matthew James DeLuca
, an Incapacitated Person
II. PERSONAL DATA
19
Age of the Incapacitated Person:
Date of Birth: May 10, 1988
III. LIVING ARRANGEMENTS
A. Current address of the Incapacitated Person:
12 Ridge Drive
Carlisle, PA 17015
B. The Incapacitated Person's residence is:
o own home I apartment
o nursing home
o boarding home I personal care home
Xl Guardian's home I apartment
o hospital or medical facility
o relative's home (name, relationship and address)
o other:
C. The Incapacitated Person has been in the present residence since August, 2007
. If the Incapacitated Person has moved within the
past year, state prior residence and reason( s) for move: F ami 1 y moved from
1356 Kuhn Road, Boiling Springs to new 1 story handicap
accessible home.
Foml G-03 rev. /0.13.06
Page 2 of 4
Estate of
Matthew James DeLuca
, an Incapacitated Person
D. Name and address of the Incapacitated Person's primary caregiver:
Anthony L. DeLuca and Marjorie A. DeLuca
12 Ridge Drive
Carlisle, PA 17015
IV. MEDICAL INFORMATION
A. The major medical or mental problems of the Incapacitated Person are as follows:
The major medical or mental problems have previously
been stated in the Guardianship Petition and have not
changed.
B. Specify what, if any, social, medical, psychological and support services the
Incapacitated Person is receiving:
Our son receives services from professionals,
including MH/MR.
V. GUARDIAN'S OPINION
A. It is the opinion of the Guardian of the Person that the guardianship should:
!Xl continue
o be modified
o be terminated
Form G-03 rev. /0./3.06
Page 3 of 4
Estate of Matthew James DeLuca , an Incapacitated Person
The reasons for the foregoing opinion are: Professional opinions
indicate that the incapacity is not reversible.
B. During the past year, the Guardian of the Person has visited the Incapacitated Person
times with the average visit lasting hours, minutes.
Our son lives with us and is cared for by us on a daily basis
except for when he is in school,in camp or with a sitter
The report of a social service organization employed by the Guardian to oversee and .
coordinate the care of the Incapacitated Person for the period covered by this Report may be
attached to supplement this Report.
I verify that the foregoing information is correct to the best of my knowledge, information
and belief; and that this Verification is subject to the penalties of 18 Pa.C.S. ~ 4904 relative to
unsworn falsification to authorities. ~ ..A f L!J
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DarY' Signature . Guardian of the Perso:Z
Jf!N-r1, ~A.-r ~- .Pel o.JC e
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Name ofGu dLOn of the Person (type or prmt)
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Address
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City. State. Zip (
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Telephone
Form G-03 rev. 10.13.06
Page 4 of4