Guardians Report {17.7}

PROBATE COURT OF CUYAHOGA COUNTY, OHIO Anthony J. Russo, Presiding Judge Laura J. Gallagher, Judge IN THE MATTER OF THE GUARDIANSHIP OF ______________________________________ CASE NUMBER ______________________________________ GUARDIAN'S REPORT [R.C. 2111.49] NOTE: If allotted space is inadequate to respond, write "See Exhibit" in the space and add appropriate exhibit letter sequence, then attach exhibit containing information requested for that space. 1. 2. This is the (check one): G1st, G2nd, G3rd, G4th, G5th, G 6th, or ________ , Guardian's Report Ward's present address: _________________________________________________________ City _____________________________________________________ 3. Zip _______________ Telephone ( ______ ) ___________________ Ward's living arrangements at the above address are best described as: G a. His or her own apartment or home (includes assisted living facilites). G b. Private home or apartment of: G (1) the ward's guardian. G (2) a relative of the ward, whose name is ___________________________________ and relationship is __________________________________________________ G c. G d. G e. G f. g. G (3) a non-relative whose name is __________________________________________ A foster, group or boarding home. A nursing home. A medical facility or state institution. Other (describe) __________________________________________________________ _______________________________________________________________________ If c, d, e, or f is checked, complete the following: (1) The name of the home, facility or institution ___________________________ _________________________________________________________________ (2) The name of an individual at the home, facility or institution who has knowledge and is authorized to give information to the Court about the ward. Name ____________________________________________________________ 4. Telephone Number ( _______ ) ______________________________________ The ward will be at the address given in item 2: G a. G b. Indefinitely. Temporarily. The new address and telephone number is: G (1) Unknown. I will provide this information when known. G (2) _________________________________________________________________ City ___________________________________ State ___________________ Zip ____________________ Telephone ( ________ ) _________________ American LegalNet, Inc. www.FormsWorkFlow.com Form 17.7 - Guardian's Report