HomeMy WebLinkAbout09-23-09
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ANNUAL REPORT OF = ~° u' ~
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GUARDIAN OF THE ESTATE ,~
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COURT OF COMMON PLEAS OF : -% ~, ~ -
Cumberland COUNTY, PENNSYLVANIA -z~.
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ORPHANS' COURT DIVISION ,
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Estate of Bertha E. Stone
an Incapacitated Person
No. 21-08-0173
I. INTRODUCTION
GOOD NEWS CONSULTING, Inc. ,was appointed
®Plenary ^ Limited Guardian of the Estate by Decree of Judge J. Wesley Oler ~ J
dated June 16, 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 June 16
to March 7 ~ 2009
for the following reason:
2008
(the "Report Period"), and is filed
1. The death of the Incapacitated Person. Date of death: 3/7/09
Name of Personal Representative:
2. The Guardianship was terminated by the Court by Decree of
J., dated
Form G-02 rev. 10.13.06
Page 1 of 5
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Estate of Bertha E. Stone , An Incapacitated Person
II. SUMMARY
A. State the value of the estate reported on the Inventory $ 5,286.15
B. State the value(s) of principal assets at the beginning of
the Report Period. (Same as Inventory if first Report,
otherwise, ending balance from last Report.) $ 5,386.15
C. What is the total amount of income earned during the
Report Period? $ 5,915.50
D. What is the total amount of income and principal
spent for all purposes during the Report Period? $ 1,186.96
E. What are the balances remaining at the end of the Report
Period?
1. Principal $ 10,014.69
2. Income $
3. Total of Principal and Income $ 10,014.69
III. ADDITIONAL INFORMATION
(If more space is needed, please attach additional pages.)
A. Principal
1. How is the principal balance listed above currently
invested? (Please specify, e.g., real estate,
certificates of deposit, restricted bank accounts, etc.):
NOT APPLICABLE
2. Have there been any expenditures from the principal
during the Report Period? ............................ ®Yes ®No
If yes:
a. Have all expenditures from the principal been for
the sole benefit of the Incapacitated Person? ........ ^Yes ^ No
Form G-02 rev. !0.!3.06 Page 2 of 5
Estate of Bertha E. Stone
b. List purpose and amount of expenditures:
An Incapacitated Person
c. Was Court approval received prior to
expending the principal? ....................... ^ Yes ^ No
3. Were additional principal assets received during the
Report Period which were not included in the
Inventory or a prior Report filed for the Estate? ........... ®Yes ®No
If yes:
a. Was Court approval requested prior to
receiving the additional principal? ................ D Yes ^ No
b. State the sources and amounts of the
additional principal received:
B. Income
1. State sources and amounts of income received
during the Report Period (e.g., Social Security,
pension, rents, etc.):
Social Security
Interest Income from Susquehanna Bank
Total income received during Report Period:
$ 5,895.00
$ 20.50
5.915.50
Fo,m c-oz .ev. ro. r3.o6 Page 3 of 5
Estate of Bertha E. Stone , An Incapacitated Person
2. How is income currently invested? (Please
specify, e.g., restricted bank accounts, client
care account, etc.):
Susquehanna Bank- balance as of statement date 4/17/09=$10014.69
C. Expenses for Care and Maintenance
Specify what expenditures were made from the principal and
income for the care and maintenance of the Incapacitated
Person (e.g., clothing, nursing home, medicine, support, etc.):
D. Other Expenditures
Specify what other expenditures were made during the Report
Period. (Do not include any items stated in response to
question C above.)
Postage, notary fees, copying fees for MA application=$ 36.96
E. Guardian's Commissions
List amounts of compensation paid as Guardian's commission
and state how amount was determined:
Court
Amount Method of Determination Approval Obtained
350.00 start up fee ~ Yes ^ No
800.00 $100 per month as per DPW regulations ~ Yes ®No
Form G-02 rev. 10./3.06 Page 4 of 5
Estate of Bertha E. Stone
An Incapacitated Person
F. Counsel Fee
List amounts paid as counsel fee, and indicate whether Court approval was obtained.
Amount
Court
Approval Obtained
Yes ~ No
~ Yes ^ No
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 1 S Pa.C.S. § 4904
relative to unsworn falsification to authorities.
~~
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Date Signature of uardian of the Estate
GOOD NEWS CONSULTING, Inc.
Name of Guardian of the Estate (type or print)
140 Roosevelt Ave. Suite 206
Address
YORK, PA 17401
Ci[y, State, Zip
(717)843-1504
Telephone
Form C-02 rev. 10.13.06 Page 5 of 5
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GUARDIAN' S INVENTORY
COURT OF COMMON PLEAS OF Cumberland COUNTY, PENNSYLVANIA
ORPHANS' COURT DIVISION
Estate of Bertha Stone
No. 21-08-0173
1. Real Estate: (Location, by whom occupied and rental
terms, if applicable)
N/A
Sub-Total for Real Estate:
2. Personal Property:
Checking account at Sovereign Bank # 2891036395 as of statement 6/18/08
Social Security monthly benefit $952.00 =2008 payment
3. Jointly Held Property:
(Set forth real and personal property owned by the Incapacitated Person JO/NTLY with arty
other person(s). State whether held as tenants by the entireties; if not, whether the right of
survivorship exists.)
Jointly Held Property
N/A
Form G-04 rev. 10.13.06
®an Incapacitated Person
^ a Minor
Estimated Value:
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Estimated Value:
5,286.15
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Estimated Value:
Page 1 of 2
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Estate of Bertha Stone ~~ an Incapacitated Person
' ^ a Minor
4. Anticipated Assets: Estimated Value:
(Set forth property of any kind expected to be acquired hereafter, together with
anticipated date of acquisitiotxJ
Property Anticipafed Date
of Acquisition
Sub-Total for Personal Estate: 5,286.15
(Attach additional sheets if necessary)
TOTAL OF ITEMS 1, 2, 3, and 4 :............................. 5,286.15
Commonwealth of Pennsylvania
. ss.
County of Cumberland
GOOD NEWS CONSULTING, Inc. ,says that the foregoing is a full,
Guardian
true and complete Inventory of the Estate of Bertha Stone
the aforesaid Incapacitated Person or Minor; and that all of the information set forth herein is
true and correct to the best of the Guardian's knowledge and belief.
I verify that the statements made in this }
Inventory are true and correct. I under- )
stand that false statements herein are )
made subject to the penalties of )
18 Pa.C.S. § 4904 relating to unsworn )
falsification to authorities. )
Attorney for Guardian: Douglas Gent
Supreme Court LD. No.: 29964
Address: 1157 Eichelberger Street, Suite 4
-` ~mc RG.
Guardian
Hanover, PA 17331
Telephone: (717) 632-4040
Form G-o4 rev. 10.13.06 Page 2 of 2
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GUARDIAN'S INVENTORY
Y
COURT OF COMMON PLEAS OF Cumberland COUNTY, PENNSYLVANIA
ORPHANS' COURT DIVISION
Estate of Bertha Stone
No. 21-08-0173
1. Real Estate: (Location, by whom occupied and rental
terms, if applicable)
N/A
Sub-Total for Real Estate:
2. Personal Property:
Checking account at Sovereign Bank # 2891036395 as of statement 6/18/08
Social Security monthly benefit $952.00 =2008 payment
3. Jointly Held Property:
(Set forth real and personal property owned by the Incapacitated Person JOINTLY with any
other person(s). State whether held as tenants by the entireties; if not, whether the right of
survivorship exists.)
Jointly Held Property
N/A
1 ~ an Incapacitated Person
I ~ a Minor
Estimated Value:
0.00
Estimated Value:
5,286.15
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Estimated Value:
Form G-04 rev. 10.13.06
Page 1 of 2
Estate of Bertha Stone
4. Anticipated Assets:
('Set forth property of any kind expected to be acquired herea, fter, together with
anticipated date of acquisition.)
Properly Anticipated Date
ofAcquisition
Sub-Total for Personal Estate:
1~ an Incapacitated Person
I®a Minor
(Attach additional sheets if necessary)
TOTAL OF ITEMS 1, Z, 3, and 4 :............................ .
Commonwealth of Pennsylvania
. ss.
County of Cumberland ;
GOOD NEWS CONSULTING, Inc.
Guardian
true and complete Inventory of the Estate of Bertha Stone
Estimated Value:
5,286.15
5,286.15
says that the foregoing is a full,
the aforesaid Incapacitated Person or Minor; and that all of the information set forth herein is
true and correct to the best of the Guardian's knowledge and belief.
I verify that the statements made in this )
Inventory are true and correct. I under- )
stand that false statements herein are )
made subject to the penalties of )
18 Pa.C.S. § 4904 relating to unsworn )
falsification to authorities. )
Attorney for Guardian: Douglas Gent
Supreme Court I.D. No.: 29964
Address: 1157 Eichelberger Street, Suite 4
~n~c R~
Guardian
Hanover, PA 17331
Telephone: (717) 632-4040
Forn c-oa rev. 10.13.06 Page 2 of 2
t-877-5GV-BANK ~1-877-7$$-2265) www.sdversignbank.t~m
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Paid Ysar..To-Dsts ; 77'.7S
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.~ss~r~a3~,~vs
A-~vNUAL REPORT OF
GUARDIAN OF THE ESTATE
COURT OF COMMON PLEAS OF
Cumberland COUNTY, PENNSYLVANIA
ORPHANS' COURT DIVISION
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Estate of Bertha E. Stone , an Incapacitated Person
No. 21-08-0173
I. INTRODUCTION
GOOD NEWS CONSULTING, Inc. ,was appointed
m Plenary ~ Limited Guardian of the Estate by Decree of Judge J. Wesley Oler ~ J
dated June 16, 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 June 16 ~ 2008
to March 7 ~ 2009 (the "Report Period"), and is filed
for the following reason:
1. The death of the Incapacitated Person. Date of death: 3/7/09
Name of Personal Representative:
2. The Guardianship was terminated by the Court by Decree of
J., dated
Form G-02 rev. 10.13.06 Page 1 of 5
Estate of Bertha E. Stone
II. SUMMARY
A. State the value of the estate reported on the Inventory
B. State the value(s) of principal assets at the beginning of
the Report Period. (Same as Inventory if first Report,
otherwise, ending balance from last Report.)
C. What is the total amount of income earned during the
Report Period?
D. What is the total amount of income and principal
spent for all purposes during the Report Period?
E. What are the balances remaining at the end of the Report
Period?
1. Principal $ 10,014.69
2. Income $
3. Total of Principal and Income
III. ADDITIONAL INFORMATION
(If more space is needed, please attach additional pages.)
A. Principal
1. How is the principal balance listed above currently
invested? (Please specify, e.g., real estate,
certificates of deposit, restricted bank accounts, etc.):
NOT APPLICABLE
An Incapacitated Person
$ 5,286.15
$ 5,386.15
$ 5,915.50
$ 1,186.96
10,014.69
2. Have there been any expenditures from the principal
during the Report Period? ............................ ~ Yes ®No
If yes:
a. Have all expenditures from the principal been for
the sole benefit of the Incapacitated Person? ...... , . ^ Yes ^ No
Form c-oz rev. 10.13.06 Page 2 of 5
Estate of Bertha E. Stone
b. List purpose and amount of expenditures:
An Incapacitated Person
c. Was Court approval received prior to
expending the principal? ....................... ^ Yes ^ No
3. Were additional principal assets received during the
Report Period which were not included in the
Inventory or a prior Report filed for the Estate? ........... ~ Yes ®No
If yes:
a. Was Court approval requested prior to
receiving the additional principal? ................ ^ Yes ^ No
b. State the sources and amounts of the
additional principal received:
B. Income
1. State sources and amounts of income received
during the Report Period (e.g., Social Security,
pension, rents, etc.):
Social Security
Interest Income from Susquehanna Bank
Total income received during Report Period:
$ 5,895.00
$ 20.50
$ 5,915.50
Form G-oz rev. 10.13.06 Page 3 of 5
Estate of Bertha E. Stone , An Incapacitated Person
2. How is income currently invested? (Please
specify, e.g., restricted bank accounts, client
care account, etc.):
Susquehanna Bank- balance as of statement date 4/ 17/09=$10014.69
C. Expenses for Care and Maintenance
Specify what expenditures were made from the principal and
income for the care and maintenance of the Incapacitated
Person (e.g., clothing, nursing home, medicine, support, etc.):
D. Other Expenditures
Specify what other expenditures were made during the Report
Period. (Do not include any items stated in response to
question C above.)
Postage, notary fees, copying fees for MA application=$ 36.96
E. Guardian's Commissions
List amounts of compensation paid as Guardian's commission
and state how amount was determined:
Amount Method of Determination
350.00 start up fee
Court
Approval Obtained
®Yes ~ No
800.00 $100 per month as per DPW regulations ~ Yes ~ No
Form G-oa rev. 10.13.06 Page 4 of 5
Estate of Bertha E. Stone
An Incapacitated Person
F. Counsel Fee
List amounts paid as counsel fee, and indicate whether Court approval was obtained.
Amount
Court
Approval Obtained
Yes ~ No
Yes ~ No
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.
J_ O t
Date C.(J Signature of rdian of the Estate
GOOD NEWS CONSULTING, Inc.
Name of Guardian ojthe Estate (type or print)
140 Roosevelt Ave. Suite 206
Address
YORK, PA 17401
City, State, Zip
(717) 843-1504
Telephone
Form G-02 rev. 10.13.06 Page 5 of 5
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