HomeMy WebLinkAbout09-07-10
ANNUAL REPORT OF
---
-- ,_. ,.
ZOl~ SEP -7 EPA 12~ 33
GUARDL~N OF THE PERSON C nERK OF
ORPt~i,„~1 S ~uQ(JRT
COURT OF COMMON PLEAS OF
CUMBERLAND COL?N"1'Y, PENNSYLVANIA
ORPHANS' COURT DIVISION
Estate of Elise Rachel Binder , an Incapacitated Person
No. 21-09-0496
I. INTRODUCTION
Lilli A. Binder
was appointed
®Plenary OLirnited Guardian of the Person by Decree of J. Wesley Oler, Jr. . J.,
dated August 31, 2009
® A. This is the Annual Report for the period from September 1 ~ 2009
to August 31 2010 (the "Report Period"); or
Q 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 lid
Form G-03 rev. !0.!3.06
Page 1 of 4 ,n;
Estate of Elise Rachel Binder
II. PERSONAL DATA
Age of the Incapacitated Person: 19
III. LIVING ARRANGEMENTS
A. Current address of the Incapacitated Person:
5264 Strathmore Drive
Mechanicsburg, PA 17050
an Incapacitated Person
Date of Birth: May 20, 1991
B. The Incapacitated Person's residence is:
^ own home /apartment
^ nursing home
^ boarding home /personal care home
m Guardian's home /apartment
^ hospital or medical facility
^ relative's home (name, relationship and address)
^ other:
C. The Incapacitated Person has been in the present residence since February, 1997
. If the Incapacitated Person has moved within the
past year, state prior residence and reason(s) for move:
Form G-03 rev. 10.13.06 Page 2 of 4
Estate of Elise Rachel Binder
an Incapacitated Person
D. Name and address of the Incapacitated Person's primary caregiver:
Lilli A. Binder
5264 Strathmore Drive
Mechanicsburg,
PA 17050
IV. MEDICAL INFORMATION
A. The major medical or mental problems of the Incapacitated Person are as follows:
Mental Retardation and Autism
B. Specify what, if any, social, medical, psychological and support services the
Incapacitated Person is receiving:
Psychiatric counseling every other month. Pre-vocational training through
Cumberland Valley High School. Social opportunities through Easter Seals
programs, as available and appropriate.
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 G-03 rev. 10.13.06 Page 3 of 4
Estate of Elise Rachel Binder , an Incapacitated Person
T'he reasons for the foregoing opinion are:
Elise is thriving in this environment.
B. During the past year, the Guardian of the Person has visited the Incapacitated Person
365 times with the average visit lasting 16 hours, minutes.
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 Veriftcation is subject to the penalties of 18 Pa. C.S.A. § 4904
relative to unsworn falsification to authorities.
September 1, 2010
Date
~.
55gnature of Guardian of the Person
Lilli A. Binder
Name of Guardian of the Person (type or print)
5264 Strathmore Drive
Address
Mechanicsburg, PA 17050
City, State, Z+p
(717)975-3495
Telephone
Form G-03 rcv. 10.13.06 Page 4 of 4