RECEIPT AND RELEASE OF GUARDIAN OF ESTATE PC-580 REV. 1/03
STATE OF CONNECTICUT
RECORDED:
COURT OF PROBATE [Type or print in black ink.] DISTRICT NO. WARD'S DATE OF BIRTH
TO: COURT OF PROBATE, DISTRICT OF IN THE MATTER OF [Name, address, and zip code]Hereinafter referred to as the ward.
GUARDIAN OF ESTATE [Name, address, zip code, and telephone number]
DATE OF APPOINTMENT OF GUARDIAN
WHEREAS, the guardian named above was, by order of the Court of Probate for this district on the date written above, duly appointed guardian of my estate, and WHEREAS, I have now arrived at the age of majority, according to law; THEREFORE, I DO HEREBY acknowledge and declare that I have received from the guardian named above full satisfaction and payment of all sums of money and other property belonging to me; And in consideration thereof, I DO HEREBY release the guardian named above declaring myself satisfied and paid as specified above. The representations contained herein are made under the penalties of false statement.
Date:
.......................................................................................... Ward: . ................................................................................................................ Judge Clerk Ass't Clerk
ACCEPTED BY THE COURT this: [Month, Day, Year]
RECEIPT AND RELEASE OF GUARDIAN OF ESTATE PC-580
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