HomeMy WebLinkAbout01-17-96
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IN THE MATTER OF
1-/33-~ [;
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
Sara M. Whittington
(An Alleged Incapacitated Person)
ORPHANS' COURT DIVISION
NO. ~07 of 1978
ANNUAL REPORT OF GUARDIAN
Assets at Beginning of Period:
1. Cash, Certificate of Deposit, Savings Account
2. Burial Fund
3. Three American General Life Ins. policies
(F.V. $1,000.00, 1000.00 & $2,000.00)
4. One National Life Ins. policy (F.V. $375.00)
TOTAL
Income fro m..p.?c.?JT.I.pg.r.......+..L..J.'!..2.4....... t o...N.9..y.g.m.P.g.r.......~.Q..L.J.'?~..?... :
1. Social Security f or..J months at $~Q?"QQ per month
2. Social Security for D... months at $?'.Ql~,.oQ per month
3 . ................................................. for................ m 0 nth sat $ per m 0 nth
4. Interest added to Burial Fund
5. Interest added to Regular account(s)
6. Sheltered Workshop Earnings
TOTAL
D i s bur s erne n t s fro m ....Q?.c.gJT.I.I~GL.l........J'!.7.4..... t 0 .....N.9.Y?JT.I.P?.L....1.Q..L 1.:1..1'.?.:
1 . Car e /11 a i n ten an c eat $..t;.UD.$..9.r.::.9...IJ.g...~..e.:D:t..t;..r.:: at
$ ......................... per m 0 nth from 1?.:::.Q1.::J'!..'!.A..... to ....11:JQ.:::o.:??..
2 . Car e /M a i n ten a nee a t...............................................................................
$ ..................... per month from ... .... .. .. ....... ..................... to
3. Personal Spending
4. Clothing/Shoes/Miscellaneous
5. Room/board outside a State Facility
6.
at
TOTAL
Outstanding Debts: 1 . N.9.\!..,.....J?.:?..?.....~.~.r.?......?x....ti.~.i..D..t.g.D~.DC.G ..9.WbD9.t9.................
$...e.:JJD$.9.L9..IJ..t;..J..e.:Dtt;..C.......... . .. . .. ...... ......... .
TOTAL
SUMMARY
Ass e t s as 0 f ....N.Q..IJ..?m.p..?.L...~.Q..........19.:1..?...... i n c 1 u din g Bur i a 1 Fun d
In com e fro m .........l.4..:..QJ.:..'!..4..... t 0 ....11:.3.o:3.?... ..
SUBTOTAL
Disbursement s from ....l?:::.ol:.'!..4.....to .1,1.::3Q-95
B a 1 a nee as 0 f...N.Q.Y.?mpt;.L...~Q......J99.?......
less life Insurane policies
ACTUAL CASH ON HAND
Position with regard to outstanding debts:
$..?....~~4.A.,..l?.
4....Q!QQ,.o.Q.....
.;?7?,..QQ.....
$ .....9.....7.1'Z..,.1?
$...........?Q.f..,..Q.o.
.....?..s.?JL..Q.9.
...........~.lt,>,.Q.?
1 ;02.99
................,..........................
$ ..4....J.o.:1...,QA
$ :3 706.74
............................................
..... .....$?'Z,..4..o
..............1?7..d.1;5.
$ .A....??.~,..t,>?.
$ ....J.J3..~.,.Q.l.
$ .....1$~,Ql
$..t,>.ZJ,'2,),?
$ ....4..10.1'..,..94-
$ U..~.?~..,..l'Z
$.4.~.??;?""...f??
$....f?.....$..QA-'..?7
$ ..4.....:$7.?..,.o.9..
$?.~.?'Z,?7
1 . t~Q.\l.,.......l:1..:1..?. ..c..?,.r::?......~......m.?.,J.D.:t....e.:.D.?.,.lJ.gg. ..Q..f....jl~3..,..QJ......wJ.U.....p.?:....P.?,J.g .JD...P..f.ggmp.h ..J:1..:1...?
W.D.G..D....Pl11G..c:L..
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IN THE MATTER OF
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
507 of 1978
ORPHANS' COURT DIVISION
Sara Mo Whittington
(An Alleged Incapacitated Person)
AFFIDAVIT
I, Dolly M. Smith, being duly sworn according to law do hereby
depose and say that I am the Guardian Officer of Sara Mo Whittington and
that I have reviewed the information on the attached Annual Report of
Guardian which information I believe to be true and correct to the best of
my knowledge, information and belief.
l!r1Jllf~
SWORN TO AND SUBS~~IBEO
BEFOR~ 11E THIS. 13-UUAY
OF ~ 199~
~m.ll~
NO.TA.Ry.--PU.BLic.................~_.=..~..~ ...
. '.' ~ -~ .
'1lOTMW. SEAl.
SItAROM M: WIIIGHt IIlIfAIIY "B!
snl~ IORO ... 00.. no.
MY COMMISSIOII fiIi\iiS fEll 4, 1999
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~'-/33-~
I~THE MATTER OF
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
Sara M. Whittington
(An Alleged Incapacitated Person)
ORPHANS' COURT DIVISION
NO. 507 of 1978
ANNUAL REPORT OF GUARDIAN
Assets at Beginning of Period:
1. Cash, Certificate of Deposit, Savings Account
2. Burial Fund
3. Three American General Life Ins. policies
(F.V. $1,000.00, 1000.00 & $2,000.00)
4. One National Life Ins. policy (F.V. $375.00)
TOTAL
Income from ...P'g~?ffi.Rg.L...l.....J.?.<Z4....t o...N9.Y.?ffiR~..r...3Q........l?<Z.? :
1. Social SeclJ r i t y f or...J. months at $?'.Q.f..,.QQ. per month
2. Social Secu r it y for U 100 n t hs a t $?'.QJLQ.G~ per 100 nt h
3........................... for .. ...... months at $ per month
4. Interest added to Burial Fund
5. Interest added to Regular account(s)
6. Sheltered Workshop Earnings
TOTAL
D i s bur s e 10 e n t s fro 10 ...p..?~.~ID..R?I..l.L..l<z.<z.4..... t 0 ....N9.Y?ffi.Rg.r......:?Q.~.....J.'!?.?:
1.
Ca re/Mai nt ena nce a t $.J::.U.D.:?9TQ.Y..~....t;::.~.DtJ::T. at
$................. per 10 0 nth from 1.?.::.9J.:.l:nA... t 0 ....Ll.:J.Q.::.'!.?.....
Car e /M a i n ten a n c eat ................................ .......................................
$ per mont h from ..... ................ to
Personal Spending
Clothing/Shoes/Miscellaneous
Room/board outside a State Facility
at
?
~"
3.
4 .
5.
6 .
TOTAL
Out s tan din g 0 e b t s : 1 . N9.~'.:.,....J<z.<z.?.~.~.rg..:3.<....M.~JDt..?.D~3.,.D.~.~....9..W.1.D.9....J9.
5gHD:?9T.9.~:~.....\:..~.Dt~.L..... ..........................
TOTAL
SUMMARY
Assets as 0 f..N9.Y'$.I1}.PJ::.r....::;lQ.... .J.'!.?:?...... including Burial Fund
I n com e fro 10 .....l?.:~QJ.:::<z.4.. t 0 ...U:~..:?.Q.::.'!.:?............
SUBTOTAL
o i s bur s e 10 e n t s fro 1014:.:.01::24 ...... t oJl.:~:?.o:.9.?
B a I a nee as 0 f _.N.9Y'$!Il.P'$C....::;lQ... ...1?,.,!.5
Less Life Insurane policies
ACTUAL CASH ON HAND
Position with regard to outstanding debts:
$..?..~4A,Jc~
4.... Q.o.o., .0.0....
3.75.00
$ 6 719.15
~.........:t.....r..........................
$ .....4Q?..,..Q.Q.
.?....4.fi$...,.o.o
_..........11f>..,.Q?
.....L.(,..o.?..,..'!.9.
$ _A.J.Q?".Q4..
$.J..7.o~,..I."..4.
....$:??...,4.Q.
..............+.?Z.,A.~.
$ _.A.....~.?;?..,..f>..?..
$
1$..1,.01
$...1.,$.;?,.Q)"
$....?.Zl?...,..l:?..
$ ....4....~.Q?.,..oA.
$lJ..9.?$.,J?
$ ....4.....f..?:?,?..?.
$..?.$QA.,:?.Z
$ ....4..,..0l?..,.9.Q_
$?oA??,.:?.Z
1 . 1~.9.Y.,.....J.???<::~T'$.~.I1}.<3.,JDt~D0.Dg~... 0 f....~18 ::;l,..D l..wJUpg.PflJ.9...JD.P'$.g'$ffiPf:T .J.9..'?:?.
l~tL~.n....J:?.i.Ug(;L_
IN THE MATTER OF
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
507 of 1978
ORPHANS' COURT DIVISION
Sara M. Whittington
(An Alleged Incapacitated Person)
AFFIDAVIT
I. Dolly M. Smith. being duly sworn according to law do hereqy
depose and say that I am the Guardian Officer of Sara M. Whittington and
that I have reviewed the information on the attached Annual Report of
Guardian which information I believe to be true and correct to the best of
my knowledge, information and belief.
GB1Jn~filifi----
SWORN TO AND SUBSCRIBED
BEFOR~ME THIS I~DAY
OF ~~ 19'~
- "11. - -. )fYl /~),1 "oft--
~~i~""...............~......~..=Cf.:..--
. .-EJaME
~. PA.
MY CClMM8SlONO FEB.~999
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