To:       *¹                                  , AN ALLEGED INCAPACITATED PERSON:

A PETITION HAS BEEN FILED BY *                                     , WITH THE ORPHANS' COURT DIVISION SEEKING TO HAVE YOU DECLARED AN INCAPACITATED PERSON AND A GUARDIAN APPOINTED FOR YOU.  A HEARING ON THIS PETITION HAS BEEN SCHEDULED FOR THE               DAY OF                    ,                 AT                O'CLOCK       .M., PREVAILING TIME, IN THE ORPHANS' COURT DIVISION, SEVENTEENTH FLOOR, FRICK BUILDING, 437 GRANT STREET, PITTSBURGH, PENNSYLVANIA, 15219.

IF, AFTER THE HEARING, THE COURT GRANTS THIS PETITION, YOU MAY LOSE THE RIGHT TO MANAGE YOUR OWN FINANCIAL RESOURCES AND TO MAKE DECISIONS CONCERNING YOUR PHYSICAL HEALTH AND SAFETY, WHERE YOU LIVE OR OTHER RIGHTS IMPORTANT TO YOU.

YOU HAVE THE RIGHT TO ATTEND THE HEARING AND TO HAVE A LAWYER REPRESENT YOU.  IF THE COURT DETERMINES THAT YOU CANNOT AFFORD A LAWYER, YOU HAVE THE RIGHT TO REQUEST THAT THE COURT APPOINT A LAWYER TO REPRESENT YOU AT NO COST TO YOU.   YOU ALSO HAVE THE RIGHT TO REQUEST THAT THE COURT ORDER THAT AN INDEPENDENT EVALUATION BE CONDUCTED AS TO YOUR ALLEGED INCAPACITY.  ADDITIONALLY, YOU HAVE ALL THE RIGHTS SET FORTH IN THE PROBATE, ESTATES, AND FIDUCIARIES CODE AT 20 PENNSYLVANIA CONSOLIDATED STATUTES, SECTION 5101 WHICH GOVERNS GUARDIANSHIP PROCEEDINGS.