Conservator'S Report - Oregon Circuit Court printable pdf download

Conservator'S Report - Oregon Circuit Court

IN THE CIRCUIT COURT OF THE STATE OF OREGON

THIRD JUDICIAL DISTRICT

Probate Department

In the Matter of the Conservatorship of:

)

Case No.

)

_______________________________________

)

CONSERVATOR’S REPORT

A Minor, Protected Person.

)

I am the conservator for the child named above, and I make the following report to the court in lieu

of the annual accounting:

My name, address and telephone number are:

Phone: (

)

The address where the child lives is:

Since my last report I have:

Been convicted of the following crimes:

none.

Received protection under federal bankruptcy laws:

yes /

no.

Had a job-related license revoked or suspended:

yes /

no.

Had my driver’s license revoked or suspended:

yes /

no.

Attached to this report is a copy of the most recent statement of each account that holds the child’s

funds.

I hereby declare that the above statement is true to the best of my knowledge and belief, and that I

understand it is made for use as evidence in court and is subject to penalty for perjury.

Dated this _________ day of ________________________, 20__________.

Conservator

CONSERVATOR’S REPORT - Page 1 of 1

FC (1/1/08)

Conservator'S Report - Oregon Circuit Court