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ANNUAL REPORT OF � � .-, � -`' �'
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GUARDIAN OF THE ESTATE r�� �;, r_- 3��
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y� G.J
COURT OF COMMON PLEAS OF
Cumberland COUNTY, PENNSYLVANIA
ORPHANS' COURT DIVISION
Estate of Nancy M. Stuck .an Incapacitated Person
No. �-r -D� — i�U�
I. INTRODUCTION
Donald B. Stuck , was appointed
❑Plenary �Limited Guardian of the Estate by Decree of J.,
dated
✓� A. Tt�is is the Annual Report for the period from January O1 � 2013
to December 31 , 2013 (the"Report Period"};or
❑ B. This is the Fin$1 Report for the perioa from
to (the"Report Period"),and is fi(ed
for the following reason:
1. 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
Fo�c-oz rev./O.I3.06 Page 1 of 5
�
Estaxe of Nancy M. Stuck _ ,An Incapacitated Person
II. SUNIlVIAItY
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? $ 0.�
D. What is the total amount of income and principal
spent for all purposes during the Report Period? $
E. What are the balances remaining at the end of the Report
Period?
l. Principal $ 2,500.00
2. Income $ 0.00
3. Total of Principal and Income $ 2,500.00
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.):
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
Fo,m c-oz rev.10.13.06 Page 2 of 5
Estate of Nancy M. Stuck ,An Incapacitated Person
b. List purpose and amount of expenditures:
$
$
$
�
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 0 No
If yes:
a. Was Court approval requested prior to
receiving the additional principal? . . . . . . . . . . . . . . . . ❑Yes 0 No
b. State the sources and amounts of the
additional principal received:
$
$
h $
$
$
B. Income
1. State sources and amounts of income received
during the Report Period(e.g., Social Security,
pension,rents,etc.):
Social Security � 14,076.00
Pension $ 8,640.00
Annuity(Husband) $ 809.0(1
$
$
$ _--
Total income received during Repart Period: $ 23,525.00
Form G-Ol rev.]0.13.06 Page 3 of 5
Estate of Nancv M Stuck ,An Incapacitated Person
2. How is income currently invested? (Please
specify,e.g.,restricted bank accounts,client
care account,etc.):
� �
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.):
Clothing-204.00
wheelchair �5 D,�''�
D. Other Ezpenditures
Specify what other expenditures were made during the Report
Period. (Do not include any items stated in response to
question C above.)
r� v � �
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
�� ''`� � ❑Yes ❑No
❑Yes ❑No
Fo.m c-o2 r�.�0.�3.06 Page 4 of 5
Estate of Nancy M. Stuck An Incapacitated Person
F. Counsel Fee
List amounts paid as counsel fee,and indicate whether Court approval was obtained.
Court
Amount Approval Obtained
'� �� � ❑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.
_...._ .._�
January 21,2014 _� ��� I� ..�.�1_
aore s;grtnture ofcvardian ofrhe Esrate
Donald B. Stuck
Name oJGaardian of the Estaie(type or priru)
9952 A�ts�mn Sage Way
Address
Elk Grove,CA. 95757
ary,sra�e,z�p
717-608-9399
Te�ephone
Form G-02 rev.]013.06 Page 5 of 5