Form Pg-215 - Final Guardianship Report - 2005 Page 11
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12d.
Judgments/liens.
Description
Balance Due
Explain any changes since last report:
e.
Amounts Owed For Services.
Service
To Whom Owed
Balance Due
(1)
Medical Services
(2)
Attorney Services
(3)
Guardian Services
(4)
Other
Explain any changes since last report:
0.00
TOTAL LIABILITIES (Total all items in #14 a through e):
$
Total Liabilities at End of Previous Reporting Period:
$
0.00
Change in Total Liabilities Since Previous Reporting Period:
$
15.
NET ASSETS (Subtract Total Liabilities from Total Assets):
0.00
Total Assets from 13 a - m
$
0.00
Total Liabilities from 14 a - e
$
0.00
Net Estate Value
$
Net Assets at End of Previous Reporting Period:
$
0.00
Change in Net Assets Since Previous Reporting Period:
$
16.
Trusts. The ward is a beneficiary of the following trusts(s) (meaning the ward has the
right to receive benefits of some kind from the trust):
Name of Trust:
Name and Address of Trustee:
If registered with the court, list trust registration no.
State
Do you know what benefits the ward is supposed to receive from the trust?
Yes
No
Is the ward receiving the benefits from the trust that he/she is supposed to receive?
Yes
No
I do not know.
Explain any changes since last report:
Page 11 of 12
Probate Rules 16(e)(1)(C), 16(e)(3) & 17(f)
AS 13.26.276 - .286, .510, .570 & 13.06.100
PG-215 (4/17)(cs)
FINAL GUARDIANSHIP REPORT
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