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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.) N O _7 s t I �3 0 -n A Petition for Guardianship of Heavyn K. Schock. Pag&4 of D M i � 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) L C3 OFFICIAL USE ca Er Postage a M1 M DertlnedFee M Retum Recelpt Fee Postmark I G (Endorsemere Required) Hem Restricted DeMery Fee p� f" C3 (Endorsement Requlmd) Total Postage&Foas c3 M ru sent To rq 1 ............... M1 Or PO BOX No. CarySfefe,ZJP.4.......................... ...................................... 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 S � ct7>10 i,, L 5L—ho c- k 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) ru L OFFICIAL USE�/ 0-' Postage E f COMM Fee Rl Posimedx C3 Rehm Recelpt Fee Here O (Endeorsemem Required) C3 1 (ERiM�orser�nent Required) i, A'� Se YTotal Postage&Fees $ Q��V 1 M 1ru all :eo i.lwr:7uo:;POa=No. ......_.---..--...................... .....-........ y.Stefo,ZlPa1 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