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HomeMy WebLinkAbout11-17-78 (2) W : ))t))J /7j /q71J _.. ':'t IN THE MATTER OF IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION . 490 ORPHANS 1978 Jeanette Shope An Alleged Incompetent IN RE: PETITION FOR APPOINTMENT OF GUARDIAN ORDER OF COURT AND NOW, November 17, 1978, it is hereby ordered and directed that the report and recommendation of the Special Master hereinbefore 8;ppointed in the above matter, be and is hereby approved, and that Kenneth L. Dissinger, Guardian Officer of Harrisbur'g State Hospital, and his successors in office are hereby authorized to receive, hold, and dispose of the estate of Jeanette Shope and to pay such debts that are presently outstanding as well as such debts that may later become due and owing. Specifically, the guardian is directed to pay to the Clerk of the Orphans' Court of Cumberland County a filing fee in the amount of $8.00 and a fee of $35.00 to Joseph P. Alexa, Esquire, guardian ad litem. It is further directed that the blanket surety bond issued by Aetna Casualty and Surety, Bond No. 57S28546, is approved as suffi- cient bond. By the c.ourt, , ? MV D cc: Edward P. Carey, Esq. (2) Assistant Attorney General Richard W. Stewart, Esq. Spec ial Master Jos~ph P. Alexa, Esq. Guardian ad litem aOOK 105 FACE 4':13 , ' ~TH OF PENNSYLVANIA : mUN'lY OF DAUPHIN John B. Logan, M.D. , Peti tianer in this matter, being duly sworn according to law, do depose and state that Iam Superintendent of Harrisburg State Hospital and that the facts set forth in the foregoing Peti tiOll are true and correct to the best of my knowledge, infonnation and belief. :' ,/~/,~ J ~-C ( ~ "-, c 1 l~;? ..", ;,.;...-;,~.:.":~~ :,~ ;.:~ (>:.. ..~' v ' .. C. II I, J;. .. . ," t'V. .r. . .~;>~;,' /~ '.. "": NOTARY PUBLIC I j ;. .' .~~ ~~~I~~lel1 Expires J3nuary 27, 1979 1:f;S';:'(f": " ",~'I ,-. . ~;. ~\:. . <.\t'(.... :..:~ : ~) '" 'f, \. \ ~). / ." '" y' . ,,\.~ . ," '. j \- \ ,... ~ ,\ '\ """'l..,I\'" - <---- UI/HR 35-E-4 - 9-77 eoOK 105 F,~C~ 446 rn THE MATI'ER OF IN THE mURl' OF CDM<K)N PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA Jeanette Shope (nane) ORPHANS' mURl' DIVISICliI An Alleged Incarpetent NO. 19 PEI'ITICliI FOR APPOINIMENT OF GUARDIAN The Petition of John B. Logan, M.D. , Superintendent of Harrisburg State Hospital , respectfully represents: 1. Your Petitioner has custody of the alleged incanpetent Harrisburg State Hospital at 2. The alleged inccmpetent was aarni tted to the aforesaid institution an July 31, 1957 3. The alleged inccmpetent is daniciled at Shippensburg, Cumberland County, Pennsylvania Star Route 2, 4. The alleged incx::mpetent is ~ years of age, having been born an September 24. 1927 5. The alleged inccmpetent' s military status is: never served in the Armed Forces 6. The alleged inccmpetent' s marital status is: never married 7. Those persons, if any, who are the alleged incx:mpetent I s next of kin and their relationship to same, of whan your Petitioner has knCMledge are as follCMs: Mrs. Prllll Reed Star Route 1 Shippensburg, Pa. Cumberland County Sister 8. No other Court within this Camonwealth of which Petitioner has knCMledc.Je has appointed a guardian for the alleged incarpetent. lint'" 10 ~ pt'r .144 Vi.'v~ ., .j 1\1.: .~. MH/HR 35-E-l - 9-77 9. The alleged incarpetent has incane oonsisting of: (a) Money due from Social Security in the aIYOllllt of $ 138. 80 per mo n th (b) Money due fran in the arrount of $ per (c) 10. ThE! alleged incanpetent has assets, real and personal, of which the Petitioner is aware, in the amount of $ 6,453.96 oonsisting of: (a) Money held by the Guardian Officer of Harrisburg State Hospital in the amount of $ 5,530.98 as of August 31 , 19~. (b) "Vecchione Refund" monies in the arrount of $ 922.98 ti tie to which is in dispute. (c) 11. The alleged incanpetent has debts outstanding in the amount of $ 4,845.29, as of August 31 , 19~, consisting of: (a) $ 4,035.98 owing to the Carrnonwealth of Pennsylvania as payment for care and maintenance received fran the period April 5 lo/~, to August 31 , 19lQ.J in acoordance with 50 P.S. ~~ 4501 and 4504 and regulations p:romulgated thereunder. , (b) $ 809.31 CMing to the Camonwealth of Pennsylvania as payment for care and maintenance rendered between July II, 1974, and April 4, 1975, in dispute. which relates to the "Vecchione Refund", title to which is (c) 12. The alleged inccnpetent is incapable of handling her financial affairs for the reasons set forth in the attached Affidavit and Competency Report, prepared by Joseph J. Fleishman, Ph. D. marked as Exhibit .A and made a part hereof. , -2- aoor 105 p,~(': 445 MI/MR 35-E-2 - 9-77 . ' ~TH OF PENNSYLVANIA : CDUNTY OF DAUPHIN John B. Logan, M.D. , Peti tianer in this matter, being duly sworn acoording to law, do depose and state that lam Superintendent State Hospital of Harrisburg and that the facts set my knowledge, infonnation and belief. forth in the foregoing Petition are true and OOTI'ect to the best of ME, 'IRIS , li?7 c > <----- '~'-'l , ' , " " , l . . ;, , ~ ' ' ( ...~ /,..--,) \ /, ,:J~ 1>lH/HR 35-E-4 - 9-77 eoOK 105 F,\CE 446 i1l:PG.. j' OF- COl'vlPETEf\'CY UU\Mll\JA liON r,T~.MI-- --- ~-----. ---------- _._-_._----~-_._----- -- ---------- SHOPE, JEANETTA INSTITUTION HARRISBURG STATE HOSPITAL EXAMINL 1\ iii 1:.5 hi iJ/'f u'l ,) D/,TE ..2')-)..., ADDllcSSOCF.ADH PL.t..TF 1i"~STf1UCTIOi"~S: Sc:t fo~:h belOw your G;1i~ion 3S to whether the patient/resident m8ets the legal standards o~ j-,co;TI,letency Include the n1ed:c~1 and iactualbcs:s for that o,)il1ion. If YOel ha'.'e used a competency worksheet (stde centers ~-,Q j'.1:~ ufoits o;lly) it can scrVl' JS t:1C faclLJal basis ior your o;~inion. Attach a copy to this form. Under Pennsylv<:<:'lia Ic\\', a pc;s::;:-, mav. be adjudicatcd Incompetent if he or she,. 3S a result 0: mental illness, menta! retardation, or old age: (1) is ~Jflab!e to mima;]e his or hcr property; or (2) is likely to dissi pate that p~opcrty; or (3) is likely to becomc the victim of designing persons; or (4) lacks sufficient capacity to make or communicate responsible decisions concerning th" L;se and management of h is or her entitlements. Your opinion regarding competence must make reference to at least one of these star,u2rds. Use as ml:ch space 2S needed ar,c be as detailed as possible. MediCJI basis should refer to both ciagnosis and i,:s manifes~ations. FactuJ! oasis I'efus to c;ucstions and answers regarding the four standards above. Please sign on bottom. If adcitlona! S;JaC8 is rec;uired, ~sc In attached s~ieet. Jeanette Shope meets the legal standards of incompetency. Her diagnosis is 313.9 Severe Mental Retardation, unspecified condition. As a result of her limited mentality, she is (1) unable to manage her property (2) is likely to dissipate that property (3) is likely to become the victim of designing persons (4) and lacks sufficient capacity to make or communicate responsible decisions concerning the use and management of her entitlements. Jeanette has insufficient comprehension to transact and does not understand values. -CONCLUSION: (Please respond Yes or No) DYes DYes Qyes GJ No II LJ No The patient/resident is capable of managing ilis/her financial 2ffairs. DNo The patient/resident is incJpJble of manaoing his/her fi.1Jncial affairs. (If Yes, respond te the following question.) If the pati;:?nt/resident IS incapable, is the patient's/resident's inc2;Jability to mG"age nis, :',CI' financial affairs a product and/or manifestation of his/her menta; retardation, me;lt,,! iiness, or old age? o Competent a~nIt 1l~~ f3Ye'~1V SIGNATURE OF REVIEWII-.JCiPJ{I){-XX:XXI): PSYCHOLOGIST [] Incompetent (1 . ~/tl~-?~ SIG~1URE OF APPRO DEPA RTM E ~JT 0<= PU [) II C '\','E LF ARE CO"~"'ONWEALTH OF P'::'\':"SYLVANIA Si [.:'.1 - 7.77 EXHIBIT "B" MH/MR 35-E-6 - 9-77 .. IN THE MATTER OF IN THE ORPHANS' COURT OF JEANETTE SHOPE CUMBERLAND COUNTY. An Alleged Incompetent No. of 19 COMMONWEALTH OF PENNSYLVANIA, ss. : COUNTY OF CUt~BERLAND Joseph J. Fleishman, Ph.D. , being duly sworn according to law, deposes and say that 1. He is a regularly licensed or 1 icensable, practicing psychologist, who is employed at the hospital or institution known as The Mental Retardation Center, E-Bldg. W.located at Harrisburg State Hospital, Maclay and Cameron Streets , 19~, he examined a patient therein, where on September 25, viz: (Name) Jeanette Shope (Age) 51 (Sex) F The examination revealed that the above-named patient's condition has not changed since the examination of September 1977 2. It is the opinion of the affiant that Jeanette Shope is still incompetent. 3. Said patient is in such physical or mental condition that he/she is capable of appearing in court and his/her presence in court will not endanger others in the court room. OR ([} Because cf the physical or mental condition of said patient, his/~ welfare would not be promoted by his/?er presence in court, and his/~ presence might endanger others in the court room. Sworn to and subscribed before me this .~t7tc...day ~- .of ~i~ 'It~~ CMARl H. 8~OW~, NOb~"~ My COlllftltlllOll Ex~ilti AUljust 17, 1981 AIIl't:lblltg, PA D_in (oulIty ~ . D. . . IN THE MATTER OF IN THE COURT OF COMMON PLEAS JEANETTE SHOPE AN ALLEGED INCOMPETENT OF CU~1BERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION NO. 19 AFFIDAVIT OF SERVICE Nancy A. Rolain being duly sworn according to law, deposes and says that he/she personally served the within Citation and Petition upon Jeanette Shope at Harrisburg State Hospital, Mental Retardation Center on Monday, 25th of September at 8: 30 a.m./p.m., by reading to him/her the contents of the Citation and Petition and leaving with him/her a copy of said Citation and said Petition. - 1 /' /7 Yiv~ (J. fJ/tt/ ^' N ' cy A. Rolain / Caseworker . SWORN TO AND SUBSCRIllED BEFORE ME.llUS $-v'1t+J DAY OF ~ ' 192i. (]jl(/Mt2 2'1 ~~ NOTARY PUBLIC ' 1,,'" t No\~1"f pu:."tt eN.. Ml.US H. BROWl. -;t 17. \98\ . E "'el Au"u lAv CommiiiKlR x~" ll....~;n County RII"i'::U1.. 'A . . IN THE MATTER OF JEANETTE SHOPE IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION NO. 490 1978 AN ALLEGED INCOMPETENT AFFIDAVIT OF NOTICE JOYCE A. HORNER , being duly sworn according to law, deposes and says that she gave notice of the hearing scheduled on October 12, 1978 on the above-captioned matter by sending by Certified Mail, Return Receipt Requested, a copy of the Court Citation and a letter of explanation from Edward P. Carey, Assistant Attorney General to all next of kin of the above-captioned person at the addresses supplied by the institution of which the alleged incompetent is a resident. A copy of the Citation and the letter(s) are attached. ~ a~ , ~ A. HORNER Sworn to and Subscribed Before me this 13th day of OCTOBER , 19 78 ~/~~/ IP ~~~~~~- Notary Public BlIC NOTARY pU ""..',','.lISS10l! EXPIRE.S ~Ai :,;" i3~ IN THE HATTER OF IN THE COURT OF COW'10N PLEAS Ot . . COUNTY, PENNSYLVANIA Jeanette Shope (name) ORPHANS' COURT DIVISION t/ q 0 t)~lhv) 1976' An Alleged Incompetent Fo. CITATION TO: JEANETTE SHOPE \'le cOilllUand you to appear at a hearing in the Orphans' Court of Cumberland , County, to be held at Harrisburg State Hospital on October 12, 1978 , 19_ 9:30 a.m. at ~.1., to shmv cause why you should not be adjudged an incompetent, and a guardian appointed for your estate. and to be heard Citation Returnable/the 12 day of October 19 78. ~nTNESSETH : The Honorable Dale F. Shughart President Judge of said Court, sitting in the Orphans' Court this 13 day of ___~ September , 19 78 . ,Rtk~ g~~bL_._ ;i1 CLERK OF THE ORPHANS' COURT DIVISION