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REV" 10/09 COURT OF PROBATE [Type or print in black ink. ] [Use back a/form or additional sheets if more space is required. ]

TO: COURT OF PROBATE, DISTRICT

OF NOR WALK - WILTON

DISTRICT

NO. 5 I

IN THE MA TIER OF [Name, address, zip code, and date of birth] DOROTHY PARTCH AKA DOROTHY S. PARTCH WIL TON MEADOWS II/29/1929
HEREINAFTER REFERRED TO AS THE "CONSERVED PERSON."

PRESENT ADDRESS OF CONSERVED PERSON [If institutionalized, give name and address of institution.i WILTON MEADOWS HEALTHCARE 439 DANBURY ROAD WILTON, CT 06897 CENTER

PRESENT TREATING PHYSICIAN zip code] Dr. Martin Perlin Norwalk, CT This conservator's

[Name, address, and

CONSERVATOR OF THE PERSON [Name, address, zip code, and telephone number] MATTHEW A. CAPUTO 6 LARKSPUR LANE NORWALK, CT 06850 203-846-1600

report is being filed for the following reason: [CG.S.

§§45a-654(f),

45a-656, 45a-660(c)]

o Court-ordered Report o Significant change in the conserved

t8I

Annual Report

0

Conservator has resigned or has been removed. Application for restoration has been filed. conservatorship has terminated.

o

person's capacity to meet the essential requirements for health or safety

o Temporary o Other:

Reporting period covered by this report --- FROM: 7/2712010

------------------

TO: 1112112011

Indicate number of visits made during reporting period: several Describe the changes, if any, to the mental, emotional, or physical condition ofthe conserved person during the reporting period. [Be specific.] Basal cell carcinoma removed near right ear. Partial dislocation of shoulder. The conserved person is a total care stroke patient.

If applicable, list any significant actions you have taken regarding the conserved person during this reporting period. I have monitored her condition and responded to medical and otherrnatters.

If applicable, list any significant problems relating to the conservatorship

that have arisen during this reporting period.

There have been significant problems relating to different perspectives of one family member and the nursing home.

Provide a statement indicating whether the appointment of a conservator continues to be the least restrictive means of intervention for managing the conserved person's needs. This is a matter for the Courts to determine.

Describe the efforts made during the reporting period to encourage the independence of the conserved person. The conserved person is a total care stroke patient.

This section is to be completed for reviews of conservatorship pursuant to e.G.S. §45a-660.
In my opinion, the conservatorship Give reasons for your answer. This is a matter for the Courts to decide. should be

0

continued

0

modified

0

terminated.

Recorded STATE OF CONNECTICUT FIDUCIARY'S PERIODIC COURT OF PROBATE OR FINAL ACCOUNT PC-441 REV. 6/01 (To be used only for conservatorships and guardianships a[minors' estates.] To: Court of Probate, DistrictofNorwalk-Wilton
[Name, address where residing

District No. 51
and zip code of ward or minor]

lIN THE MATTER OF Dorothy Partch

Wilton Meadows, Wilton, CT 06897
Hereinafter referred to as the Estate

Fiduciary: [Name, address, zip code, and telephone number} Matthew A. Caputo 6 Larks ur Lane, Norwalk CT 06850 203-846-1600
THE FIDUCIARY EXHIBITS this account to said
COUIt

Position of Trust Conservator

for allowance and makes oath that the same is a true

and complete account of all receipts and disbursements made in said capacity. This account covers the time period from: 7-27-2010 - 11-10-2011 This account is being filed for the following type of estate: This account is being filed for the following reason: [Check applicable box below.] 10 Periodic account. C.G.S. 45a-l77

o

o

For filing only.
A hearing is requested.

n Final

account. C.G.S. 451-179

The fiduciary represents that there are no debts outstanding against said estate, except as herein stated and, accordingly application is hereby made for all order of distribution or an order of transfer of the remaining assets of said estate.

ASSETS AND INCOME RECEIVED BY F1DUCIARY To amount of inventory/estate on hand as of last account To amount of income received

424,378.51 2,515.00 33,126.20 0.83 5,096.34 465,116.88

Social Security
Pension Interest, Fairfield COWIty Bank Account #0625 008 838 Other Income, see Schedule A Total PAYM.ENTS AND DISTRIBUTIONS BY FIDUCIARY

~------~~~~~

By payments made to orfor benefit of: Dorothy Partch By administration expenses
Probate Court costs Probate bonds Fiduciary's fees Attorney's fees to Matthew A. Caputo, Conservator Attorney's fees to Michael A. Rubino, court-appointed attorney Attorney's fees to Michael J. Barbarula Other Expenses, see Schedule B Amount 011 hand/estate for distribution Real property (Fair Market Value $225,000.00 less $123,198.49 *also subject to Wilton Meadows PJR, see Sched, F Personal property Patient Account, Wilton Meadows Fairfield County Bank, #0625 008 838 Fairfield County Bank, #0625 00.8 643
[Jf Final Account, attach a scheduled of proposed distributees and am01l111s.]

1,195.00 200.00 65,196.75 4,400.00 6,482.20 284,826.29

mortgage)"

101,801.51 177.27 389.83 448.03

Total
The representations made herein are made under the penalties of false statement. FIDUCIARY'S SIGNATURE Matthew A. Caputo,Con/;x(V
PC-441 I.:-..--"} //

465,116.88 ~----------~--~

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FIDUCIARY'S PERIODIC OR FINAL ACCOUNT (Short Form)

Dorothy Partch Conservatorship Interim Account

Norwalk, Cl':

SCHEDULE

C
LAW OFFICES OF

Matthew A. Caputo
6 LARKSPUR LANE NORWALK, CONNECTICUT 06850 (203) 846-1600 FAX: (203) 846-1118

LAW OFFICE OF MATTHEW A. CAPUTO STATEMENT OF ADJUSTMENTS / SALE OF PEAL ESTATE UNIT 46, ROTON POINT ASSOCIATION, 15 PINE POINT ROAD, ROWAYTON, CONNECTICUT 0~853 SELLER: DOROTHY S. PARTCH BY IvIATTHEW A. CAPUTO, CONSERVATOR BUYER: RICHARD W. HODGES ADJUSTMENTS COlvlPUTEDAS OF: APRIL 26, 2011 DATE OF CLOSING: APRIL 26, 2011 SELLER PURCHASE BUYER'S PRICE DEPOSIT $135,000.00 $ 13,500.00 BUYER LOCATION:

TAXES ON LIST OF 10/1/09 ANNUAL TAX $1,955.50 PAID IN FULL ADJ. 4/26/11 THRU 6/30/11 $5.36 PER DIEM X 66 DAYS COMMON CHARGES CREDIT TO BUYER 2011 NOT PAID COMMON CHARGES $2,275.00 CAPITAL IMPROV $ 225.00 SOCIAL/REe CLUBS 99.00 TOTAL $2,599.00 ADJ. 1/1/2011 TO 4/26/11 116 DAYS X $7.12 PER DAY CASH TO BALANCE AT CLOSING TOTALS ... PAID ......

s

353.76

s

825.92

$121,027.84 $135,353.76 $135,353.76

$121,027.84 1. CHECK#

PAID AS FOLLOWS: BANK OF AlvlERI CA $121, 027.84 TOTAL .... $121,027.84

1351379

SCHEDULE

C

LAW OFFICES OF

Matthew A. Caputo
6 LARKSPUR LANE NORWALK, CONNECTICUT 06850 (203) 846-1600 FAX: (203) 846-1118

TRUSTEE LOCATION:

STATEMENT

UNIT 46, ROTON POINT ASSOCIATION, 15 PINE POINT-ROAD, ROWAYTON, CONNECTICUT 06853 SELLER: DOROTHY S. PARTCH BY MATTHEW A. CAPUTO, CONSERVATOR BUYER: RICHARD W. HODGES ADJUSTIvIENTS COMPUTED AS OF: APRIL 26, 2 11 DATE OF CLOSING: APRIL 26, 2011

°

AMOUNTS

RECEIVED

BY MATTHEW

A. CAPUTO, TRUSTEE
$ 13,500,00

1. CONTRACT 2.

DEPOSIT AT CLOSING FROM BUYER

AMOUNT

RECEIVED

$121,027.84 $134,527.84

TOTAL RECEIVED

BY MATTHEW

A. CAPUTO, TRUSTEE

AMOUNTS
I.

DISBURSED

BY lYIA TTHEW A.

CAPUTO, TRUSTEE $ $
$ 2,880.68 2,620,88 8,100.00 1,350,00 675.00 4,638.46

ROTON POINT ASSOCIATION - COMMON CHARGES 2010~$2,225.00 CC + $325.00 CF + $330.68 INT 2. RIDGEFIELD BANK - BLANKET MORTGAGE SHARE 3. BROKER'S COMMISSION TO COLDWELL BANKER 4. COIvlM. OF REVENUE SERVICES (CONVEYANCE TAX) 5. NORWALK TOWN CLERK (CONVEYANCE TAX) 6. TAX COLLECTOR OF NORWALK LIST OF 2008 ~ $2,453,63 (TAX $1,89U.76 + LIEN FEE $24.00 + INT $538.87) LIST OF 2009 ~ $2,184.83 (TAX $1,955.50 + LIEN FEE $24.00 + INT $205.33) 7, COURIER FEE (FED EX) 8, CLOSING PROCEEDS TO ESTATE OF DOROTHY PARTCH TOTAL AMOUNT DISBURSED

$

$ $

$

30.00 $1"14.232.82 $134,527.84

Dorothy Partch Interim Account, July 27, 2010 - November 10,2011 Schedule D "Missing" Merrill Lynch Funds Dorothy Partch's assets included funds at Merrill Lynch. On or about September 1,2010, someone (not the Conservator) caused $6,000.00 to be wired from Dorothy Partch's Merrill Lynch account to a new account set lip (not by the Conservator) at Bank of America inthe names of Dorothy Partch and Marjorie Partch. On or about September 2, 2010, someone (not the Conservator) caused an additional $6,000.00 to be wired from DorothyPartch's Merrill Lynch account to the Bank of America Account in the names of Dorothy Partch and Marjorie Partch. Subsequently, funds wel~etransferred (not by the Conservator) out of the account with Dorothy Partch's name. Below is an itemization of the $12,000.00 wired out of Merrill Lynch without the Conservator's knowledge or consent: "M' . " Mern'II L iun ISSJUg ~ynch F ds Funds wired from Merrill Lynch to Bank of America Funds returned to Conservator by Bank of America'
"Missing"

Funds

12,000.00 8,635.66 3,364.34

Schedule E Withdrawals from People's 020-0122055, not by Conservator: On August 10, 2010, Matthew A. Caputo, Conservator for Dorothy Partch, presented Fiduciary's Probate Certificate and closed accountsin the name of the Conserved Person at People's Bank, including account #020-0122055. Conservator also notified Connecticut Teacher's Retirement Board (TRB) by telephone and by letter to re-direct Conserved Person's pension payments to Conservator. TRB did not make the change in a timely manner and continued with direct-deposit to People's Bank. When the direct deposit arrived at People's Bank in September, 2010, People's Bank did not notify Conservator but instead automatically reopened the account. Before the Conservator became aware that the account had reopened itself, someone (not the Conservator) withdrew funds from People's Bank. The itemization appears below in Schedule E. Schedule E also itemizes withdrawals that were made from People's accounts by someone other than the Conservator between the Conservator's date of appointment of July 27, 2010 and the August 10 closing of People's accounts. Conservator re-closed the ACCOWlt 11 October 5, 2010. , 0 July 28 - Aug. 17,2010: Home Depot Jordans Too Sports Authority Sunoco CT Pirg Partners Artists Market Jordans Too Quality Petroleum Aug. 17 - Oct. 17,2010: Bank service charge Checking withdrawal Checking withdrawal Debit memo Check payable to "Cash" Debit memo Bank service charge Total Withdrawals not by Conservator

20.61 26.03 52.00 6.30 10.00 169.60 15.34 13.00 1.00 500.00 300.00 302.58 1,500.00 192.57 1.00 3,110.03

Dorothy Partch Interim Account, July 27, 2010 - November 10, 2011

SCHEDULE F-Unpaid

Bills IClaims Against Estate

DOROTHY PARTCH
Interim Account Schedule F OUTSTANDING INVOICES AND LIENS ON 20 DEVILS GARDEN ROAD, NOR'VALK, CT Wilton Meadows has filed a Prejudgment Remedy (PJR)on the Conserved Person's Real Property at 20 Devils Garden Road, Norwalk, CT. The PJR is in the amount of $109,339.50. The Connecticut Department of Social Services ("DSS") has now granted Title 19 benefits for Dorothy Partch. Wilton Meadows now claims a debt of$43,363.21 (see below). DSS has informedme that DSSwill place alien (if not already done) On the 20 Devils Garden Road, Norwalk, CT property for benefits provided for Dorothy Partch. In addition, the following bills remain unpaid. Some figures may be approximate.

50.09 646.54 Connecticut D.R.S.** Wilton Meadows 3,475.81

*This debt is reflected on the first page of the Interim Account in the net value of the real estate at 20 Devil's Garden Road ($225,000.00 fair market value less $123, 198.49 outstanding mortgage to CitiMortgage = net value of real property at 20 Devil's Garden Road, Norwalk, CT.) **Amounts owed to Connecticut D.R.S. and Internal Revenue Service are subject to change.