HomeMy WebLinkAbout12-21-11IN THE COURT OF COMMON PLEAS
CUMBERLAND COUNTY, PENNSLYVANIA
ORPHANS' COURT DIVISION
IN THE MATTER OF
ARLENE K. ARMOLT
An Alleged Incapacitated Person
No. ~ ~ - ~ 1 - ` ~~
AFFIDAVTT OF SERVICE
The undersigned hereby verifies that he or she made personal service of the citation and copies
of the petition and preliminary decree upon the alleged incapacitated person.
Such personal service was made on (~G}• `~.Z ~ ~ ~ ~ at ~M. at the following
location: ~ b ~ ~ ~~a1~.~~.~ W06a, ~6~ ~ ~P.wd6~~¢.-y ~i4 ~ ~a~,1
The undersigned hereby verifies that at such time, he or she explained the contents and terms of
the petition to the alleged incapacitated person to the maximum extent possible in language and
terms the alleged incapacitated person was most likely to understand.
The above statements are made subject to the penalties of 18 Pa.C.S. §4904 relating to unsworn
falsification to authorities.
Date Signature
Printed Name: ~ ~~~
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