Form G-01 rev. 10.13.06 Page 1 of 2
IMPORTANT NOTICE
CITATION WITH NOTICE
COURT OF COMMON PLEAS OF
COUNTY, PENNSYLVANIA
ORPHANS’ COURT DIVISION
To :
IMPORTANT NOTICE
CITATION WITH NOTICE
A Petition has been filed with this Court to have you declared an Incapacitated Person. If
the Court finds you to be an Incapacitated Person, your rights will be affected, including your
right to manage money and property and to make decisions. A copy of the Petition which has
been filed by is attached.
You are hereby ordered to appear at a hearing to be held in Courtroom No. ,
, Pennsylvania on , 2 at
.m. to tell the Court why it should not find you to be an Incapacitated Person and
appoint a Guardian to act on your behalf.
To be an Incapacitated Person means that you are not able to receive and effectively
evaluate information and communicate decisions and that you are unable to manage your money
and/or other property, or to make necessary decisions about where you will live, what medical
care you will get, or how your money will be spent.
At the hearing, you have the right to appear, to be represented by an attorney, and to
request a jury trial. If you do not have an attorney, you have the right to request the Court to
appoint an attorney to represent you and to have the attorney’s fees paid for you if you cannot
afford to pay them yourself. You also have the right to request that the Court order that an
independent evaluation be conducted as to your alleged incapacity.
If the Court decides that you are an Incapacitated Person, the Court may appoint a
Guardian for you, based on the nature of any condition or disability and your capacity to make
and communicate decisions. The Guardian will be of your person and/or your money and other
property that will have either limited or full powers to act for you.
