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HomeMy WebLinkAbout04-0720Shaun E. O'Toole, Esquire 2813 North Second Street Harrisburg, Pennsylvania 17110 717.213.6653 IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA IN THE MATTER OF ORPHANS' COURT DIVISION Virginia A. Nottingham An Alleged Incapacitated Person No. ~l ~ ~ ~ ~ ~' ~'~ ~) PETITION FOR ADJUDICATION OF INCAPACITYAND APPOINTMENT OF A PLENARY GUARDIAN AND NOW, COMES, Petitioner, Evelyn O'Hara, by and through her at[~rney, · Shaun E. O'Toole, and hereby petitions for adjudication of incapacity and appointment of a plenary guardian of the estate and person of Virginia A. Nottingham, and in support thereof, represents as follows: 1. The name of the alleged incapacitated person is Virginia A. Nottingham (Mrs. Nottingham). 2. Mrs. Nottingham is eighty-seven (87) years of age and currently resides at Messiah Village, a residential and long-term skilled nursing care provider, located at 100 Mt. Allen Drive, Mechanicsburg, Pennsylvania 17055. 3. Petitioner is the daughter of Mrs. Nottingham. 4. Mrs. Nottingham's husband, Dolby Nottingham, is eighty-four (84) years old, resides at the family residence at 1830 Basin Hill Boulevard, Carlisle, Pennsylvania, and is the sole intestate heir of Mrs. Nottingham. 5. Petitioner is the only child of Mrs. Nottingham's who resides in the Commonwealth of Permsylvania. Mrs. Nottingham's other two children are a son, Lowell M. Nottingham, who resides in New Haven, Vermont, and a daughter, A. Elaine Hardy, who resides in Missoula, Montana. 6. Because of Mrs. Nottingham's complete incapacitation and inability to handle her personal and financial affairs, a guardian of her estate and person is sought. 7. Attached as Exhibit "A" is an initial Evaluation prepared by Dr. Camilia Popa, a psychiatrist with Philhaven, indicating that Mrs. Nottingham has Alzheimer's disease and that her memory is severely impaired. The Initial Evaluation further indicates that Mrs. Nottingham does not remember her date of birth, her husband's name, or the number of children she has, and that she has a misperception of her environment and a disorganized thought process. 8. Mrs. Nottingham has never executed a Power of Attorney and currently does not have a guardian to handle her personal and financial affairs. 9. Petitioner's only source of income is her social security benefits which is $536.67 a month. 10. All of Mrs. Nottingham's assets are jointly owned with her husband and include checking and investment accounts totaling $282,400 and a residence with an estimated value of $170,000. 2 1 I. No advanced directive, will, or power of attorney documents have been located designating an agent or other fiduciary on behalf of Mrs. Nottingham. 12. To the best of Petitioner's knowledge, no other court within the Commonwealth of Pennsylvania has appointed a guardian for Mrs. Nottingham. WHEREFORE, Petitioner, Evelyn O'Hara, prays that Mrs. Nottingham be ordered to show cause, if any there be, why she should not be declared an incapacitated person and Evelyn O'Hara appointed y guardian of her estate and person. Respectfully submitted, Date: Shaun E. O'Toole Attorney I.D. # 44797 2157 Market Street Camp Hill, Pennsylvania 17011 (717) 737-6400 Attorneys for Petitioner 3 ilhaven ,o INITIAL EVALUATION · I. MEDICAL HISTORY A. ~lergies: B. Cu~ent Medications: ~' ~"~-~ , ~ '- ~1/~ D. Hi~o~ of S~gefies: E. History °fS~ moki~ g/Drug/Alcohol Use: II. PSYCHOSOCIAL HISTORY A. Si ,gnificant developm,ental, family, and marital hi ' ~i ,<,-( -- b~';.- i -v ~st°~-,mcludeanyhistorvo ~ ......... , B. Past Mental health problems and treatment of patient: ] ! Initial Eva/uation / Patient Name. ," - , ~ ? t': / PH 07-16 (5/01) ' O:u../SF.P.~--LE.,al~lkr.,a. rl.m~.~6, wpo Ph. ilhav~n Patient NUm~n I Date of 8inh: / / Iii. ,.(::fIEF CO~ MPLAINT:(quote from patient or staffsummary statement) IV. COURSE OF PRESENT ILLNESS: Symptoms, behaviors, precipitating events and psychosocial stxeSSors that led up to evaluation and how these symptoms, behaviors, events and stressors have affected the patient's social, occupational and familial functioning. Duration of symptoms. V. SYIVLPTOM CHECKLIST: (Check AS MANY SYMPTOMS as appropriate) Depression -' Anxiety ~ h~peles..n/helpless Sleep D~tarbance ~ muscle'twitching ~ ~h~rt of breath ~ poor appetite insomnia ~ palpitations ~ fainme.~ ~ loss of interes~ ~ frequent awakenin~ ~ dizziness ~ chest pain ~ guilt/worthle~ne~ ~ restlessness ~ muscle aches ~ cold hand~ ~ motor retardation ~ decreased ~ G.I. symptoms ~ do' mouth ~ fatigue ~ increased ~ paresthesia ~ SWeating ~ weight Io.~ ~ early a.m. awakening ~ racing thoughts __ panic at~cks ~ crying spells avg hours per night ~ suicidal ideation Comments: ~ homicidal ideation Behavioral Symptoms Physical aggression Verbal aggression Other __ hitting ~ biting __ cursing Agitation ~ kicking ~ spitting abusive -- Wandering ~ pinching ~ shoving ~ threatening ~ ~ Scratching ~ screaming Comments: Initial Evaluation Patient Name: PH 07-16 (5/01 ) PhiLhaven Patient Number: G \U~ERS'.CX:LEMENT~eAfi-HE-'qa?.I& WpO '9 Date of Birth: --' ..... _ religious acts __ Somatic symptoms __ jealousy -- ideas o£ reference __ paranoia/persecution __ influence/others __ other __ thought control __ thought broadcasting Commcn~: -----.- ~llucin~tions (b~iet' description of' current cxperiencas ~nd history) _ none : offal:tory ~: visual : auditory -- ~: tactile ~ Comments: VI. MENTAL STATUS EXAMINATION: Appearance 0~-~-~ ~.~..: .~ .;,T-, ~i~t~~~ ~adgemem Appetite ~ Intelligence Sleep ~~ Suici~ Id~io~ ~omlcloal lfleatlo~ Initial Evaluation ~x, PH 07-16 ($/0 I) Patienl Name: ' Phi~aven Patient G:XUSE~LEM~7.16.~ 3 Date Axis V '~ Current GAF ~o'- Highest GAF in Past Year IX. RECOMMENDATION PLAN ., PHYSICIAN SIGNATURE: DATE: Initial E~l~ation Patient Name: ~ I' i '~ .... /~ (~' J PH07-16 (5/01) Philhaven atientNumber: ~./ _ p '/ CONSENT OF PROPOSED GUARDIAN Thc undersigned, Evelyn O'H,m:a, does hereby certify that she is willing to act as plenty guardian of the estate and person of Virginia A. Nottingham, an alleged incapacitated perso~, if the Court shall so appoint. Further, Evelyn O'Hara hereby certifies that he is not a fiduciary of any estate in which Virginia A. Nottingham has an interest, nor has she any interest currently adverse to the alleged incapacitato pcrson's. " ExTelyn O]Hara VERIFICATION Thc undersigned hereby verifies that the statements of fact in the foregoing document are true and con-ect to tine best of my knowledge, information mad belief. I understmqd that m~y false statements therein arc subject to thc penaltlcs contained in 18 Pa.C.S. {}4904, relating to unswom falsification to authorities. 1N THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA IN THE MATTER OF ORPHANS' COURT DIVISION Virginia A. Nottingham An Alleged Incapacitated Person No. ~]_ ~ :]i' , ~ ~' / PRELIMINARY DECREE AWARDED - CITATION AWARDED - PLENARY GUARDIAN AND NOW, this ~/~ day of /Z~ v .x,, ~ t' , 2004, upon consideration of the attached Petition for Adjhdicat~on of Incapacity and Appointment of Plenary Guardian of the Person and Estate, it is hereby Ordered and Decreed that: 1. A citation is awarded, directed to Virginia A. Nottingham to show cause why she should not be adjudicated an incapacitated person and why a PLENARY GUARDIAN of her person and estate should not be appointed; the hearing thereon to be held in courtroom / , Cumberland County Courthouse, Carlisle, Pennsylvania on ~- (..~ ~f~:c ~ ,2004, at /- ~-~. o'clock ~ .M. 2. Petitioner shall cause to be served (by personal service) the Citation with Notice and Petition, pursuant to the Provisions of 20 Pa.C.S. §551 l(a), upon the alleged incapacitated person at least twenty (20) days prior to the court heating for the Plenary Guardianship. The contents and terms of the Citation with Notice and Petition shall be read and explained to the maximum extent possible in language and terms the alleged incapacitated is most likely to understand, in accordance with the Provisions of 20 Pa.C.S. §551 l(a). An affidavit of service containing specific averments of the above requirements shall be presented at the beginning of the court hearing. 3. At least twenty (20) days prior notice of the court hearing together with a copy of the Petition shall be given personally or by first class mail to all persons residing in the Commonwealth of Pennslvania who are sui juris and who would be entitled to an intestate share in the estate of the alleged incapacitated person and to the institution providing residential services to the alleged incapacitated person in accordance with 20 Pa.C.S. §5511 (a). An affidavit of service containing specific averments of the above requirements shall be presented at the beginning of the court hearing. 4. Petitioner or counsel shall notify the court, in writing, at least seven (7) days prior to the court hearing if counsel has not been retained on behalf of the alleged incapacitated person in accordance with 20 Pa.C.S. §551 l(a). This notice shall also contain all pertinent information which would indicate to the court whether or not counsel should be appointed to represent the interest of the alleged incapacitated person. 5. The alleged incapacitated person shall be present at the court hearing unless it is established by clear and convincing medical evidence that her physical or mental condition would be harmed by her presence in court in accordance with the provisions of 20 Pa.C.S. §551 l(a). BY THE COURT: ~ ~r,,? ~~ J. 2 IN RE: Virginia A. Nottingham : IN THE COURT OF COMMON PLEAS OF An alleged incapacitated person : CUMBERLAND COUNTY, PENNSYLVANIA : ORPHANS' COURT DIVISION : NO. 21-2004-0720 IMPORTANT NOTICE CITATION WITH NOTICE A petition has been filed with the Court to have you declared an incapacitated Person. If the Court finds you to be an Incapacitated Person, your rights xvill be affected, including your right to manage inoney and property and to make decisions. A copy of the petition which has been filed by Evelyn O'Hara is attached. You are hereby ordered to appear at a hearing to be held in Court Room No. 1_, Cumberland County Courthouse, Carlisle, Pennsylvania, on October 4 ,200~4, at 1:30 P~M. to tell the Court ~vhy is should not find you to be an incapacitated Person and appoint a Guardian to act on your behalf. To be an incapacitated Person means that you are not able to receive and effectively evaluate information and communicate decisions and that you are unable to manage your money and/or other property, or to make necessary decisions about where you will live, what medical care you will get, or how your money will be spent. At the hearing, you have the right to appear, to be represented by an attorney, and to request a jury trial, lfyou do not have an attorney, you have the right to request the Court to appoint an attorney to represent you and to have the attorney's fees paid for you if you cannot aflbrd to pay them yourself. You also have the right to request that the Court order that an independent evaluation as to your alleged incapacity. If the Court decidcs that you are an Incapacitated person, the Court may appoint a Guardian for you, based on the nature of any condition or disability and your capacity to make and communicate decisions. The Guardian will be of your person and/or your money and other property and will have either limited of full powers to act for you. If the court finds you are totally incapacitated, your legal rights xvill be affected and you xvill not be able to make a contract or gift of your money to other property. If the court finds that you are partially incapacitated, your legal rights will also be limited as directed by the Court. If you do not appear at the hearing (either in person or by an attorney representing you) the court will still hold the hearing in your absence and may appoint the Guardian requested. Date:Au~nst 4, 2004 By: ~ ~ ~ '; '? ~ ! '! /' Clerk, Orphans' Court Div s on Cumberland County, Carlisle, PA My Commission Expires 1~t Monday, Janua~, 2006 IN THE MATTER OF : IN THE COURT OF COHHON PLEAS OF VIRGINIA A. NOTTINGNAH : CUMBERLAND COUNTY, PENNSYLVANIA An Alleged Incapacitated : ORPHANS' COURT DIVISION Person : Ne. 21-04-0720 IN RE: PETITION FOR ADJUDICATION OF INCAPACITY AND APPOINTMENT OF A PLENARY GUARDIAN BEFORE OLER J. ORDER Of COURT AND NOW, this 4th day of October, 2004, upon consideration of the Petition for Adjudication of Incapacity and Appein%ment of a Plenary Guardian, and following a hearing held on this date at which the presence of the allegedly incapacitated person (Virginia A. NottinGham) was waived pursuant to a Sworn Statement of Physician in Accordance with 20 Pa. C.S. Section 5511(a) (1), and the Petitioner, Evelyn O'Hara, was present with her counsel, Shaun E. O'Toole, Esquire, Virginia A. Nottingham is adjudicated an incapacitated person, and her daughter, Petitioner, Evelyn O'Hara, 517 Hountain Road, Boiling Springs, Cumberland County, Pennsylvania, is appointed plenary guardian of her person and estate. The guardian is directed te file reports in accordance with the previsions of the Probate, Estates and Fiduciaries Code applicable to such guardianships. No bend shall be required ef the guardian in this case. BY THE COURT, Jy. Wesley O1~.~, ~.. :'~.~k~ Shaun E. O'Toole, Esquire · 2157 Harket Street H~, PA 17011 For the Petitioner : ma e IN THE MATTER OF : IN THE COURT OF COHHON PLEAS OF VIRGINIA A. NOTTINGNAH : CUMBERLAND COUNTY, PENNSYLVANIA An Alleged Incapacitated : ORPNANS' COURT DIVISION Persen : No. 21-04-0720 IN RE: PETITION FOR ADJUDICATION OF INCAPACITY AND APPOINTMENT OF A PLENARY GUARDIAN BEFORE OLER J. OPINION and ORDER Of COURT OLER, J., October 4, 2004. At issue in the present case is whether Virginia A. Nottingham should be adjudicated an incapacitated person, and, if so, whether Evelyn O'Hara, her daughter, should be appointed plenary guardian of her person and estate. A hearing was held on this matter on Monday, October 4, 2004, before the undersigned judge. At the hearing, the Petitioner, Evelyn O'Hara, was represented by Shaun E. O'Toole, Esquire; the presence of the allegedly incapacitated person was waived based upon a Sworn Statement of Physician in Accordance with 20 Pa. C.S. Section 5511(a) (1) . Based upon the evidence presented at the hearing, the fellowing Findings ef Fact, Discussien and Order of Court are made and entered: FINDINGS OF FACT 1. The allegedly incapacitated person is Virginia A. Nettingham, aged 87 {date of birth, January 15, 1917}, a married weman who resides at Hessiah Village, 100 Mount Allen Drive, Upper Allen Tewnship, Cumberland County, Pennsylvania. 2. Petitioner is Hs. Nottingham's daughter, Evelyn O'Hara, an adult individual residing at 517 Mountain Road, Boiling Springs, Cumberland County, Pennsylvania. 3. The allegedly incapacitated person, Virginia A. Nottingham, suffers from dementia (probably of the Alzheimer's type). 4. As a result of this condition, Ms. Nottingham is an adult individual whose ability to receive and evaluate information effectively and communicate decisions is impaired to such a significant extent that she is totally unable to manage her financial resources and totally unable to meet essential requirements for her physical health and safety. 5. The aforesaid condition is apparently ef an irreversible nature. 6. Based upon the aforesaid condition, the Court finds it necessary to establish plenary guardianships with respect to the estate and person of Hs. Nottingham. 7. In view of the absence efa more favorable prognosis at this time, the duration ef the guardianships required must be said to be indefinite, pending further Order of Court. 8. Evelyn O'Hara, daughter of the allegedly incapacitated person, who resides at 517 Hountain Road, Boiling Springs, Cumberland County, Pennsylvania, is found te be a person qualified under 20 Pa. C.S. Section 5511(f) to serve as plenary guardian of Ms. Nottingham's person and estate. 9. The foregoing Findings of Fact are made on the basis of clear and convincing evidence. DISCUSSION The provisions respecting an adjudication of incapacity are contained in 20 Pa. C.S. Section 5501 et seq. Petitioner has substantially complied with these provisions, and based upon the foregoing Findings of Fact the following Order of Court will be entered: ORDER Of COUNT AND NOW, this 4th day of October, 2004, upon consideration ef the Petition for Adjudication of Incapacity and Appointment of a Plenary Guardian, and following a hearing held on this date at which the presence of the allegedly incapacitated person (Virginia A. Nottingham) was waived pursuant tea Sworn Statement of Physician in Accordance with 20 Pa. C.S. Section 551!(a) {1), and the Petitioner, Evelyn O'Hara, was present with her counsel, Shaun E. O'Teole, Esquire, Virginia A. Nottingham is adjudicated an incapacitated person, and her daughter, Petitioner, Evelyn O'Hara, 517 Mountain Road, Boiling Springs, Cumberland County, Pennsylvania, is appointed plenary guardian ef her person and estate. The guardian is directed to file reports in accordance with the provisions of the Probate, Estates and Fiduciaries Code applicable to such guardianships. No bond shall be required of the guardian in this case. BY THE COURT, /s/ d. Wesley Oler, Jr. J. ~esley Oler, Jr., J. Shaun E. O'Toole, Esquire 2151 Market Street Camp Hill, PA 17011 For the Petitioner Virginia Nottingham Messiah Village 100 Mount Allen Drive Hechanicsburg, PA 17055 :mae IN THE HATTER OF : IN THE COURT OF COHHON PLEAS OF VfRGINIA A. NOTTINGNAH : CUMBERLAND COUNTY, PENNSYLVANIA An Alleged Incapacitated : ORPHANS' COURT DIVISION Person : Ne. 21-04-0720 iN RE: PRESENCE OF AALEGED INCAPACITATED PERSON WAIVED ORDER OF COURT AND NOW, tNis 4th day ef October, 2004, based upon the Sworn Statement of PNysician in Accordance with 20 Pa. C.S. Section 5511{a) {1), tNe presence of the allegedly incapacitated persen in this matter is waived. By the Ceurt, 1 esley 0~4, Jf-~., j. Shaun E. O'Too!e, Esquire 2157 Market Street Camp Hill, PA 17011 For the Petitioner IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION NO. 21-04-0720 IN RE: ESTATE OF VIRGINIA A. NOTTINGHAM An Incapacitated Person ~& co INITIAL ANNUAL REPORT OF EVELYN O'HARA, ~_~cD c.c.._.~.__-- ~- ~GUARDIAN. OF THE PERSON OF VIRGINIA A. NOTTINGHAM ~' '~.~ c.9 -. As of October 4, 2004 (1) Appointment of Guardian: Evel ' " ' "' yn O Hara ( Guardian ) is the permanent guardian of the person of Virginia A. Nottingham ("Mrs. Nottingham"), an incapacitated person. Guardian was appointed guardian of the person of Mrs. Nottingham by Order of this Court dated October 4, 2004, which has not been modified. (2) Current Address and Type of Placement: As of October October 4, 2004, Mrs. Nottingham resided at Messiah Village, a residential and long-term skilled nursing care facility located at 100 Mt. Allen Drive, Mechanicsburg, Pennsylvania 17055. (3) Major Medical or Mental Problems: As of October 4, 2004, Mrs. Nottingham suffered from dementia, atrial fibrillation, high blood press'~e, GERD and hyperlipidemia. (4) Description of Living Arrangements and Healthcare Services: As of October October 4, 2004, Mrs. Nottingham was residing with a roommate in a room in the special care community at Messiah Village. Around the clock nursing care is available to Mrs. Nottingham, and she is examined by her tending physician on a monthly basis. The staffofMessiah Village meets quarterly to discuss and evaluate each resident's care. (5) Modification of Guardianship: There has been no modification in the guardianship of Mrs. Nottingham since this Court's Order of October 4, 2004. (6) Visits by Guardian: Guardian visits with Mrs. Nottingham, on average two to three times a week. I certify that the information contained in this Initial Report are true and correct to the best of my knowledge, information, and beliefi Guardian: EvelynJ0'Hara 2 1N THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION NO. 21-04-0720 ¢~ c.,-~ -~.a:~ IN RE: ESTATE OF VIRGINIA A. NOTTINGHAM t~, ~ An Incapacitated Person c:.. ,.,. m: c5 ~ ~.3 r.:5 ~ 2: -~° ~,-,~.-~:~' _rz, ANNUAL REPORT OF EVELYN O~HARA, ~,~ARDIAN OF THE ESTATE OF VIRGINIA A. NOTTINGHAM ~ ~ As of October 4, 2004 (1) Evelyn O'Hara ("Guardian") is the plenary permanent guardian of the Estate of Virginia A. Nottingham ("Mrs. Nottingham"), an incapacitated person. Guardian was appointed guardian by Order of this Court dated October 4, 2004, ~vhich has not been modified. (2) Mrs. Nottingham is eighty-seven (87) years of age and currently resides at Messiah Village, a residential and long-term skilled nursing care provider, located at 100 Mt. Allen Drive, Mechanicsburg, Pennsylvania 17055. (3) The following is the initial Inventory of the principal of the Estate of Mrs. Nottingham as of October 4, 2004: PRINCIPAL: Cash: PNC Checking Account (as of 10/05/04) $ 58,392.42 Waypoint Bank Checking Account (as of 09/13/04) $113,884.90 Allstate Performance Plus Annuity (as of 06/04/04) $ 67,569.51 $ 239,846.83 Real Estate: 1830 Basin Hill Blvd (per Cumberland County assessment) $128,000.00 Carlisle, Pennsylvania TOTAL $ 367,896.83. * All of the assets listed above are jointly owned by Mrs. Nottingham and her husband, Dolby Nottingham. (4) The present sources of income for Mrs. Nottingham are monthly social security payments of $481.00 and the interest generated from the investments set forth in the Inventory. (5) The regular monthly expenses of Mrs. Nottingham are her monthlybills from Messiah Village, the long-term nursing care facility at which Mrs. Nottingham resides, which amount to about $6,000.00. This expense is off-set by a long tern~ care insurance policy which pays one-half (1/2) of the cost of the nursing (6) Guardian does not anticipate any extraordinary expenses on behalf of Mrs. Nottingham in the next twelve (12) months. (7) Mrs. Nottingham monthly social security benefits are deposited directly into her checking account with PNC Bank (#51-4018-9143). (8) Guardian has no out of the ordinary concerns about Mrs. Nottingham's physical or mental well being or her finances. (9) Guardian is the guardian of Mrs. Nottingham's person and its Report is filed herewith. I certify that the information contained in this Initial Report is true and correct to the best of my knowledge, information, and belief. Guardian: EvelynvD Hara I -.,. ~.", ......-\ " IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLV At-JTA ORPHANS' COURTDNISION NO. 21-04-0720 IN RE: ESTATE OF VIRGINIA A. NOTTINGHAM An Incapacitated Person FINAL REPORT OF EVELYN O'HARA, GUARDIAN OF THE ESTATE OF VIRGINIA A. NOTTINGHAM As of September 6, 2005 (1) Evelyn O'Hara ("Guardian") was the plenary permanent guardian ofthe Estate of Virginia A. Nottingham ("Mrs. Nottingham"), an incapacitated person, until Mrs. Nottingham passed away on July 9,2005. Guardian was appointed guardian by Order of this Court, dated October 4,2004, which has not been modified. (2) At the time of here death, Mrs. Nottingham was eighty-eight (88) years of age and resided at Messiah Village, a residential and long-term skilled nursing care provider, located at 100 Mt. l'\.llen Drive, Mechanicsburg, Pennsylvania 17055. I' ;) (3) The following is the final Inventory ofthe principal ofthe Estate ofMr$.N~ttingh4 ~ as ofth~~ date of her death on July 9,2005: -1 I-~; ~-~5 .. ~ -'.-1 . . 'I PRINCIPAL: (.) , ~~J I I I ;.' . ) -;-1 ) Cash: PNC Checking Account (as of July 9, 2005) Sovereign (formerly Waypoint) Bank Checking Account (as of July 9,2005) Allstate Performance Plus Annuity (as of July 9,2005) TOTAL ( :.-1 $ 86,516.46(,3 $ 162,487.55 $ 69500.00 $ 318,504.01 * All of the assets listed above are jointly owned by Mrs. Nottingham and her husband, Dolby Nottingham, who survives. ** On June 24, 2005, Mr. and Mrs. Nottingham sold their home at 1830 Basin Hill Blvd., Carlis e, Pennsylvania. Said sale netted $135,121.13 which was deposited into the Sovereign Bank decking account stated above. (4) As of the date of Mrs. Nottingham's death, her sources of income were monthly spcial security payments of $481.00 and the interest generated from the investments set forth in the Inv ntory. 1 v-- I . - . ,.., ,..., '. , (5) As ofthe date of Mrs. Nottingham's death, her regular monthly expenses were he monthly bills from Messiah Village, the long-term nursing care facility at which Mrs. Nottingham reside , which amount to about $6,000.00. This expense was off-set by a long term care insurance policy whic paid one-half(l/2) of the cost ofthe nursing care. (6) Mrs. Nottingham's monthly social security benefits were deposited directly into he checking account with PNC Bank (#51-4018-9143). (7) Guardian was also the guardian of Mrs. Nottingham's person and her Repo for said guardianship is filed herewith. I certify that the information contained in this Initial Report is true and correct to the knowledge, il1fonnation, and belief. Guardian: Date: q 1/ 'fIb ~ ~ 2.1 c'(~ Evelyn Rara 2 IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYL V ORPHANS' COURT DIVISION NO. 21-04-0720 IN RE: ESTATE OF VIRGINIA A. NOTTINGHAM An Incapacitated Person FINAL ANNUAL REPORT OF EVELYN O'HARA, GUARDIAN OF THE PERSON OF VIRGINIA A. NOTTINGHAM As of September 6, 2005 (1) Appointment of Guardian: Evelyn O'Hara ("Guardian") was the permanen guardian ofthe person of Virginia A. Nottingham ("Mrs. Nottingham"), an incapacitated per on. Guardian was appointed guardian of the person of Mrs. Nottingham by Order of this Court d ted October 4, 2004, which has not been modified. -) -i (2) Death of Mrs. Nottingham: Mrs. Nottingham passed away on July 9;2005, \' , .) which time she was a resident of Messiah Village, a residential and long-term skilled nursing: care facility located at 100 Mt. Allen Drive, Mechanicsburg, Pennsylvania 17055. (3) Modification of Guardianship: There has been no modification in the guardianship of Mrs. Nottingham since this Court's Order of October 4,2004. I certify that the information contained in this Final Report is true and correct to the b~st ! of my knowledge, information, and belief. Guardian: Date: 9/1 t /0 ') 1J . () '1Ja~~ ara 1 ~ ,) : 1 (..1.1