Conservator'S Implementation Report And Inventory Page 3

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b.
Describe decisions made by conservator alone:
c.
Describe decisions made by conservator and protected person together:
6.
Dependents. (List anyone the protected person is legally required to support.)
Name
Relationship to Person
Date of Birth (if under 18)
7.
Conservator Services.
a.
Briefly describe the conservator services you plan to provide to the protected
person:
b.
What are you doing or planning to do to help the protected person learn to
manage and protect his/her money?
8.
Protected Person’s Current Monthly Income. (List only the income of the protected
person. Do not list any of your own income. Divide any yearly amounts by 12. Divide
quarterly amounts by 3.)
Income Source
Monthly Amount
Social Security Benefits:
a. SSA
b. SSI
Adult Public Assistance:
Veterans Financial Benefits:
Alaska Longevity Bonus:
Permanent Fund Dividend:
Native Corporation Dividend:
Page 3 of 9
Probate Rule 17(e)
PG-220 (2/05)(cs)
AS 13.26.250 & 13.06.100
CONSERVATOR’S IMPLEMENTATION REPORT & INVENTORY

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