Report Of Court Appointed Attorney {PC-170A}

Report of Court-Appointed Attorney PC-170A New 1/14 RECEIVED: CONNECTICUT PROBATE COURTS RECORDED: Instructions: 1) An attorney may use this form to indicate whether the attorney's client objects to the petition or motion referenced below. 2) For further information, see Probate Court Rules of Procedure, section 12.4. 3) Type or print the form in ink. District Number Probate Court Name Estate of / In the Matter of Person(s) Represented Type of petition or motion The appointment of a conservator of the estate person The appointment of a guardian of a person with intellectual disability The granting of authority to sell or mortgage the real property on the terms and conditions set forth in the petition to sell or mortgage The allowance of the interim financial report or account for the period from ______________________ to _______________________________ The allowance of the final financial report or account Other (Specify) The undersigned attorney states that: 1) I have examined the circumstances of the matter before the court; 2) I have acquainted myself with my client's rights; 3) I have met with my client to discuss the petition or motion referenced above; and 4) my client: has no objection to the petition or motion. objects to the petition or motion. has not expressed a position concerning the petition or motion. Signature of Attorney_________________________________ Type or Print Name _______________ Date ____________________________ Report of Court-Appointed Attorney American LegalNet, Inc. www.FormsWorkFlow.com PC-170A NEW 1/14