Annual Report Of Guardian

45-02 (1/18) GUARDIANS ANNUAL REPORT Page 1 of 2 RETURN TO: IN THE CIRCUIT COURT OF THE STATE OF OREGON FOR THE COUNTY OF MULTNOMAH 1021 SW 4TH AVENUE, PORTLAND American LegalNet, Inc. www.FormsWorkFlow.com 45-02 (1/18) GUARDIANS ANNUAL REPORT Page 2 of 2 14. I believe this guardianship should should not (check one) continue because: 15. I receive the following amount of money on behalf of the protected person: $. I spent the following amount of money on behalf of the protected person: $. I now hold the following amount of money on behalf of the protected person: $. 16. A true copy of this report will be given to the protected person and/or his/her conservator, and any other person who has requested notice. 17. Since my last report: A. I have been convicted of the following crimes (not including traffic violations): B. I have filed for or received protection from creditors under Federal Bankruptcy Code: YES NO(check one) C. I have had a professional or occupational license revoked or suspended: YES NO(check one) D. YES NO(check one) 18. Since my last report, I have delegated the following powers over the protected person for the following periods of time (provide name of person and powers delegated to): and belief, and that I understand they are made for use as evidence in court and is Date Signature of Guardian Date Signature of Co-Guardian (if applicable) NOTICE: ANY PERSON INTERESTED IN THE AFFAIRS OR WELFARE OF THE PROTECTED PERSON WHO IS THE SUBJECT OF THIS REPORT WHO HAS CONTACT THE COURT AS FOLLOWS: MULTNOMAH COUNTY CIRCUIT COURT ATTN: PROBATE DEPARTMENT, ROOM 224 1021 SW FOURTH AVENUE PORTLAND, OR 97204 (503) 988-3022, option 4 (between 8:30-10:30 am & 1:30-4:00 pm) American LegalNet, Inc. www.FormsWorkFlow.com