The status report on legal representation referred to in Rule NOC-14.4B shall be substantially in the following form:
IN THE COURT OF COMMON PLEAS OF NORTHUMBERLAND COUNTY, PA. ORPHANS' COURT DIVISION
In Re: | : | |
: | ||
: | O.C. No. | |
: | ||
______________ An alleged incapacitated person : | : |
Date petition filed ____________________.
Date of service on alleged incapacitated person ____________________.
Date of scheduled hearing _____________________________________.
STATUS OF ALLEGED INCAPACITATED PERSON'S LEGAL REPRESENTATION
Counsel for the incapacitated person (is)(is believed to be)
NAME: ______________
ADDRESS: _____________________________
TELEPHONE NUMBER: ________________
_____ Petitioner does not believe that the alleged incapacitated person is represented by counsel.
_____ Petitioner (does)(does not) believe it would be appropriate for the alleged incapacitated person to be represented by counsel because:
__________________________________
__________________________________
BY:___________________________
Petitioner / counsel for Petitioner
Dated: _____________ Address:________________
Telephone:_______________________________
Northum. Cnty. Pa 14.7