Preliminary Decree (Orphans' Court Division)

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-SAMPLE “5”-
IN THE COURT OF COMMON PLEAS OF PHILADELPHIA COUNTY
FIRST JUDICIAL DISTRICT OF PENNSYLVANIA
ORPHANS’ COURT DIVISION
O. C. NO. ____AI of 20__
Estate of IVAN INCAPACITATED,
an alleged incapacitated person
PRELIMINARY DECREE
AND NOW, this
day of , 20__, upon consideration of the annexed Petition
for Adjudication of Incapacity and the Appointment of Plenary Guardian of the Estate and Person,
it is hereby ORDERED and DECREED that:
1. A citation is awarded, directed to Ivan Incapacitated to show cause why he should
not be adjudged an incapacitated person and why a plenary guardian of his estate and person should
not be appointed; the hearing thereon to be held on
at
.m., in
Courtroom 414, City Hall, Philadelphia.
2. Petitioner shall cause to be served (by personal service) the Citation with Notice
and Petition, pursuant to the provisions of 20 Pa.C.S.A. §5511(a) upon the alleged incapacitated
person at least twenty (20) days prior to the court hearing. The contents and terms of the Citation
with Notice and Petition shall be read and explained to the maximum extent possible in language
and terms the alleged incapacitated person is most likely to understand in accordance with the
provisions of 20 Pa.C.S.A. §5511(a). An affidavit of service containing specific averments as to the

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