Berk. Cnty. Pa. 14.8B
Promptly upon appointment, a court-appointed guardian shall initial, sign and file a Guardian Acknowledgment of Duties and Liabilities form, as follows:
IN RE: : IN THE COURT OF COMMON PLEAS
: OF BERKS COUNTY, PENNSYLVANIA
_________________________________ : ORPHANS' COURT DIVISION an incapacitated person
: NO. ______________________
GUARDIAN ACKNOWLEDGMENT OF DUTIES AND LIABILITIES
I, the undersigned court-appointed guardian, acknowledge that as guardian I have broad, but not unlimited powers, duties, and liabilities as set forth generally in 20 Pa. C.S.A. § 5501et seq. and more specifically acknowledge my duties and liabilities under 20 Pa. C.S.A. § 5521 and as follows:
As Guardian of the Person, I shall:
Assert the rights and best interests of my ward. ___________________ Respect to the greatest possible extent my ward's expressed wishes and preferences. ___________________ Where appropriate, develop a plan of supportive services to meet my ward's needs. ___________________ Encourage my ward to participate in all decisions which affect my ward, to act on his or her own behalf whenever he or she is able to do so, and to develop or regain, to the maximum extent possible, capacity to manage his or her personal affairs. ___________________As Guardian of the Estate, I shall:
Take possession of, maintain, and administer each asset of my ward, and make all reasonable expenditures and efforts to preserve the estate. ___________________ Within three months, file an inventory of my ward's real and personal property and a statement of any property that I expect to acquire thereafter. (Electronically through the Guardianship Tracking System, or in paper form through the Register of Wills office, along with the appropriate filing fee.) ___________________In addition to the above duties, as Guardian (either of the person or the estate), I shall:
Exercise my powers for the benefit of my ward. ___________________ Keep the ward's assets separate from my assets. ___________________ Exercise reasonable caution and prudence. ___________________ Keep a full and accurate record of all actions, receipts, and disbursements on behalf of the ward. ___________________ File an annual report electronically through the Guardianship Tracking System or, on forms available in the Register of Wills/Clerk of the Orphans' Court office attesting to the information required by 20 Pa.C.S.A. § 5521(c). (Filing fee will be charged for paper filings.)I shall file a final report within 60 days of my ward's death or adjudication of capacity. ___________________
Report any change of my address to the Court within ten (10) days. ___________________ I have been made aware of the Guardianship Tracking System (GTS). ___________________As Guardian of the person and/or the estate, I understand and acknowledge that any breach of my duty to my ward, such as but not limited to asset misappropriation, may result in civil and even criminal liability.
___________________
Date: ________________ Guardian's Signature: ______________________________________
Phone Number: ____________________________________________
Email address: _____________________________________________
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Berk. Cnty. Pa. 14.8B