13.
Trusts. The protected person is a beneficiary of the following trust(s) (meaning the
person 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 protected person is supposed to receive from the trust?
Yes
No
Is the protected person receiving the benefits from the trust that he/she is supposed to
receive?
Yes
No
I do not know.
14.
Did the protected person help you prepare (provide information for) this report?
Yes
No
Oath
I do solemnly swear (or affirm) that the information given in this report is true and correct to the
best of my knowledge and belief.
Date
Conservator’s Signature
Subscribed and sworn to or affirmed before me at
, Alaska
on
, 20
.
(SEAL)
Clerk of Court, Notary Public or other person
authorized to administer oaths.
My commission expires:
I certify that on
,
I gave a copy of this report and its
attachments to:
protected person
protected person’s attorney or guardian ad litem (if currently representing protected person):
parent or guardian with whom protected person resides (if any):
protected person’s guardian (if a separate guardian has been appointed):
the following person(s) designated by court order:
Conservator’s Signature
Page 9 of 9
Probate Rule 17(e)
PG-220 (2/05)(cs)
AS 13.26.250 & 13.06.100
CONSERVATOR’S IMPLEMENTATION REPORT & INVENTORY