Alle. Cnty. Pa. XIV app K

As amended through November 13, 2023

Appendix K - Notification Of Retention Of Lack Of Counsel Under Rule 14, Section (3)

Date of Letter

The Honorable _____________________

Court of Common Pleas of Allegheny County

Orphans' Court Division Courtroom _____

1700 Frick Building Pittsburgh, PA 15219

Re: *⁹ _____________ , an alleged incapacitated person

Docket Number: __________ of ______________

Date of Hearing: __________________________

Dear Judge ________________________ :

With regard to the above-captioned matter, and in accordance with Allegheny County Local Orphans' Court 14, 3(b), this letter is to inform you that to the best of my knowledge, information and belief, * ______________________ is not presently represented by counsel in his/her own right in regard to the above referenced proceedings.

OR

With regard to the above-captioned matter, and in accordance with Allegheny County Local Orphans' Court 14, 3(b), this letter is to inform you that to the best of my knowledge, information and belief, * ________________ is presently represented by counsel in his/her own right in regard to the above referenced proceedings. An appearance has been entered on his/her behalf by * ___________________ whose address is * __________________________ and whose telephone number is * ___________________.

Very truly yours,

* _________________________________

Attorney for Petitioner

__________________

⁹ Sections marked by asterisk (*) must be completed by counsel before Court presentation.

Alle. Cnty. Pa. XIV app K