Form Cc 16:2.48 - Certificate Of Mailing Annual Budget Reporting Form(S) - Nebraska State Court Form

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Revised 12/16
Nebraska State Court Form
CC 16:2.48
CERTIFICATE OF MAILING
ANNUAL BUDGET REPORTING
REQUIRED
Neb. Ct. R. § 6-1442.01(C)
FORM(S)
TO THE GUARDIAN OR THEIR ATTORNEY: You need to complete and file this form with the court
showing that you mailed the required documents marked below to all the interested persons you
list below.
IN THE COUNTY COURT OF ________________COUNTY, NEBRASKA
Case No. ____________________
IN THE MATTER OF
________________________________
CERTIFICATE OF MAILING ANNUAL
Ward/Incapacitated Person
BUDGET REPORTING FORM(S)
I,
, swear or affirm, under the penalties of perjury, that on the
day of
, 20
I mailed copies of the forms marked below to all interested
persons* and bonding company, if any, at the addresses set forth below:
Annual Budget Report;
Updated Inventory;
Annual Report of Guardian on Condition of Ward;
Copy of the last bank statement and/or brokerage statement that includes the ending date
of the Annual Budget Report with personal information (social security number, date of
birth, account numbers, etc.) blacked out;
Notice of Right to Object form; and
Certificate of Mailing.
NAME
ADDRESS
See attached (more names and addresses than above)
Date
Signature(s) of Guardian(s) or Their Attorney
Print or Type Name of Guardian(s) or Their Attorney
Street Address/P.O. Box of Guardian(s) or Their Attorney
City/State/ZIP Code of Guardian(s) or Their Attorney
Bar Number and Firm Name (attorneys only)
Phone(s)
E-mail Address(es)
Page 1 of 2
Certificate of Mailing Annual Budget Reporting
Form(s) CC 16:2.48 Rev. 12/16

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