HomeMy WebLinkAbout04-22-10
ANNUAL REPORT OF GUARDIAN OF THE PERSON
THE COURT OF COMMON PLEAS OF CO
PENNSYLVA a
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ORPHANS' COURT DIVISION
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Estate of. ROBERT SIPE , an incapacitated person _
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FILE NO: 21-08-1118 ~r~ ~ w ~ ~~ ~r
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I. INTRODUCTION tv
PENNSYLVANIA GUARDIANSHIP ASSOC. / BRIAN D. BROOKS, was
appointed -Limited X Plenary Guardian of the Person by Decree of
ORPHAN'S COURT , Judae. Dated 2/01/10
A. This is the Annual Report for the period from to
X B. This is the Final Report for the period from 2/01/10 to 3/19/10
and is filed for the following reason:
1. The death of the Incapacitated Person. Date of death 3/19/10
2. The Guardianship was terminated by the Court by Decree of
,Judge, Dated
For a Final Report, omit Sections II through IY.
II. PERSONAL DATA
Age of the Incapacitated Person Date of Birth
III. LIVING ARRANGEMENTS
A. Current address of the Incapacitated Person:
B. The Incapacitated Person's residence is:
ward's own home /apartment
nursing home
boarding home /personal care home
guardian's Home /apartment
hospital or Medical Facility
relative's home (name, relationship and address)
C. The Incapacitated Person has been in the present residence since
If the Incapacitated Person has moved within the past year, state prior residence
and reason for move:
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