Free Form 2 - Iowa


File Size: 639.6 kB
Pages: 1
Date: January 13, 2006
File Format: PDF
State: Iowa
Category: Probate
Word Count: 341 Words, 3,118 Characters
Page Size: Letter (8 1/2" x 11")
URL

http://www.judicial.state.ia.us/wfdata/frame3104-1592/File1.pdf

Download Form 2 ( 639.6 kB)


Preview Form 2
Print Form
Ch 7, p.4 PROBATE PROCEDURE September 2003

Rule 7.11 - Form 2: Initial/Annual/Final Report of Guardian and Order. IN THE IOWA DISTRICT COURT FOR _________________________ COUNTY IN THE MATTER OF THE GUARDIANSHIP OF Probate No. ________________________ (check one) _____ INITIAL REPORT _____ ANNUAL REPORT _____ FINAL REPORT AND ORDER The undersigned duly appointed and qualified guardian in the above-entitled matter, states to the court: 1. This report covers the period from_____________________________________________________,20 _____, to _____________________________________, 20 _____. 2.The current mental and physical condition of the ward is: 3. The present living arrangementof the ward, including a description of residence where the ward has resided during he reporting period is (indicate with whom ward resided at each residence): 4. The following is a summary of the medical, educational, vocational, and other professional services provided for the ward: 5. The following is a description of the guardian's visits with and activities on behalf of the ward: 6. (On initial report only.) The ward's date of birth is: _____________________________________. 7. The ward is: Single __________ Married __________ Divorced __________. 8. If the ward is a minor, names and addresses of parents: 9. It is recommended the guardianship be: continued _________________; terminated ____________________. If termination is recommended, give reason: (A hearing may be required on the matter of termination.) 10. Other information requested by the court or useful in the opinion of the guardian: 11. Final court costs (have) (have not) been paid. __________________________________________________ Guardian __________________________________________________ Address __________________________________________________ Telephone Number I certify under penalty of perjury and pursuant to the laws of the State of Iowa that the preceding is true and correct. ___________________________________ __________________________________________________ Guardian Date __________________________________________________ Address (NOTE: Bank statements, checks, receipts, stubs, and other items evidencing receipt of funds and payment must be available to the court on demand.) ORDER The above (initial) (annual) (final) report is approved and the guardianship of said ward shall be (continued) (terminated, guardian discharged, bond released) (set for hearing on matter of termination). Hearing date is: ____________________________________________,20 _____ at _________ o'clock _____ .m., at ______________________________________________________________________________________. Dated: ___________________________________________________, 20 _____. __________________________________________________ Judge of the _________________________ Judicial District Referee in Probate [Court Order November 15, 1984, effective December 10, 1984; December 4, 1984, effective December 10, 1984; March 10, 1987, effective July 1, 1987; Report November 9, 2001, effective February 15, 2002]

_____________________________________