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The Statement needs to include certain information such as the name and address of the IP and the place and date of death. File the following original, completed forms with the Clerk of Court of the North Dakota State.1 The 1st and 2nd benefit payments were received within. 45 days following the date of death (4th benefit payment will not be listed on the Notice of. The second date is the incapacitated person's date of death or the date of the court order terminating or transferring the guardianship. Pennsylvania signed, a new law dealing with incapacitated persons. Any competent adult may file with the court a petition to determine another person's incapacity. This page provides some standard legal forms to help you prepare for death, incapacity, or unavailability. And courtappointed attorney for the alleged incapacitated person. No full time judge and no clerk of court, unless closely related. 3.