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Home My WebLink About05-05-80 I:: T!:~ ;1.\Tn:~ O~ I:! TEE C(j~i:T 0F CO:2.\O:i PLf>\S or Cumberl and cou:r~Y. PE:.I~:SYL\rAt\IA THELMA STEIGLEMAN AN n:CO:'IPETGH O~PHANS' COU~T DIVISION NO. 488 OF 19 78 ANr~^L REPORT OF GU^RDI^~ Sa ra 1 e E. Royer , being duly sworn in accordance with law, does state as follows: L, I am the guardian of the estate of Thelma Steigl eman having been appointed by this F.onorabl~ Cdurt'by Order of Dale F. Shughart ~~tl In May 1979 , I filed a report with this Court. month/year 3. Since my last report I have received in the nane of Thelma Steigleman the folowing income: ':. -: a. $ 115.30 a month from Social Security Administration b. $ a J110nth from C~ $ a month from 4. Since my last report I have paid a total of $ A14 40 for ; " current care and maintenance to Harri sburg State Hospital., . (institution), pur- suant to 50 P.S. ~~ 4501 and 4502, and reguiations promulgated thereunder. , 5. ~fuen reasonable grounds to contest these bills existed, I have sought to assert.such grounds before making payments. 6. Prior to making all such payments, I have reviewed the availa- - bility of grol!nds to seek abatement, modification or discharge of bills. 7. The foregoin~ is filed in conpliance with the Order of Court in Vecchione v. lvvhlgemuth, No. 73-162 (E.n. ~a., June.30, 1978) and not in respons~ to any Order of this Court or state statute. .. .. .. .:!~JtA4.UA.~I~~'c'~ ....,.. (NOTARY SEAL) ~dJ:/<'1M~ 'NOTARY PUBUC '- My Commission Ex\)ires June 25, 1983. , ,,' ' .:', County Hl1"'+"", 1'. REVIEW FOR COMPETENCY TO HANDLE PROPERTY AND FINANCIAL AFFAIRS FACILITY PATIENT/RESIDENT CASE NO. HARRISBURG STAT atedby~f'I\~~ (name) This is to inform you that on / 1- ~ "3 - 7? (date) at ',J(J. JJ~ (time, pi e) a review will take place and you will be evalu- , in order to determine your ability to manage your property and financial affairs. If you do not choose to participate in this review and evaluation, a determination of your competency to manage your property and financial affairs will be made on the basis of information contained in your clinical record. Please be advised that if, as a result of this review, you are found to be incompetent, legal action will be taken to have a court adjudicate you to be incompetent and appoint a guardian to handle your property and financial affairs. ff~Z~ AUTHO IZED SIGNATURE II ~ ;l /,. ?? DATE SI 532- 11-76 .... -~- ----.----- REPORT OF COMPETENCY EXAMINATION NAME STEIGLEMAN, THEL~~ INSTITUTION HARRISBURG EXAMINER STATE HOSPITAL I DATE //'.;?3 -77 ADDRESSOGRAPH PLATE INSTRUCTIONS: Set forth below your opinion as to whether the patient/resident meets the legal standards of incompetency Include the medical and factual basis for that opinion. If you have used a competency worksheet (state centers and MR units only) it can serve as the factual basis for your opinion. Attach a copy to this form. Under Pennsylvania law, a person may be adjudicated incompetent if he or she, as a result of mental illness, mental retardation, or old age: (1) is unable to manage his or her property; or (2) is likely to dissipate that property; or (3) is likely to become the victim of designing persons; or (4) lacks sufficient capacity to make or communicate responsible decisions concerning the use and management of his or her entitlements. Your opinion regarding competence must make reference to at least one of these standards. Use as much space as needed and be as detailed as possible. Medical basis should refer to both diagnosis and its manifestations. Factual basis refers to questions and answers regarding the four standards above. Please sign on bottom. If additional space is required, use an attached sheet. -tl ~ f ~ ...LL % 4 .I. ,~- ---... ~ 4-4~ L~/A.J ~~. .d.-~~ --c.J /4e4 lZ ~~, / ~ .A.t'<~~ee~4+~ 9L ~4~~ 7~''-' ~ Le,<<--- ~ ~ ;;j ~ ~ a;~. ~ ~ ~~'f ~ Ak-"~'~e~ ---,.~-C. r L/---:....-o.. ~ .2 r4.-.~. j2/~ ~ ~'<' a...?- ~ ",-? ~ -j(,,<- ~ - :...-'~<G ""'''''-L r~ ~~~ ..., "".~ ~ ~ ~~ ;J'_ec...~-,.4.., ~. CONCLUSION: (Please respond Yes or No) DYes ~NO o Yes D No o Yes DNo The patient/resident is capable of managing his/her financial affairs. The patient/resident is incapable of managing his/her financial affairs. (If Yes, respond to the following question.) If the patient/resident is incapable, is the patient's/resident's incapability to manage hislher financial affairs a product and/or manifestation of his/her mental retardation, mental illness, or old age? D Competent 01ncompetent COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF PUB C WELFARE (' " , ..J .. / /, // (' //c ~_/_ " SIGNATURE OF REVIEWING PSYCHIATRIST-PSYCHOLOGIST .. SI 533 - 8 - 77 " <XNSENT OF ProPOSED GUARDIAN I, Kenneth L. Dissinger Guardian Officer of Harrisburg State Hospital , do hereby certify that I and nw successors in office are willing to act as Guardian for the estate of Thelma Steigleman , an alleged inoarpetent, if the Court shall so appoint. Further, I do hereby certify that I am not a fiducicu:y of any estate in which the alleged inc:arpetent has an interest, nor have I any interest adverse to the alleged inoarpetent. '!he facts and opinions oontained herein are tnIe and oorrect to the best of nw k:ncMledge, information and belief.€ 1(~ 19~) EXHIBIT "B" ~ 35-E-6 - 9-77 IN THE MAT'IER OF IN THE COURI' OF cnz.t.nJ PLFAS OF : CUMBERLAND CXXNI'Y, PENNSYLVANIA Thelma 1tei9leman narce) ORPHANS' COURI' DIVISICN An Alleged Incarpetent : NO. t/rY 19 7(. Pm'ITICN roR APPOINlMENr OF GUARDIAN The Petition of Harrisburg State Hospital John R. logan, M.B. , Superintendent of , respectfully represents: 1. Your Petitioner has custody of the alleged incc:rrpetent at Harrisburg State Hospital 2. The alleged ina::rnpetent was admitted to the aforesaid institution on March 20, 1948 3. The alleged incc:rrpetent is daniciled at 118 Market St., New Cumberland, Cumberland County, Pennsylvania 4. The alleged incx::mpetent is ..2L years of age, having been bon1 on October 28, 1908 5. The alleged incanpetent's militazy status is: never served in the Armed Forces 6. '!he alleged incanpetent's marital status is: married to J. M. Steiqleman on unknown. but is separated as of 1973 7. Those PerSOns, if any, who are the alleged incx:mpetent' s next of kin and their relatioo.ship to same, of whan your Petitioner has knowledge are as follows: J. M. Steigleman 118 Market St., Mrs. Clarence Hain 1103 Bridge St., New Cumberland, Pa. New Cumberland, Pa. Cumberland County Husband Cumberland County niece 8. No other Court within this Carm:>nwealth of which Petitioner has knowledge has appointed a guardian for the alleged incanpetent. ". ~Ir\~. '''Oc:: q,[ l')n Qt !j.!' -1. Ii.'; "''-~_ '~lJ\..f MH/~!R 35-E-l - 9-77 - 10. The alleged incanpetent has assets, real and personal, of which the Petitioner is aware, in the amount of $ 4,266.78 consisting of: (a) Money held by the Guardian Officer of Harri sburg State Hosoital in the amount of $ 3.444.90 as of August 31 , 19~. (b) ''Vecchione Pefund" monies in the anount of $ 821.88 , title to which is in dispute. (c) 11. The alleged incanpetent has debts outstanding in the amount of $ 3.034.21 , as of August 31 , 19~, consisting of: (a) $ 2,313.55 owing to the Carmonwealth of Pennsylvania as payment for care and maintenance received fran the period Apri 1 5 19~, to August 31 , 19B!..J in accordance with 50 P.S. SS 4501 and 4504 and regulations pn::.mulgated therelmder. (b) $ 720.66 CMing to the Ccmronwealth of Permsylvania as payment for care and maintenance rendered between July 11, 1974, and April 4, 1975, which relates to the "Vecchione Refund", title to which is in dispute. (c) 12. The alleged incarpetent is incapable of handling her financial affairs for the reasons set forth in the attached Affidavit and Carpetency Peport, prepared by Jacob C. Stacks, M. D. marked as Exhibit A and made a part hereof. , -2- BOOK 105 f,~CE 431 MI/MR 35-E-2 - 9-77 - - the aforesaid insti tutian, and his successors in office, having no interest Joyce Johnston Way , Guardian Officer at 13. adverse to the alleged ina:rrpetent, has agreed to act as Guardian if this Honorable Court shall so appoint. The consent of the proposed Guardian to so act is attached hereto and made a part hereof as Exhibit B. 14. If appointed as Guardian, Joyce Johnston Way is required to act in oonpliance with regulations P:ranul.gated under Court Order in 5 Pennsylvania Bulletin 931 et seq. (April 19, 1975). 15. In light of these provisions and in furtherance of Paragraph 7 of the aforesaid regulations, petitioner requests preference be given to a bank, trust conpany or other individual willing to accept appointnent as Guardian. WHEREFoRE, the Petitioner prays that a citation be issued directing Thelma Steialeman , and those if any there be, why persons, if any, listed in paragraph 7 of this Petition, to shCM cause, be declared an inoonpetent and a Guardian of the estate appointed, and why distribution of assets and in<:x::>m: as payment of debts listed in she should not paragra.J;i1 11 should not be made. Peti tianer further prays that a 9Uardian ad litem be appointed to act for the alleged ina:rrpetent regarding such hearing. -3- D "O'i 10 ~- -,,' , ~ ' , C) DU j\. OJ r,~!;~ 'i:vAW ~ 35-E-3 - 9-77 CCMomWEALTH OF PENNSYLVANIA : CDUN'lY OF DAUPHIN John B. Logan, M.D. , Peti ti<ner in this matter, being duly swam according to law, do depose and state that I am Superintendent of Harrisburgv State Hospi ta 1 and that the facts set forth in the foregoing Peti tiOll are true and correct to the best of my knowledge, infonnation and belief. smm 'IO AND SUBSCRIBED BEFDRE ME, '!HIp / A/ // , -,;P~~~ .../ ( "l~."', ~;F;~~~:~~:1: f:j:~':t::' ..~~:l":i,::" 1;:~~:?:, : ,~~r~;,,~ '. ..,., .i\l.,..~. ,.,L '.1.''''. '. ' ...... .i.'lH,r:v PPBIIC . ~-' ". '.i..'~"~;'" , v.. I . .. \ ) ""- ',J' ~1..."":,,:,Uv...:. to.. .~...l"""..""l c".,....c J'''''''-'' 27 1979 ":'-tI,,-,!\~t11:.fj""~i'''F';~'';'LJ _";"""'~' ,-,.l",",} , ..~41~;;:llip' 11,!., i,...'l'n County "'..'ii'~~ " c, ,..-...' mY OF , 19/J. BOOK 105 f,~.c: 4~3 l-Hft1R 35-E-4 - 9-77 .AFF:rmVIT OJMmWEAVlH OF PENNSYLVANIA OJUNI'Y OF ss DAUPHIN I, V. G. del Rosario, M.D. , being duly swom aCOOrding to law, depose and say that I am a Psychiatric Physician in the Catllll.H1Wealth of Pennsylvania atplOYed at Harri sburg State Hospi ta 1 , and I have examined the patient, - Thelma Steigleman an alleged inCXlIpetent, with care and diligence and based upon said , examination and observations am of the OPinion that said patient is inoonpetent to manage his/her am affairs for the reasons set forth in the attached Carpetency Report, and that the facts and opinions oontained therein are true and OOrrect to the best of ~ knCMledge, infonnation and belief. / ~ ~ ~9c ?/ pi .c:: .I- SVK>m 'It) AND SU8SCRIBE:D BEFORE ME 'ntIS /;f?% " DAY OF NOTMIY PUBLIC r_ . . cpr.2S knu2ry 27, 1979 ,; J. [' I. :;:,;;/;.1 Ca:mly EXHIBIT "A" .'---- 1~ 3S-E-S - 9-77