Report On The Condition And Well Being Of A Ward (Page 4 of 4) in pdf

THE STATE OF ________________________

COUNTY OF __________________________

BEFORE ME, the undersigned authority, on this day personally appeared the undersigned, known to me to be the

Guardian of the Person described in the foregoing Annual Report, and whose name is subscribed in the foregoing Annual

Report who, being by me first duly sworn, did on his or her oath, depose and state as follows: “I hereby swear, under

penalty of perjury, that the information contained in this report is accurate to the best of my knowledge.”

SIGNED on ______________________________ 20 __.

_____________________________________________

Guardian

SUBSCRIBED AND SWORN TO BEFORE ME on ____________________________ 20______, to certify which

witness my hand and seal of office.

_______________________________________________

Notary Public, State of ____________________________

Printed Name ____________________________________

Commission Expires ______________________________

__________________________________________________________________________________________________

If this report is for Co-Guardians, also complete the following:

THE STATE OF ________________________

COUNTY OF __________________________

BEFORE ME, the undersigned authority, on this day personally appeared the undersigned, known to me to be the

Co-Guardian of the Person described in the foregoing Annual Report, and whose name is subscribed in the foregoing

Annual Report who, being by me first duly sworn, did on his or her oath, depose and state as follows: “I hereby swear,

under penalty of perjury, that the information contained in this report is accurate to the best of my knowledge.”

SIGNED on ______________________________ 20 __.

_____________________________________________

Co-Guardian

SUBSCRIBED AND SWORN TO BEFORE ME on ____________________________ 20______, to certify which

witness my hand and seal of office.

_______________________________________________

Notary Public, State of ____________________________

Printed Name ____________________________________

Commission Expires ______________________________

Mail to:

Galveston County Clerk’s Office

Probate Department

P.O. Box 17253

Galveston, TX 77552-7253

Report On The Condition And Well Being Of A Ward Page 4