HomeMy WebLinkAbout02-28-13
RFCC~O ~~~ ~U~ OF
~ECiS7~ C~ '~l~.LS
ANNUAL REPORT OF .% ~~3 ~ t
IAN OF THE PERS~SN ~ ~ B ~ 8 ~' ~ ~ ~ ~
GUARD
CI.E~ ~~=
O~PN~~S' C°~.~~ti~'
COURT OF COMMON PLEAS OF C U ~ 8 E R L ~ t~l D C ~ . , PA
Cumberland COUNTY, PENNSYLVANIA
ORPHANS' COURT DIVISION
Estate of Todd Stewart Thomas, Jr. , an Incapacitated Person
No. 21-2011-0046
I. INTRODUCTION
Todd S. Thomas, Sr. & Tabitha C. Thomas ,was appointed
m Plenary Limited Guardian of the Person by Decree of J. Wesley Ohler , J,~
dated March 1, 2011
m A. This is the Annual Report for the period from March 1 ~ 2012
to February 28, 2013 (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:
1. The death of the Incapacitated Person. Date of death:
2. The Guardianship was terminated by the Court by Decree of
For a Final Report, omit Sections II through IV.
Form G-03 rev. 10.13.06
J., dated
Page 1 of 4
~`.~~
Estate of Todd Stewart Thomas, Jr. , an Incapacitated Person
II. PERSONAL DATA
Age of the Incapacitated Person: 20
III. LIVING A~ItRANGEMENTS
A. Current address of the Incapacitated Person:
80 Sunnyside Drive, Carlisle, PA 17015
B. The Incapacitated Person's residence is:
Date of Birth: 11/28/92
Q own home /apartment
nursing home
boarding home /personal care home
® Guardian's home /apartment
Q hospital or medical facility
0 relative's home (name, relationship and address)
other:
C. The Incapacitated Person has been in the present residence since August 2047
. 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 Todd Stewart Thomas, Jr. , an Incapacitated Person
D. Name and address of the Incapacitated Person's primary caregiver:
Tabitha C. Thomas
80 Sunnyside Drive
Carlisle, PA 17015
IV. MEDICAL INFORMATION
A. The major medical or mental problems of the Incapacitated Person are as follows:
Autism- PDD/NOS
Mild Mental Retardation
B. Specify what, if any, social, medical, psychological and support services the
Incapacitated Person is receiving:
Family support services through the MH/MR/IDD office, medical assistance, SSI.
He is also involved in various sports related activities (Special Olympics, Easter
Seals, & Carlisle's Best Friends group.)
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 Todd Stewart Thomas, Jr. , an Incapacitated Person
The reasons for the foregoing opinion are:
Autism is a life-long disability. Due to his diagnosis, and the things seen as primary
care-giver on a daily basis, it is difficult for Todd to function on his own. He would
be unable to manage his person and his financial matters in a responsible manner.
B. During the past year, the Guardian of the Person has visited the Incapacitated Person
times with the average visit lasting 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 Verification is subject to the penalties of 18 Pa. C.S.A. § 4904
relative to unsworn falsification to authorities.
February 28, 2013 X J t ~tG~~
Date Signature of Guardian of the Person
Todd S. Thomas Sr. , Tabitha C. Thomas
Name of Guardian of the Person (type or print)
80 Sunnyside Drive
Address
Carlisle, PA , 17015
City, State, Zip
717-620-8051
Telephone
Form G-03 rev. 10.13.06 Page 4 of 4