Conservator'S Implementation Report And Inventory Page 8

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11.
Protected Person’s Liabilities. (List all debts the protected person owes, including
mortgages, loans, credit card debt, etc. Attach extra pages if necessary.)
a.
Real Estate Debts.
(1) Home described in #10(h)(l).
Loan balance: $
(2) Property described in #10(h)(2). Description:
Loan balance: $
b.
Other Loans.
Lender (Name & Address)
Purpose (loan type) Loan Number Balance Due
c.
Credit Cards.
Company (Name & Address)
Card
Card Number
Balance Due
d.
Judgments/liens.
Description
Balance Due
e.
Amounts Owed For Services.
Service
To Whom Owed
Balance Due
(1)
Medical Services
(2)
Attorney Services
(3)
Conservator Services
(4)
Other
0.00
TOTAL LIABILITIES (Total all items in #11 a through e):
$
12.
NET ASSETS (Subtract Total Liabilities from Total Assets):
0.00
Total Assets from 10 a - m.
$
0.00
Total Liabilities from 11 a - e
$
0.00
Net Estate Value
$
Page 8 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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