FORM 5.2 ___________________________________________ IN THE MATTER OF: AN ALLEGED INCAPACITATED PERSON o IN THE COURT OF COMMON PLEAS o CHESTER COUNTY, PENNSYLVANIA o o ORPHANS' COURT DIVISION o o NO. FINAL ORDER APPOINTING GUARDIAN OF __________ Person __________ Estate ___________________________________________________________ AND NOW, _____________________________________, __________, this Court having heard testimony and evidence at a hearing held __________________________________________, pursuant to proper notice to the alleged incapacitated person (Respondent), who appeared in person at the hearing was represented at the hearing by , Esquire Failed to appear because: and after giving full consideration to the factors set forth in Chapter 55 of the Probate, Estate, and Fiduciaries Code, 20 Pa. C.S.A. §5501, et seq I make the following: Findings of Fact Pursuant to PEF Code, 20 Pa. C.S.A. §5512.1 1. The nature of the condition or disability which impairs Respondent's capacity to make and communicate decisions is 2. The extent of Respondent's capacity to make and communicate decisions is American LegalNet, Inc. www.FormsWorkFlow.com 3. FORM 5.2 Considering the availability of family, friends, and other supports, and the existence of any advance directives, I find that Respondent needs the following Guardianship services: 4. Based on the above factors, I find that Respondent needs a (limited) (plenary) Guardian. 5. The duration of such guardianship shall be I. GUARDIAN OF PERSON I appoint as a (Select one: limited (A) or plenary (B) A. Limited Guardian of Respondent's Person - with the following responsibilities: a. Provisions for care, maintenance, and custody: b. Place where Respondent shall live: c. Provisions for training, education, medical, and psychological services; social and vocational opportunities; and the like: d. Authority to execute consents or approvals on behalf of Respondent: OR B. Plenary Guardian of Respondent's Person * * * * American LegalNet, Inc. www.FormsWorkFlow.com FORM 5.2 GUARDIAN OF ESTATE I appoint as a (Select one: limited (A) or plenary (B) A. Limited Guardian of Respondent's Estate - with the following authority: a. b. B. Portion of assets or income subject to Guardian’s control: Other: Plenary Guardian of Respondent's Estate II. (Optional) A Review Hearing in the above matter shall be held III. The Guardian shall have, in addition to the powers granted above, the following authority (check paragraphs applicable; delete powers not applicable.) To consent to (abortion) (sterilization) (psychosurgery) (electroconvulsive procedure), (removal of bodily organ/s) (other: ). To refuse consent to (marriage) (divorce). To consent to performance of experimental procedures or participation in experiments (bio-medical) (behavioral) (other: ). IV. The Guardian shall post bond (with surety) as follows: V. American LegalNet, Inc. www.FormsWorkFlow.com FORM 5.2 The Guardian shall file reports as provided by 20 Pa. C.A.S. §5521(c), and applicable state and local rules. The Guardian shall also file an inventory and copy of the Will (if any) within three (3) months of today's date, that is, by . VI. In order to comply with Section 6105(a) and (c) of the Uniform Firearms Act, the Guardian shall inquire about the ownership and / or possession of any firearms by the incapacitated person and, within 60 days of the Adjudication, shall arrange for the sale or transfer of the incapacitated person’s firearms to another eligible person who is not a member of the prohibited person’s household. An incapacitated person is not permitted to obtain a license to carry a firearm. Any existing license issued to the incapacitated person should be returned to the issuing authority. VII. Respondent (has been) (will be) notified of (his) (her) right of appeal, in accordance with the attached NOTICE OF RIGHT TO APPEAL. BY THE COURT: J. American LegalNet, Inc. www.FormsWorkFlow.com