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IN RE: DIANA L. FENTON PATE : IN THE COURT OF COMMON PLEAS
OF CUMBERLAND COUNTY,
: PENNSYLVANIA
ORPHANS' COURT DIVISION
An alleged incapacitated person : NO. a 13 - jo2 2
On the Petition of THOMAS P. PATE
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PETITION FOR APPOINTMENT OF GUARDIAN OF THE, - -
PERSON AND ESTATE OF AN ALLEGED INCAPACITATVD-PERSON -}
TO THE HONORABLE PRESIDENT JUDGE OF SAID COURT:
NOW COMES,Petitioner,THOMAS P. PATE,of 5034 Erbs Bridge Road,Mechanicsburg,
Pennsylvania 17050, by and through his attorney, Linda J. Olsen, Esquire, and files the within
Petition for the Appointment of Guardian of the Person and Estate of an Alleged Incapacitated
Person, and in support hereof, avers as follows:
1. DIANA L. FENTON PATE, the alleged incapacitated person, currently resides at
5034 Erbs Bridge Road, Mechanicsburg, Pennsylvania 17050.
2. DIANA L. FENTON PATE is fifty-nine (59) years old, her date of birth being
November 5, 1953.
3. DIANA L. FENTON PATE has no children.
4. DIANA L. FENTON PATE is not a patient in a mental hospital.
5 The Petitioner is DIANA L.FENTON PATE's husband,THOMAS P.PATE,of 5034
Erbs Bridge Road, Mechanicsburg, Pennsylvania 17050.
6. The name and address of the person who would be the intestate heir(or next of kin)of
DIANA L. FENTON PATE is her husband: THOMAS P. PATE, (Petitioner/spouse), 5034 Erbs
Bridge Road, Mechanicsburg, Pennsylvania 17050.
7. DIANA L.FENTON PATE and THOMAS P.PATE were married on September 22,
2001.
8. The name and address of the person or institution providing residential services to
DIANA L. FENTON PATE are as follows:None.
9. The names and addresses of other service providers are as follows: Home Instead,
5002 Lenker Street, Suite 101,Mechanicsburg,Pennsylvania 17050 and Gentiva Horne Health and
Hospice, 4660 Trindle Road, Suite 204, Camp Hill, Pennsylvania 17011.
10. DIANA L. FENTON PATE's primary physician is: Dr. Charles L. Lowe, M.D.,
Silver Creek Family Health Center,310 Lambs Gap Road,Mechanicsburg,Pennsylvania,(717)591-
1425.
11. DIANA L.FENTON PATE was not a member of the Armed Services of the United
States nor is she receiving benefits from the United States Veterans Administration.
12. The Petitioner asks that be, THOMAS P. PATE, be appointed as Guardian of the
person and estate of DIANA L.FENTON PATE. The proposed guardian is the spouse of DIANA L.
FENTON PATE.
13. The proposed guardian has no interests that are adverse to the interests of DIANA L.
FENTON PATE.
14. Petitioner believes,and therefore avers,that no Court has ever assumed jurisdiction in
a proceeding to determine whether DIANA L. FENTON PATE is incapacitated.
15. Petitioner believes, and therefore avers, that DIANA L. FENTON PATE has not
previously had a guardian appointed,nor is a guardianship hearing pending in any other jurisdiction.
16. The reasons why this guardianship is being sought are as follows: DIANA L.
FENTON PATE is unable to manage her financial affairs or to make decisions regarding health
care/medical decisions, due to Frontal Temporal Dementia.
17. The functional limitations and physical and mental condition of DIANA L.FENTON
PATE are: DIANA L.FENTON PATE is not able to manage her financial affairs,nor is she able to
make competent decisions as far as her welfare is concerned. DIANA L. FENTON PATE is non-
verbal,bed bound,non-ambulatory,incontinent,and requires around-the-clock care and assistance
with all of her activities of daily living.
18. DIANA L. FENTON PATE's care is being paid for by the Petitioner. Petitioner
needs to have access to DIANA L. FENTON PATE's solely owned assets so the funds can be
utilized for care expenses which are approximately Fifty Thousand Dollars ($50,000.00) to Sixty
Thousand Dollars ($60,000.00) annually.
19. The following steps have been taken,in order to find less restrictive alternative to the
appointment of a guardian: DIANA L. FENTON PATE does not have the capacity to execute a
power of attorney. No less restrictive alternatives are available to adequately provide for the physical
and financial care of DIANA L. FENTON PATE.
20. The Petitioner requests that the guardian be granted powers to act for DIANA L.
FENTON PATE in the following specific areas: financial management,the ability to sell or transfer
real estate, and medical and health care affairs including care and placement decisions,access to all
medical records, including psychiatric records, and the power to make all decisions regarding
medical treatment and life support.
21. Petitioner also requests that he,in his capacity as plenary Guardian of the Person and
Estate of DIANA L. FENTON PATE, have the power and authority to serve as personal
representative for DIANA L. FENTON PATE for all purposes of the Health Insurance Portability
and Accountability Act of 1996,(Pub.L.104-191),45 CFR Sections 160 through 164,including but
not limited to full authority to review her medical records and to execute releases of confidential
information from medical providers and insurers or other third party payors.
22. The proposed guardian has the following qualifications: The proposed guardian is the
spouse of DIANA L. FENTON PATE. The proposed guardian loves and cares for DIANA L.
FENTON PATE.
23. DIANA L.FENTON PATE's assets total approximately Five Hundred Thirty-Eight
Thousand Dollars($538,000.00)titled in her sole name and approximately Three Hundred Seventy-
Six Thousand Dollars ($376,000.00) titled jointly with Petitioner/spouse, THOMAS P. PATE.
24. DIANA L.FENTON PATE's net income from a Federal Government pension totals
approximately Two Thousand Six Hundred Seventy-Four Dollars ($2674.00) per month.
WHEREFORE, Petitioner respectfully requests that the Court,pursuant to Section 5511 of
the Probate,Estates and Fiduciaries Code,issue a Citation to DIANA L.FENTON PATE,DIANA L.
FENTON PATE's next of kin, and to such other persons as the Court directs, to show cause why
DIANA L. FENTON PATE should not be adjudged to be an incapacitated person and a plenary
guardian of her person and estate be appointed.
Respectfully Submitted,
HAZEN ELDER LAW
Az'v�
Date By: in a J. OlseW, Esquire
PA ID No. 92858
2000 Linglestown Road
Suite 202
Harrisburg,PA 17110
(717) 540-4332
lolsen @hazenelderlaw.com
COMMONWEALTH OF PENNSYLVANIA
SS:
COUNTY OF DAUPHIN
On this, the day of Je�t17 2013, before me, the undersigned officer,
personally appeared THOMAS P. PATE who,being duly sworn according to law, does depose and
say that the facts set forth in the foregoing Petition are true and correct to the best of his knowledge,
information and belief.
IN WITNESS WHEREOF, I hereunder set my hand and official seal.
THOMAS P. PATE
SWORN to and subscribed before me this day of 2013.
a1 Pu lic
COMMONWEALTH OF PENNSYLVANIA
Notarial Seal
„_ {••. _ Linda 1.0isen,Notary Public
Susquehanna TWO.,Dauphin county
' p. My commission Expires Oct.17,2016
IN RE: DIANA L. FENTON PATE : IN THE COURT OF COMMON PLEAS
: OF CUMBERLAND COUNTY,
: PENNSYLVANIA
: ORPHANS' COURT DIVISION
An alleged incapacitated person : NO.
On the Petition of THOMAS P. PATE
VERIFICATION
I verify that the statements made in this Petition are true and correct. I understand that false
statements herein are made subject to the penalties of 18 PA.C.S. § 4904, relating to unsworn
falsification to authorities.
7
THOMAS P. PATE
IN RE: DIANA L. FENTON PATE : IN THE COURT OF COMMON PLEAS
OF CUMBERLAND COUNTY,
: PENNSYLVANIA
ORPHANS' COURT DIVISION
An alleged incapacitated person : NO.
On the Petition of THOMAS P. PATE
CONSENT TO APPOINTMENT AS GUARDIAN
1. The name of the proposed guardian of the person of DIANA L. FENTON PATE is
THOMAS P. PATE.
2. The name of the proposed guardian of the estate of DIANA L. FENTON PATE is
THOMAS P. PATE.
3. The proposed guardian speaks, reads and writes the English language.
4. The proposed guardian does not have an interest adverse to the alleged incapacitated
person.
5. The proposed guardian is retired.
6. The proposed guardian is not a fiduciary, or officer or employee of a corporate
fiduciary of an estate in which the alleged incapacitated person has an interest;and is not the surety,
or officer or employee of a corporate surety of such fiduciary.
Dated: Zc/
THOMAS P. PATE