Annual Report Of Personal Needs Guardian - County Of Nassau Supreme Court

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SUPREME COURT OF THE STATE OF NEW YORK
COUNTY OF NASSAU
-----------------------------------------------------------X
IN THE MATTER OF THE ANNUAL
ANNUAL REPORT OF
REPORT OF
PERSONAL NEEDS GUARDIAN
, AS
Index No. ___________ - I - ______
PERSONAL NEEDS GUARDIAN FOR
ANNUAL REPORT FOR YEAR 20____
, AN
INCAPACITATED PERSON
-------------------------------------------------------------X
I/We,
and
,
as Personal Needs Guardian(s) for the above named Incapacitated Person do hereby make, render and file
the following annual account.
I/we was/were duly appointed Personal Needs Guardian(s) of the above named person, by Order
of the Supreme Court of Nassau County dated the ________ day of _______________________, ______
and have continued to act as such fiduciary since that date.
List here the following information:
1.
State the present residence address and telephone number of all Guardians.
2.
List the name and present address of the spouse, children and siblings of the Incapacitated Person.
Spouse:
Children:
Siblings:
Page 1

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