HomeMy WebLinkAbout12-14-06
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INRE: DAVID L. MAYS
: IN THE COURT OF COMMON PLEAS
: OF CUMBERLAND COUNTY
: PENNSYLVANIA
: ORPHANS' COURT DIVISION
an incapacitated person
: NO. 21-06-0980
On the Petition of Wanda Mays
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PROOF OF SERVICE OF STATEMENT OF RIGHTS ~8j;;P n
UPON APPOINTMENT OF A GUARDIAN :;;~~..
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I, JACOUELINE A. KELLY. being duly sworn according to law, depose ~fine th~
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service of a copy of the Statement of Rights Upon Appointment of a Guardian, a aJpy ofw~
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is attached, was made on DAVID L. MAYS, by reading a copy of it to him on December 13.
2006. at 9:00 a.m. at Triumph Rehabilitation Center. 2501 N. 3rd Street. Harrisburg.
Pennsylvania. I read the Statement of Rights to the incapacitated person to the maximum extent
possible, in language and terms he was likely to understand.
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CQ LINE A. KELLY
Sworn'to and subscribed before me this ~y of pecl',mhP.. . 2006.
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Notary Public
NOTARiAl SEAL
PAUlA It WHITE, NOTARY PUBUC
lOWER PAXTON TWP., DAUPHIN COUN1Y
MY COMMISSION EXPIRES APRILS. 2001
I verify that the statements made in this Proof of Service are true and correct. I
understand that false statements herein are made subject to the penalties of 18 Pa.C.S. Sec. 4904,
relating to unsworn falsification to authorities.
Date: 1 ~ -l '3 - D [,
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J CQ LINE A. KELLY
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INRE: DAVIDL. MAYS
: IN THE COURT OF COMMON PLEAS
: OF CUMBERLAND COUNTY
: PENNSYLVANIA
: ORPHANS' COURTDNISION
an incapacitated person
: NO. 21-06-0980
On the Petition of Wanda Mays
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STATEMENT OF RIGHTS UPON APPOINTMENT OF A GUA~ ~ ~; =I3
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AN ORDER HAS BEEN ENTERED WHEREBY YOU HAVE BEEN AbJUDIC~ED (/) Q
AN INCAPACITATED PERSON AND UNABLE TO CARE FOR YOURSELF AND/OR
MANAGE YOUR PERSONAL AFFAIRS. YOU HAVE THE RIGHT TO FILE
EXCEPTIONS TO THE COURT'S DECISION WITHIN TEN (10) DAYS OF THE DATE OF
THE COURT'S ORDER. IF YOU FAIL TO FILE EXCEPTIONS, THE ORDER WILL
BECOME FINAL. IN THE EVENT THAT YOU FILE EXCEPTIONS AND THEY ARE
DENIED, YOU HAVE A RIGHT TO FILE AN APPEAL TO THE SUPERIOR COURT
WITHIN THIRTY (30) DAYS OF THE DATE OF THE DENIAL OF THE EXCEPTIONS.
IN ADDITION, YOU MAY PETITION THE COURT AT ANY FUTURE TIME TO
MODIFY OR TO TERMINATE THE GUARDIANSHIP IF THERE IS A CHANGE IN YOUR
CAPACITY OR IF YOUR GUARDIAN FAILS TO PERFORM HIS/HER DUTIES IN
ACCORDANCE WITH THE COURT'S ORDER.
IF YOU WISH TO APPEAL THE ORDER OR TO PETITION THE COURT TO
MODIFY OR TERMINATE THE GUARDIANSHIP, YOU HAVE THE RIGHT TO BE
REPRESENTED BY AN ATTORNEY. IF YOU DO NOT HAVE AN ATTORNEY, THE
COURT MAY APPOINT ONE TO REPRESENT YOU. IF YOU CANNOT AFFORD AN
ATTORNEY, THE SERVICES OF AN ATTORNEY WHOM THE COURT MAY APPOINT
FOR YOU MA Y BE PROVIDED AT NO COST TO YOU.
Exhibit A