IN THE CIRCUIT COURT OF THE STATE OF OREGON
THIRD JUDICIAL DISTRICT
Probate Department
In the Matter of the Guardianship of:
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Case No.
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AFFIDAVIT IN SUPPORT OF
______________________________________
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MOTION FOR APPROVAL OF
A Protected Person.
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GUARDIAN’S FEE
STATE OF OREGON
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ss.
County of _______________ )
I hereby swear or affirm that:
1.
I am the Guardian in this matter and have provided valuable and necessary services on
behalf of the protected person.
2.
I am requesting approval of a Guardian’s fee for the period of time from
________________, 20_____ to _________________, 20______.
3.
I am requesting approval of a fee in the amount of $_________________. The amount
of this fee is calculated as follows:
Time spent on guardianship matters during this period:
___________ hours
Hourly rate (not to exceed $30.00 per hour):
$__________
Total requested fee (not to exceed $750 first year and
$350 subsequent years):
$__________
4.
An itemization of the time I have spent on guardianship matters during the period
covered by this request is attached to this Affidavit. (Attach time itemization)
AFFIDAVIT IN SUPPORT OF MOTION FOR GUARDIAN’S FEE - Page 1 of 2
FC (10/20/04)