HomeMy WebLinkAbout01-24-12 (2)ANNUAL REPORT OF
GUARDIAN OF THE ESTATE
COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
ORPHANS' COURT DIVISION
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Estate of WILLIAM HERBERT OCKER an Incapacitated Person
No. 21-09-0695
I. INTRODUCTION
Kimberly Sue Ocker was appointed
®Plenary ^Limited Guardian of the Estate by Decree of Kevin A. Hess ~ J
dated 9/ 11 /2009
® A. This is the Annual Report for the period from September 1 2010
to September 30, 2011 (the "Report Period"); or
^ B. This is the Final Report for the period from ,
to ,
(the "Report Period"), and is filed
for the following reason:
I . The death of the Incapacitated Person. Date of death:
Name of Personal Representative:
2. The Guardianship was terminated by the Court by Decree of
J., dated
Form G-Ol rev. 10.13.06 Page I of S
Estate of WILLIAM HERBERT OCKER , An Incapacitated Person
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?
$ 132,456.82
$ 127,630.56
$ 58,931.40
$ 108,184.56
E. What are the balances remaining at the end of the Report
Period?
1. Principal $ 156,706.30
2. Income $ 0.00
3. Total of Principal and Income $ 156,706.30
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.):
Real Estate; 401 K account; savings account; checking account
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
l:orm c-oa rev. 10.13.06 Page 2 of 5
Estate of WILLIAM HERBERT OCKER
b. List purpose and amount of expenditures:
See attached
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
[f 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:
See attached
B. Income
1. State sources and amounts of income received
during the Report Period (e.g., Social Security,
pension, rents, etc.):
Workers compensation
Social Security
Kimberly Ocker's salary
M&T Savings, interest
Total income received during Report Period:
$ 35,507.36
$ 8,256.00
$ 15,167.43
$ 0.61
$ 58,931.40
Form a-Ol rev. 10./3.06 Page 3 of 5
Estate-of WILLIAM HERBERT OCICER , An Incapacitated Person
2. How is income currently invested? (Please
specify, e.g., restricted bank accounts, client
care account, etc.):
All income has been expended for the year of report (except for interest in
M&T savings account); income received is deposited into checking
account jointly owned with LP., his spouse and his-son.
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.):
Medical insurance; home improvements and repairs for comfort of I.P.; therapy
and equipment; gasoline, insurance and maintenance of conversion van used to
transport I.P.; prescriptions not covered by insurance; night gowns and protective
undergarments for I:P.; meals and motel expenses when I.P. is treated away from
home; misc. medical and personal supplies.
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.)
Food, clothing, utilities, insurance, taxes and maintenance of home, gas, insurance
and maintenance of family vehicle, home and auto loans, life and medical
insurance premiums, home repairs and supplies and other necessities of life.
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
None
^ Yes ^ No
^Yes ^No
Torn, c-oz rev. 10.13.06 Page 4 of 5
Estate of WILLIAM HERBERT OCKER
An Incapacitated Person
F. Counsel Fee.
List amounts paid as counsel fee, and indicate whether Court approval was obtained.
Court
Amount Approval Obtained
0.00 ^ 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. ~
Date Sagna a of Guardian of the state
Kimberly Su O er
Name of Guardian of the Estate (type or print)
730 Mountain Road
Address
Newville, PA 17241
City. State, Zip
717-776-7469
Telephone
Form G-02 rev. (0.13.06 Page S of S
F:\FILES\CI~.+\13509 Ocka\13509.4 EF+Reports\13509.4.2011.estMe.attechmmts
ATTACHMENT TO
ANNUAL REPORT OF GUARDIAN OF THE ESTATE
COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
ORPHANS' COURT DMSION
Estate of WILLIAM HERBERT OCKER, An Incapacitated Person
No. 21-09-0695
II. SUMMARY
D. The figure shown on the report includes expenses for the family which
are paid from funds in the checking account owned j ointly with Incapacitated
Person, his wife and son, and into which the family income is deposited
III. ADDITIONAL INFORMATION
A. Principal
2.b. List purpose and amount of expenditures:
Home remodeling, repairs & maintenance 15,951.25
Chase loan payments 8,200.80
Ford loan payments 5,062.07
Geisinger, medical insurance 1,607.60
Life insurance 378.00
Vehicle insurance 3,027.00
Real estate and income taxes (not including withholding) 1,107.64
Vehicle repairs 3,144.45
Church 5,430.00
Student loan 1,839.50
Medical, personal care 1,084.81
Meals/gas during medical visits 926.08
CelUinternet services 2,722.72
Home telephone 906.21
Electric 1,799.92
Heating oil 1,512.03
Trash removal 443.41
Satellite dish services 805.45
Other miscellaneous payments, including but not limited
to food, gasoline, vehicle expense, credit cazd payments,
entertainment, personal 52,235.62
3.b. State the sources and amounts of the
additional principal received:
Home equity line of credit 18,000.00
Donation from church 2,456.43
Gift from wife's parents 500.00
payments from son 1,100.00
Income and real estate tax refunds 3,559.92
Change in value of 401K as of 9/30/11 1,688.78
Other 8,217.01