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Checklist For Guardianship Proceeding Form. This is a Pennsylvania form and can be use in Chester Local County.
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Tags: Checklist For Guardianship Proceeding, 16, Pennsylvania Local County, Chester
FORM 16
A/I Name: ____________________________________
Attorney: _______________________________________________
File #: ____________________________________
Atty. Phone #: ___________________________________________
Preliminary Decree
Citation with Notice
Final Order
Consent to Serve
Doctor Deposition: A.I.P. _____can
Form SP 4-131 (No Guns)
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______cannot attend hearing
:
.
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Name, age, residence and P.O. address of A.I.P.
Names and addresses of spouse, parents and presumptive adult heirs of A.I.P.
Name and address of person or institution providing residential services
to A.I.P.
Names and addresses of other services providers
Names and addresses of persons or entity whom petition seeks to have
appointed guardian
Averment that proposed guardian has no interest adverse to A.I.P.
Reasons for seeking guardian
Description of functional limitations and physical and mental condition
of A.I.P.
Steps taken to find LRA’s (less restrictive alternatives)
Specific areas of incapacity for which guardian is to be assigned powers
Qualifications of proposed guardian
Gross value of estate and net income from all sources to the extent known
(required if seeking guardianship of the estate
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By Petitioner, not counsel - O.C. Rule L.3.4A(2)
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Petition, and any answer and reply must be endorsed with the name, address,
zip code, telephone # and Atty ID # of attorney representing the
party filing.
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Proposed notice in large type and simple language
Notice states date, time and place of hearing and rights of A.I.P., including
right to counsel
Notice sets forth purpose and seriousness of hearing and that rights may be lost
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FORM 16
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A.I.P. is a resident of County, or of long-term facility within the Co. of Chester
A.I.P. does not reside in County but beneficiary of an estate of trust
in the Co. of Chester
A.I.P. does not reside in County but has assets in Co. of Chester
No other guardian has been appointed
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Individuals _________________________________________________________
Corporation_________________________________________________________
Guardian Officer ____________________________________________________
No adverse interest/adverse interest but no one else available
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DUE AT LEAST 7 DAYS BEFORE HEARING:
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Affidavit of Service
Notice of Retention/Non-Retention of Counsel by A.I.P.
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Personal Service
At least 20 days before hearing
By qualified person (include qualifications on affidavit)
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Next of kin or presumptive heirs (necessary)
Person/institution providing residential services, if any
Others whom Court may direct, including other service providers
(inform Judge at least 7 days before hearing if no counsel has been
retained by A.I.P.
__________
Requested
Appointed: ___________________________________________
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