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HomeMy WebLinkAbout06-20-12 (2)Clerk of Orphans' Court of Cumberland County nv ~: ~ a h n ~ ye ,1 f ~ ~ Docket No. L- C ~~ ~ l ~ C ~ ~ C;, An Incapacitated erson ANNUAL REPORT OF GUARDIAN OF THE ESTATE I, ~~ir~ ~~.-~ l-/y ~ 9G~a rr~ i`h ~. r`thh / ~Y ~ /~v n-, ~ .-~- ,was ere appointed plenary guardian(s) of the estate of d y~ Q I ~ ~ by Decree of the Honorable Judge 6 I l;Y' .Dated =.~==~-'t~n2- ~J~ This is my annual report for the period from Sv~,~o~ to s~~+ ~, ~o%~ , ("The Report Period"). I. SUMMARY A. Value of principal assets at the beginning of the Report Period? $ ~ ~,-7~--~' B. Total amount of income earned during the report period? U~e.M~~a~.~rb/.2 $ Q Total amount of all expenditures made for care and maintenance of the C. incapacitated person during the Report Period? 1. From principal 2. From income D. Total amount spent for ali other purposes during the Report Period? E. Total amounts remaining at the end of the Report Period? 1. Principal 2. Income Total Income and Principal ~ 7 $ O ~ ~.S / 5 I ~ 1v,7.-~" ~ ~~ a,~ s ~'~ J ~, ~ o~ c- ~~ ~ n ~- <r`~ C7 ~- ._ ,. OC . ~ r iv .. _ ~~ ~ f-- r-n © ~'~ C7 N --n l II. ADDITIONAL INFORMATION A. Principal: 1. Total amount remaining at the end of the Report Period? $ .~33~...3 f~ 2. How is principal currently invested? 3. Have there been any expenditures from principal during the Report 1 Period? ~J Yes ^ No If you answered YES, was there Court approval for all expenditures 1 from principal? !~J Yes ^ No 4. Did you receive any principal assets during the report period which were not included on the inventory or a prior report filed for the estate? ^ Yes Q~No If you answered YES, did you receive Court approval prior to receiving additional principal? ^ Yes ^ No ~. State the sources and amounts of the additional principal you received: S B. Income: 1. State sources and amounts of income received during the Report Period (i.e., social security, pension, rents, etc.): ~~ ~~~ /Y/ b rl rf/r~ $ .2... Total Income received during Report Feriod S ~~~. -' 2. How is income currently invested? (Please specify, restricted bank accounts, client care account, etc.) 3. Specify what payments were made for the caze and maintenance of the incapacitated person (i.e., clothing, nursing home, medicine, support, etc.). 4. Specify what other payments were made during the Report Period. !~$75,~ r~f,~.a.~ (for cc , c °- ~~-5,- C'k.-~vr UCYCIr~s~n,ks i'q /f'35,~'Ck. Ur, 9 vh ~ C.D-e r.~-r'S f C'k L .~'38',y~l~,~S~;r~}s d as~-f~ ~or7~< J.Z. x=01- 9 T s S t 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.A. ,¢4904 relative to unsworn falsification to authorities. ~~,/' 2 Date ~ Signature o uazdian * FILING FEE SIS MUST ACCOMPANY THIS FILING.