HomeMy WebLinkAbout06-10-09. ,,
COURT OF COMMON PLEAS
OF CUMBERLAND COUNTY, PENNSYLVANIA
ORPHANS' COURT DIVISION
IN RE:
APPOINTMENT OF PLENARY
CO-GUARDIANS OF THE ESTATE AND NO. 21-09- ~q
PERSON OF TAMMY LEIGH DOUGHERTY,
AN ALLEGED INCAPACITATED PERSON
FINAL DECREE
AND NOW, this ~~ day of ~~~~ , 2009, upon
consideration of the annexed Petition, and after a hearing held on said Petition, it is hereby
ORDERED AND DECREED that MILTON M. DOUGHERTY, JR. and DORIS S.
DOUGHERTY, his wife, and DEBORAH DOUGHERTY KNAUB and SANDRA L.
DOWNEY, Petitioners herein, are hereby appointed permanent Plenary Guardians of the person
and estate of TAMMY LEIGH DOUGHERTY.
IT IS ALSO ORDERED AND DECREED that no bond shall be required by said
Petitioners in order to administer the estate of said TAMMY LEIGH DOUGHERTY.
IT IS ALSO ORDERED AND DECREED that after carefully ~
considering evidence presented, no counsel was found to be necessary fc GI~ ~"~ a''°;
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DOUGHERTY under the circumstances of this case. _~ t-`'-: ~~'
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IT IS ALSO ORDERED AND DECREED that after carefully ~ ...~ :~~.
considering evidence presented, it was not found necessary to require a depositi~fi or Affic>.~yrts <--~ ~ -~
of any medical personnel under the circumstances of this case.
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IT IS ALSO ORDERED AND DECREED that Petitioners are authorized and
empowered to do the following which are listed by way of example only and not as a specific set
of limitations:
A. Complete and submit claim applications for insurance, welfare, medical
assistance, subsidies, special programs and other similar benefits.
B. Disclaim an interest in property or an inheritance.
C. Establish a Special Needs Trusts or similar Trusts.
D. Close out and open bank accounts or similar accounts.
E. Sell any property real or personal and convert it to cash to make such funds
available to creditors or other service providers, or to make deposits into or to make
additions to Trusts.
F. Immediate and unlimited ability and power to use and invade principal and corpus
of property of TAMMY LEIGH DOUGHERTY held by her in her own right, if any there
be from time to time.
G. Pay bills immediately as they come due.
H. Open separate accounts if such are required by any government agencies for
direct deposit or otherwise.
I. File an Inventory.
J. Hire tax accountants to aid with preparation of tax returns and the like which
might now, previously or in the future be due.
K. Hire consultants to help with making applications to medical institutions, similar
facilities, or any other matters for which Petitioners are or might reasonably be in need of
consultants.
L. Establish a separate funeral fund.
M. Make all other decisions and do any and all other acts of whatsoever nature as
may reasonably be necessary in the management of the estate of TAMMY LEIGH
DOUGHERTY.
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N. To have full and unfettered access to medical, hospital, and similar records,
including any and all records defined and described in the Health Insurance Portability
and Accountability Act of 1996 (Public Law 104-191, 110 Stat. 1936) more commonly
referred to as HIPAA, and/or any similar Acts or regulations as may be passed or
amended from time to time. This power shall be full and absolute and shall include the
power to grant Releases for the dissemination of such information to others. This power
shall be exercisable despite anything to the contrary in any current privacy acts or similar
acts or regulations or such as may be passed or adopted from time to time in the future.
O. In addition, in general, to make all healthcare and medical treatment decisions
which shall include but not be limited to the following:
1. To authorize TAMMY' S admission to or discharge from a medical,
nursing, residential or similar facility and to make agreements for her care and for
health insurance for her care, including hospice and/or palliative care. This power
shall include the power to enter into agreements for her care at the expense of her
Estate; to execute any consent or admission forms required by such facility which
are consistent with this paragraph, and enter into agreements for her care by such
facility or elsewhere during her lifetime or for such lesser period of time as her
Guardians may designate. This power shall also include the power to retain
nurses for her.
2. To hire and fire medical, social service and other support personnel
responsible for her care.
3. To take any legal action necessary to do what is hereinabove authorized
and empowered.
P. To do all such acts either jointly or individually.
Q. This Order shall be docketed and filed in the Office of the Clerk of the Orphans'
Court and Certified copies may be made thereof from time to time as may be needed to prove the
authorities, empowerments and the appointment of the Plenary Co-Guardians.
R. For purposes of reliance by third parties: A true and correct copy of this Order or
a Certified Copy of this Order, as the case may be, presented by any one of the Co-Guardians
shall be deemed to be and shall be considered to be conclusive proof that the other Co-Guardian
have failed to act, or are currently unable to act, or have ceased to serve.
ORPHANS' COURT DIVISION
COURT OF COMMON PLEAS OF
In Re: TANIlVIY LEIGH DOUGHERTY CUMBERLAND COUNTY
PENNSYLVANIA
N0.21-09-0397
CERTIFICATE OF SERVICE OF ORDER
ORDER DATE: 6/10/09
JUDGE'S INITIALS: EBB
TIME STAMP DATE: 6/10/09
IN RE; FINAL DECREE
SERVICE TO: CHARLES E SHIELDS III
TAMMY LEIGH DOUGHERTY
METHOD OF MAILING:
® USPS
^ RRR
^ HAND DELIVERED
^ OTHER
MAILED: 6/10/09
ENVELOPES PROVIDED BY:
® PETITIONER
^ JUDGE
^ CLERK OF ORPHANS COURT
e~nvrr~ •rn•
METHOD OF MAILING:
^ USPS
^ RRR
^ HAND DELIVERED
^ OTHER
MAILED:
ENVELOPES PROVIDED BY:
® PETITIONER
^ JUDGE
^ CLERK OF ORPHANS COURT
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Deputy
Clerk of Orphans' Court