CAUSE NO. ______-CPR-_________________
GUARDIANSHIP OF
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IN THE COUNTY COURT AT LAW
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_______________________________________,
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NO. _____________ (_______)
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MINOR
ADULT
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FORT BEND COUNTY, TEXAS
GUARDIAN’S INITIAL ANNUAL FINAL
REPORT ON THE CONDITION AND WELL-BEING OF A WARD
FOR THE PERIOD OF __________________________THROUGH________________________
(The reporting period must be a specific date in the format of MM/DD/YYYY to MM/DD/YYYY. The report
should NOT be filed BEFORE the ending date of the reporting period. Example: If you are reporting from
02/23/2014 to 02/23/2015, the report should be filed on 02/24/2015 or later. Reports filed without specific dates or
filed before the ending date cannot be approved until corrections are made. If you are unsure of the dates, please
call or email the Court Probate Auditor.)
Please fill out this form completely, answering every question, except when directed otherwise.
“Not applicable” is not a proper response and can delay processing and approval.
On this day, the Guardian(s) in this matter stated the following, under penalty of perjury, declaring
that each statement is true and correct:
1. WARD: Name ________________________________________________ Age _____ DOB ____________
Address ________________________________________________________________________________
City/State/Zip _____________________________________________ Phone ________________________
2. GUARDIAN(S): Name(s) _________________________________________________________________
Address ____________________________________________________________________ Apt. ________
City/State/Zip ___________________________________________________________________________
Phone ______________________________________ Alternate Phone ______________________________
Email address(es) _______________________________________________________________________
Relationship to Ward ______________________________________________________________________
A. During the past reporting year, have you been convicted of a felony or misdemeanor other than a minor
traffic offense? YES
NO If YES, explain: _______________________________________
B. If you are a private professional guardian, a guardianship program, or DADS, or the representative of
these, have you been the subject of an investigation conducted by the Guardianship Certification Board
YES
NO
Not Applicable
during the preceding year?
If Yes, explain __________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
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Revised 10-8-15