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06-16-09 (2)
ANNUAL REPORT OF ~~ ° GUARDIAN OF THE PERSON ir°~ i c~ ~~~ ~ ' ~:,. ~, 7n ~c ~O~i , o a ~{ ~~; > COURT OF COMMON PLEAS OF ~ ~ ep c -. / _ __ ..' CUMBERLAND COUNTY, PENNSYLVA NIA '°' '" `'~ ORPHANS' COURT DIVISION ~ `~' Estate of Jed V. Minaya No. 21-08-0945 I. INTRODUCTION Barbara A. Mnaya an Incapacitated Person Final Decree ~ Plenary Limited Guardian of the Person by IB~a'I@~dI Th e dated October 27 2008 © A. This is the Annual Report for the period from to (the "Report Period"); or B. This is the Final Report for the period from October 27 2008 to October 30 2008 (the "Report Period"), and is filed for the following reason: 1. The death of the Incapacitated Person. Date of death: October 3 0 , 2 0 0 8 2• ~6dtt~c(xoordcan9teipt+ i'e~l4ifii~El~y~Uingifbnrd~by>d~erotetec~cfic X XX XXX XXXXXyy Xv xxxxxxxx.{SJglaptQ~Cxxxxx Fora Final Report, omit Sections I/through IV. Form G-OJ rev. 10.13.06 Page 1 of 4 was appointed Honorable Edward E. Guido, J Estate of Jed V. Minaya II. PERSONAL DATA Aga 14R t#te~M~¢ad>~t@f~$9t'Stl17X x III. LIVING ARRANGEMENTS A. Cut~retvt x~dvussxyfxhgc)nxaq~asitxter~ li'lsrson: B. The:taoalOaadin~dxAascin3~cueaidax~e is: Q own home /apartment ~ nursing home ® boarding home /personal care home an Incapacitated Person Date of Birth: Guardian's home /apartment hospital or medical facility 0 relative's home (name, relationship and address) other: C. TlfpcixtR~¢ it&tR~ ltacsaa ItSScbbLN xtx LtA2~x~ttDroesidatx~e~si4tcte x x x x x x x x x x x x x x x x x x x x x x x x x x x x>F&Che:IQOepaodtexecbdlerson~dras xua~xd x~dthxn the past ~yxanc xtale~gxioz xesioieMOlAC amkCeM9bY~9~ ~fQkxrt43Sve: a'~,.,,~c-ni .E,~ in.is.n~ Page 2 of 4 Estate of Jed V. Minaya, an Incapacitated Person ~tltbc~eaq~stototed:l~eosectx D. Naro~eca~ndxaci~daasx efcbhft ~>xoapaoi6aiadxllecyott~sclan;itxiavyx~eregiver: IV. MEDICAL INFORMATION A. The xi~>3nrxaecbioeol xrxmaevttgk~rXibl~ttts~b'f~cpttL~#~Rlft~g ~Le's2S~f ~i~as follows: B. S~j~'g~~jix~ryyxpq~t~d~cr#edattadxRsYxkalag~cabtandxi~alsgorkaterxaesthe l;uxapaxitxttt~k li'evs~tat isxntarelvcittg: V. GUARDIAN'S OPINION A. It is the opinion of the Guardian of the Person that the guardianship should: ^ continue ^ be modified ~ be terminated Form C-!13 rcr. !0./3.OG Page 3 of 4 (state of Jed V. Minaya, an Incapacitated Person a~ iamcxpatzttieedX~t~tf x The reasons for the foregoing opinion are October 30, 2008 death of Jed V. Minaya period of guardianship until his death, B. During the past parar, the Guardian of the Person has visited the Incapacitated Person da i 1 y . x x x x x x 01 engx eviQh XhecaNRKa~l4 txlggtj{~x x x x x x x x ~4t`bXiK9; x x x x x x x x pmy~g~c 7Uk+~4~)4~F ~iX2f ?k~r~iAf/XSY~)Wfc~o~~xniaooirxraxr>~layex/Xyyxka ~,krttovXa~lx et,xd6L~l~s'I?p Yv%rY x ~'~RfKldA74tlRXlxUcacara w~Cn6g XrrorrlytP241rot~RcxitSMnKjFrY•NAki~ fJAFROrblooovtsr~h7S1~4i`yX'Ifr~S IfZ~j§7lrxt ~f>~ ut~J~c~(c4omaupphxi~rawkdS >~~4F1~[.x z 1 verify that [he 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.A. § 4904 relative to unswom falsification to authorities. June 15, 2009 ~~~~ ~ i,Q /I//~ Dare Sgnalare ojGanrdian ojthe Person /~/ Barbara A. Minaya Name ojGaardiun ojlhe Person (Npe or print) 48 Honeysuckle Drive Address Mechanicsburg, PA 17050 Form C-OJ ter. lll. l.i.!lh City, State. Zip 697-6563 Trlrplrone Page 4 of 4