Guardian'S Report - Oregon Circuit Court Page 2
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312.
I/We made the following major decisions on behalf of the person during the past year (brief
description):_________________________________________________________________
13.
I/We believe the guardianship
should
should not continue because:________________
___________________________________________________________________________
14.
At the time of my/our last report, I/We held the following amount of money on behalf of the
person: $
.
Since my last report, I/We have received the following amount ofmoney on behalf of the
person: $
.
I/We spent the following amount of money on behalf of the person: $
.
I/We now hold the following amount of money on behalf of the person: $
.
15.
Since my/our last report:
(A)
I/We have been convicted of the following crimes (not including traffic violations):
none
(B)
I/We have filed for or received protections from creditors under the Federal
Bankruptcy Code:
yes /
no
(C)
I/We have had a professional or occupational license revoked or suspended:
yes / no
(D)
I/We have had my driver license revoked or suspended:
yes /
no
16.
Since my/our last report, I/We have delegated the following powers over the protected person
for the following periods of time (provide name of person powers delegated to):___________
___________________________________________________________________________
17.
A true copy of this report will be given to the person, any conservator for the person and any
other person who has requested notice.
I/We 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
.
_________________________________
Guardian
_________________________________
Co-Guardian
GUARDIAN’S REPORT - Page 2 of 2
FC (9/26/12)
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