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FINAL REPORT OF GUARDIAN OF rn � r � �,
THE ESTATE �' � r ►�-� `° �'
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COURT OF COMMON PLEAS OF �'' �' '=? � � �
CUMBERLAND COUNTY,PENNSYLVANIA� � ��� � �; c=�
ORPHANS' COURT DIVISION °.� =-� r- ��
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Estate of Pauline K. Cover an Incapacitated Person
No. 179 of 2013
I.INTRODUCTION
Kevstone Guardianship Service , was appointed
�Plenary Limited Guardian of the Estate by Decree of Christylee L .Peck ,J.,
dated 5/31/2013
❑ A. This is the Annual Report for the period from ,
to (the "Report Period"); or
� B. This is the Final Report for the period from May 31 , 2013
to June 17 , 2013 (the "Report Period"), and is filed
for the following reason:
1. The death of the Incapacitated Person. Date of death: 6/17/2013
Name of Personal Representative:
2. The Guardianship was terminated by the Court by Decree of
J., dated
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Estate of Pauline K.Cover an Incapacitated Person
II. SUMMARY
A. State the value of the estate reported on the Inventory $.00
B. State the value(s) of income and principal assets at the
beginning of the Report Period. (Same as Inventory if first
otherwise, ending balance from last Report.)
Principal $.00
Income $.00
C. What is the total amount of income earned during the
Report Period? $.00
D. What is the total amount of income and principal
spent for all purposes during the Report Period? $.00
E. ,
F. What are the balances remaining at the end of the Report
Period?
1. Principal $.00
2. Income $.00
3. Total of Principal and Income $.00
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.):
$
$
$
$
Total Principal Balance: $.00
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Estate of Pauline K. Cover an Incapacitated Person
2. Have there been any expenditures from the principal
during the Report Period? .............................................................. Yes �N
If yes:
a. Have all expenditures from the principal been for
the sole benefit of the Incapacitated Person? .............. Yes No
b. List purpose and amount of expenditures:
All principal used is transferred to Income.
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 �
If 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:
B. Income
1. State sources and amounts of income received during
the Report Period (e.g., Social Security, pension, rents,
etc.):
$
$
$
$
$
$
$
Total income received during Report Period: $.00
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Estate of Pauline K. Cover an Incapacitated Person
2. How is income currently invested? (Please
specify, e.g., restricted bank accounts, client
care account, etc.):
$
$
$
Total Income Balance: $.00
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.):
$
$
$
$
$
$
Total Expenses for Care and Maintenance: $.00
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.)
$
$
$
$
Total for Other Expenditures: $.00
E. Guardian's Commissions
List amounts of compensation paid as Guardian's commission
and state how amount was determined:
Court
Amount Method of Determination Approval Obtained
.00 Fees ($xx.xx per hour) Yes No
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Estate of Pauline K. Cover an Incapacitated Person
F. Counsel Fee
List amounts paid as counsel fee, and indicate whether Court approval was obtained.
Court
Amount Approval Obtained
N/A 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.
1 C,31�� �
Date Signat e of Guardian of the Estate
MelaniePeters
Name of Guardian of the Estate(rype or print)
PO Box 804
Address
E[izabethville.Pa 17023
Ciry,State,Zip
717-674-5757
Telephone
Notes:
• Due to the short period of time we served as Guardian of the Estate due to Ms. Covers'
untimely death, we did not receive, nor disburse any of her money.
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