HomeMy WebLinkAbout02-27-15 (2) ANNUAL REPORT OF
GUARDIAN OF THE PERSON a -ri C
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Estate of Todd S. Thomas, Jr. ,an Incapacitated Person
No. 21-2011-0046
I. INTRODUCTION
Todd S. Thomas, Sr. &Tabitha C.Thomas ,was appointed
P1 Plenary MLimited Guardian of the Person by Decree of J. Wesley Ohler J.,
dated March 1,2011
A. This is the Annual Report for the period from Friday,February 28 � 2014
to Friday, February 27 , 2015 (the"Report Period"); or
El B. This is the Final Report for the period from ,
to (the"Report Period"), and is filed
for the following reason:
1. The death of the Incapacitated Person. Date of death:
2. The Guardianship was terminated by the Court by Decree of
J., dated
For a Final Report, omit Sections II through Iii
Form G-03 rev.10.13.06 Page 1 of 4
Estate of Todd S. Thomas, Jr. , an Incapacitated Person
H. PERSONAL DATA
Age of the Incapacitated Person: 22 Date of Birth: 11/28/92
M. LIVING ARRANGEMENTS
A. Current address of the Incapacitated Person:
80 Sunnyside Drive,Carlisle,PA 17015
B. The Incapacitated Person's residence is:
0 own home/apartment
n nursing home
0 boarding home/personal care home
0 Guardian's home/apartment
M hospital or medical facility
M relative's home(name,relationship and address)
®other:
C. The Incapacitated Person has been in the present residence since August 2007
. If the Incapacitated Person has moved within the
past year, state prior residence and reason(s) for move:
Farm G-03 rev.10.13.06 Page 2 of 4
Estate of Todd S. Thomas,Jr. , an Incapacitated Person
D. Name and address of the Incapacitated Person's primary caregiver:
Tabitha C. Thomas
80 Sunnyside Drive
Carlisle, PA 17015
IV. MEDICAL INFORMATION
A. The major medical or mental problems of the Incapacitated Person are as follows:
Autism-PDD/NOS
Mild Mental Retardation
B. Specify what,if any, social,medical,psychological and support services the
Incapacitated Person is receiving:
Socially, Todd attended Easter Seals events,Carlisle Best Friends sports, and
Therapeutic Riding through Chasing Rainbows this past year. He also continues to
be part of a local, sprint car race team with his father and friends. He receives
medical assistance, SSI. He currently receives help from the MH/MR office,
however, he is on a waiting list for Autism services through ACAP.
V. GUARDIAN'S OPINION
A. It is the opinion of the Guardian of the Person that the guardianship should:
®i continue
n be modified
El be terminated
Form G-03 rev.10.13.06 Page 3 of 4
� l
Estate of Todd S. Thomas, Jr. , an Incapacitated Person
The reasons for the foregoing opinion are:
Todd Jr. has a life-long disability in the form of Autism/PDD-NOS, and mild
mental retardation,which significantly makes him totally unable to manage
common sense, every day decisions; and for which he needs care basically 24/7.
OBDuring the past year,the Guardian of the Person has visited the Incapacitated Person
times with the average visit lasting hours, minutes.
WWII
The report of a social service organization employed by the Guardian to oversee and
coordinate the care of the Incapacitated Person for the period covered by this Report may be
attached to supplement this Report.
I verify that the foregoing information is correct to the best of my knowledge,
information and belief; and that this Verification is sub'ect t the enalties of 18 Pa. C.S.A. § 4904
relative to unsworn falsification to authorities.
2/27/15 j w�
Date ature of Guardian of the Peywd
Todd S. Thomas, Sr. &Tabitha C. Thomas
Name of Guardian of the Person(type or print)
80 Sunnyside Drive
Address
Carlisle,PA17015
City,state,zip
717-620-8051
Telephone
Form G-03 rev. 10.13.06 Page 4 of 4