Northum. Cnty. Pa 14.5

As amended through April 1, 2021
Rule 14.5 - NOTICE AND CITATION FORM

The notice and citation referred to in Rule NOC-14.1C shall be substantially in the following form:

In the matter of (Respondent) an alleged incapacitated person

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IN THE COURT OF COMMON PLEAS OF NORTHUMBERLAND COUNTY, PA.

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ORPHANS' COURT DIVISION

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O.C. NO.

NOTICE AND CITATION

A PETITION HAS BEEN FILED WITH THE COURT OF NORTHUMBERLAND COUNTY THAT SAYS YOU HAVE A LIMITATION OF YOUR ABILITY TO MAKE OR COMMUNICATE DECISIONS, AND THAT IT IS SERIOUS ENOUGH TO REQUIRE THAT A GUARDIAN BE APPOINTED TO MAKE OR COMMUNICATE CERTAIN DECISIONS FOR YOU. IF A GUARDIAN IS APPOINTED, YOU MAY LOSE THE RIGHT TO MAKE DECISIONS ABOUT WHAT HAPPENS TO YOU OR YOUR PROPERTY; FOR EXAMPLE A GUARDIAN MAY BE GIVEN THE RIGHT TO DECIDE WHERE YOU WILL LIVE, WHAT MEDICAL CARE YOU WILL GET, AND/OR HOW YOUR MONEY WILL BE SPENT.

A JUDGE WILL HOLD A HEARING ON THIS PETITION, WHICH IS SCHEDULED ______________ AT _________ O'CLOCK, . M. THE PLACE OF THE HEARING IS COURTROOM, NO. ____ IN THE NORTHUMBERLAND COUNTY COURT HOUSE, AT 201 MARKET STREET, SUNBURY, PENNSYLVANIA.

YOU SHOULD TAKE THIS PAPER TO A LAWYER AT ONCE, YOU ARE HEREBY DIRECTED TO APPEAR AT THIS HEARING. IF YOU DO NOT HAVE A LAWYER YOU SHOULD CALL THE COURT ADMINISTRATOR AT 988-4167 OR SUSQUEHANNA LEGAL SERVICES AT 286-5687. IF YOU DO NOT HAVE A LAWYER OR ARE UNABLE TO OBTAIN A LAWYER ON YOUR BEHALF, YOU HAVE THE RIGHT TO ASK THE COURT TO APPOINT A LAWYER FOR YOU. IF YOU CANNOT AFFORD A LAWYER, YOU HAVE A RIGHT TO ASK THE COURT TO PROVIDE A LAWYER WHO WILL NOT COST YOU ANY MONEY.

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CLERK OF THE ORPHANS' COURT

Northum. Cnty. Pa 14.5