Guardianship Annual Report Page 8

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Change in Annual Expenses Since Previous Reporting Period
Explain any difference more than $1000:
12.
Money Controlled By Ward.
Does the ward have sole control over any money?
Yes
No
If yes, please explain:
Is this money included in the income and expenses listed in #10 and #11?
Yes
No
Explain:
13.
Ward’s Assets at the end of this Reporting Period (Date:
)
(List all assets the ward owns individually or jointly. Attach extra pages if necessary.)
a.
Cash on hand (not in an account) $
(amount)
(where located)
Explain any changes in the last 12 months:
b.
Burial Account
Type of
Account
Name of Bank or Institution
Balance
Account
Number
Explain any changes in the last 12 months:
c.
Alaska Native Corporation Dividend Account
Type of
Account
Name of Bank or Institution
Balance
Account
Number
Explain any changes in the last 12 months:
d.
List all other bank accounts, certificates of deposit, etc. Attach the most recent
bank statement. Attach additional pages if necessary.
Name(s) on
Account
Name of Bank or Institution
Balance
Account
Number
Page 8 of 13
Probate Rule 16(e)(1)(B), 16(e)(3) & 17(e)
PG-210 (9/08)(cs)
AS 13.26.118, .255, .380(b) & 13.06.100
GUARDIANSHIP ANNUAL REPORT

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