Report On The Guardianship Of The Person Form Page 3

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______________________________________________________________________
______________________________________________________________________
14. The place of abode of the ward _____ has, or, _____ has not changed since the last guardianship
report. If so, the place of abode of the ward was changed for the following reasons:
______________________________________________________________________
______________________________________________________________________
I hereby swear that the answers set forth above are true and correct to the best knowledge and belief of
the undersigned, subject to the penalties of making a false affidavit or declaration.
_____________________________________________________
________________________
Signature of Guardian or Limited Guardian
Date
_____________________________________________________
Telephone
AOC Form 34
Revised 8/05

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