HomeMy WebLinkAbout04-16-14 IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA
ORPHANS COURT DIVISION
In re: HEAVYN K. SCHOCK, File No. 2I - 1 — 31.Q3
A minor
Petition for Appointment of Guardian
for a Minor Child under the Age of 14 Years
Petitioner, Marlin H. Miller, respectfully states:
1. Petitioner is Marlin H. Miller, an adult individual who resides at 220 Green Hill Rd,
Newville, PA 17241.
2. The minor child, HEAVYN K. SCHOCK, was born on February 28, 2013, and is currently
one (1) year old.
3. Petitioner is the minor child's paternal grandfather.
4. The minor child lives at 220 Green Hill Rd, Newville, PA 17241, with the proposed
guardians, Marlin H. Miller and Kathy L. Miller.
5. Other individual living with Petitioner, the proposed co-guardian and the minor child is:
Tyler James Miller, 5, son. The mother of the minor child is Shannon L. Schock, who
resides at 220 Green Hill Rd, Newville, PA 17241.
6. The father of the minor child is Michael S. Schock, who resides at 220 Green Hill Rd,
Newville, PA 17241.
7. The child is in need of a guardian because the proposed guardian wishes to have
general legal authority to be able to protect and provide for the child in any
circumstances which may arise in the future.
8. (Check one of the two checkboxes below.)
'N The consent of the child's mother is attached.
❑ Petitioner was not able to obtain a signed consent from the child's mother because:
9. (Check one of the two checkboxes below.)
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Petition for Guardianship of Heavyn K. Schock. Pag&4 of D M
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If The consent of the child's father is attached.
❑ Petitioner was notable to obtain a signed consent from the child's father because:
10. Petitioner, age 61 years, and. Kathy L. Miller, age 46, are the proposed Guardians of the
Person of the minor child. -
11. The proposed co-guardian, Kathy L. Miller, lives with Petitioner at 220 Green Hill Rd,
Newville, PA 17241, and is the paternal grandmother of the child. She is also
Petitioner's wife.
12. Petitioner believes that he and Kathy L. Miller are qualified and suitable to be appointed
as Guardians of the Person of the minor child.
13. The consents of the proposed Guardians are attached to this petition.
WHEREFORE, Petitioner, Marlin H. Miller, nominates Kathy L. Miller and himself as
Guardians of the Person of HEAVYN K. SCHOCK, and requests this Honorable Court to make
such appointment pursuant to Section 5111 of the Probate, Estates and Fiduciaries Code, 20
Pa.C.S.A. § 5111.
Date: Z//15 /;I 01 1, -W
Marlin H. Miller, Petitioner
Petition for Guardianship of Heavyn K. Schock Page 5 of 10
Verification
1, Marlin H. Miller, Petitioner, verify that the facts stated in the foregoing Petition for
Appointment of a Guardian of the Person of a Minor under the age of fourteen (14) years are
true and correct to the best of my knowledge, information and belief. Petitioner understands
that false statements therein are subject to the penalties of 18 Pa.C.S.A. §4904 relating to
unsworn falsification to authorities.
Date: '��!✓c/ a v ! 7✓tir�/�K
Marlin H. Miller, Petitioner
Petition for Guardianship of Heavyn K. Schock Page 6 of 10
IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA
ORPHANS COURT DIVISION
In re: HEAVYN K. SCHOCK, File No.
A minor
Acceptance by Guardian
1, Marlin H. Miller, agree to accept the appointment as Guardian of the Person of Heavyn
K. Schock, a minor child.
My domicile is 220 Green Hill Rd, Newville, PA 17241, and 1 am employed as a
mechanic.
1 am a citizen of the United States. I can speak, read and write the English language.
Date:
Marlin H. Miller,
Proposed Guardian of the Person
Petition for Guardianship of Heavyn K. Schock Page 7 of 10
IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA
ORPHANS COURT DIVISION
In re: HEAVYN K. SCHOCK, File No.
A minor
Acceptance by Guardian
I, Kathy L. Miller, agree to accept the appointment as Guardian of the Person of Heavyn
K. Schock, a minor child.
My domicile is 220 Green Hill Rd, Newville, PA 17241, and I am disabled.
I am a citizen of the United States. I can speak, read and write the English language.
Date: l/S'la 01�/ lA"t" '
Kathy L. Miller,
Proposed Guardian of the Person
Petition for Guardianship of Heavyn K. Schock Page 8 of 10
IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA
ORPHANS COURT DIVISION
In re: HEAVYN K. SCHOCK, File No.
A minor
Consent of Father to Appointment of Guardian
of the Person of a Minor
I, Michael S. Schock, am the Father of HEAVYN K. SCHOCK, a minor child under the
age of fourteen (14) years.
I consent to the appointment of Marlin H. Miller and Kathy L. Miller as Guardians of the
Person of my minor child, HEAVYN K. SCHOCK.
Date: �/ �/;�ej Ll
Michael S. Schock, Father
Petition for Guardianship of Heavyn K. Schock Page 10 of 10
IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA
ORPHANS COURT DIVISION
In re: HEAVYN K. SCHOCK, File No.
A minor
Consent of Mother to Appointment of Guardian
of the Person of a Minor
I, Shannon L. Schock, am the mother of HEAVYN K. SCHOCK, a minor child under the
age of fourteen (14) years.
I consent to the appointment of Marlin H. Miller and Kathy L. Miller as Guardians of the
Person of my minor child, HEAVYN K. SCHOCK.
Date: Zl�i�.2 o l�/ � �t1 21r LL '
Shannon L. Schock, Mother
Petition for Guardianship of Heavyn K. Schock Page 9 of 10
I verify that the information in the Certificate of Service is true and correct. I understand
that false statements herein are made subject to the penalties of 18 Pa.C.S.A. §4904, relating
to unswom falsification to authorities.
Date: �r�/5�� o/t/
Marlin H. Miller, Petitioner
STAPLE OR TAPE THE CERTIFIED MAIL RECEIPTS BELOW:
Postal
CERTIFIED MAIL,,, RECEIPT
Er (Domestic Mail Only;No insurance Coverage Provided)
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OFFICIAL USE
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SENDER: COMPLETE SECTION •MPLETE THIS SECTION ON lVERY
■ Complete items t,2,and 3.Also complete A. Signature
Item 4 If Restricted Delivery is desired. ❑Agent
• Print your name and address on the reverse X N [I Addressee
so that we can return the card to you. B. Received by(Prfnted Nama) C. Date of Delivery E
• Attach this card to the back of the mallplece, h�6 SG 6G G y 5 a
or on the front if space permits.
D. Is delivery address different from Item 1? 0 Yes
1. Article Addressed to: 77 If YES,enter delivery address below: ❑No
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3. Service Type
❑Certified Mall ❑Express Mall
0 Registered ❑Return Recelpt for Merchandise
❑ Insured Mall ❑C.O.D.
4. Restricted Delivery?(Extra Fee) ❑Yes
2. Article Number
(transfer from semlos labeg
PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-1540
i
Certificate of Service for Shannon L. Schock Page 2 of 2
I verify that the information in the Certificate of Service is true and correct. I understand
that false statements herein are made subject to the penalties of 18 Pa.C.S.A. §4904, relating
to unswom falsification to authorities.
Date: ����/201'� r"� s—`�✓ J
Marlin H. Miller, Petitioner
STAPLE OR TAPE T.412 fCW RT4REID BMAIlZftLftWlid--NL-,dW:
Postal
Cr I CERTIFIED MAIL,, RECEIPT
� (Domestic Mail Only;No insurance Coverage Provided)
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L OFFICIAL USE�/
0-' Postage E
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COMM Fee
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C3 Rehm Recelpt Fee Here
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SENDER: • SECTION COMPLETE THIS SECTION ON DELIVERY
• complete Items 1,2,and 3.Also complete A Signu
/ ❑Agent
Item 4 if Restricted Delivery Is desired. X ❑Addressee
• Print your name and address on the reverse
so that we can return the card to you. B. Received by(Printed Name) C. Date of Delivery
• Attach this card to the back of the mailplece,
or on the front If space permits. D. Is delivery address different from Item 17 ❑Yes
1. Article Addressed to: If YES,enter delivery address below: ❑No
CJ'C S . SC�OG�
3. Service Type
❑Certified Mall 13 express Mall
❑Registered ❑Return Receipt for Merohandlse
❑Insured Mall ❑C.O.D.
4. Restricted Delivery?(Extra F(e) ❑Yes
2, Article Number
(Ransfer from service laben
Domestic Return Receipt 102595-02-M-1540
PS Form 3811,February 2004 I
i
Certificate of Service for Michael S. Schock Page 2 of 2
IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA
ORPHANS COURT DIVISION
In re: HEAVYN K. SCHOCK, File No.
A minor
Certificate of Service
I, Marlin H. Miller, Petitioner in the above matter, hereby certify that on
L/ -/D - 070 7 e/ , I mailed a true and correct copy of the Petition for
Appointment of Guardian for a Minor Child, by certified mail, return receipt requested, restricted
delivery, and another copy of the same document by first class mail, postage prepaid, to:
Shannon L. Schock
220 Green Hill Rd
Newville, PA 17241
1 certify that (check ALL of the following which are true):
Certified mail:
[X] The careen and white sender's receipt is attached. (ATTACH receipt.)
[X] The rg een recipient's receipt is attached; Shannon L. Schock signed the certified mail
receipt on q- l.5r -,V 0 /q (ATTACH receipt.)
[ ] The certified mail was returned to me unsigned, with the notation that the certified mail
was: [ ] refused
[ ] unclaimed
[ ] other notation:
[ ] Neither the certified mail envelope nor the certified mail receipt was returned to me.
Regular mail:
[Xj The regular mail has not been returned to me.
[ ] The regular mail was returned to me, with the notation:
Certificate of Service for Shannon L. Schock Page 1 of 2
IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA
ORPHANS COURT DIVISION
In re: HEAVYN K. SCHOCK, File No.
A minor
Certificate of Service
I, Marlin H. Miller, Petitioner in the above matter, hereby certify that on
V' 1d • a 6 J V , I mailed a true and correct copy of the Petition for
Appointment of Guardian for a Minor Child, by certified mail, return receipt requested, restricted
delivery, and another copy of the same document by first class mail, postage prepaid, to:
Michael S. Schock
220 Green Hill Rd
Newville, PA 17241
1 certify that (check ALL of the following which are true):
Certified mail:
[X] The green and white sender's receipt is attached. (ATTACH receipt.)
[X] The rg een recipient's receipt is attached; Michael S. Schock signed the certified mail
receipt on dtl'/S' 0 7Y (ATTACH receipt.)
[ ] The certified mail was returned to me unsigned, with the notation that the certified mail
was: [ j refused
[ ] unclaimed
[ ] other notation:
[ ] Neither the certified mail envelope nor the certified mail receipt was returned to me.
Regular mail:
[�(] The regular mail has not been returned to me.
[ ] The regular mail was returned to me, with the notation:
Certificate of Service for Michael S. Schock Page 1 of 2