Annual Report Of Guardian - New York Supreme Court
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12TO THE SUPREME COURT
INDEX # ____________ - I - ______
COUNTY OF NASSAU
ANNUAL REPORT FOR YEAR ________
-------------------------------------------------------------------------------x
In the Matter of the Annual Report of
ANNUAL REPORT
_______________________________ , Guardian for
OF GUARDIAN
Property Management and Personal Needs of
_______________________________ , an Incapacitated Person
-------------------------------------------------------------------------------x
I, __________________________________________, residing at _________________________
_________________________________________, Phone No.(_____) _____________________
Guardian for the above-named Incapacitated Person who resides at ________________________
______________________________________________________________________________
(residence)
Phone No. (_____) ________________, or at _________________________________________
Facility Address _________________________________________________________________
Phone No. (______) ____________________, the facility or place where the Incapacitated Person
resides and the Chief Executive Officer or person otherwise responsible for the Incapacitated
Person’s care is ___________________________________________________________ do
hereby make, render and file the following report.
On the ___________ day of _____________, 20__ , I was appointed Guardian for the
Incapacitated Person by Order of the Supreme Court of Nassau County and have continued to
act as such Guardian since that date, giving a bond in the sum of $__________________which is still
in force and effect with ______________________________________as Surety thereon. There has
been no change in the bond or Surety thereon and the Surety is in as good financial standing as
when the bond was given.
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