Fill and Sign the Connecticut Agreement of Fiduciaryies Guardianship of Minors Estate Form

CONNECTICUT PROBATE COURTS Acceptance of Appointment and Agreement of Guardian of Estate of Minor PC -571 REV. 10/17 Acceptance of Appointment and Agreement of Guardian of Estate of Minor PC -571 RECEIVED : Instructions: 1) A person to be appointed as a guardian of the estate of a minor may use this form to accept the appointment by the court and agree to carry out the duties of a guardian of the estate as listed below. 2) If an individual fiduciary is not a Connecticut resident, a PC -482, Appointment of Judge of Probate as Agent f or Service by Non- resident Fiduciary must be filed in court. 3) Type or print the form in ink. Use Second Sheet, PC -180, or an additional sheet if more space is needed. Probate Court Name District Number Estate of Hereinafter referred to as the minor. ACCEPT ANCE OF APPOINTMENT By signing below, I accept the appointment as guardian of the estate of the minor. I am not a Connecticut resident and have submitted to the court a PC -482, Appointment of Judge of Probate as Agent for Service by Non- resident Fiduciary. AGREEMENT OF FIDUCIARY As a guardian of the estate for the minor, I acknowledge the following responsibilities and agree to: • Submit an inventory of the assets of the minor in court within two months of my appointment. • Hold the funds owned by the minor in a separate fiduciary ( guardianship) account or accounts. I understand that the m inor’s funds may not be comingled with any other funds that the minor does not own. • Submit a financial report or an account to the court for the first year from the date of the court decree appointing me as guardian or, with approval of the court, for the first year following the date I first received funds for the benefit of the minor’s estate. • Submit a financial report or periodic account every three years thereafter, or more frequently as directed by the court. • Submit a final financial report or account when the minor reaches 18 years of age. • Send a copy of the inventory of the assets of the minor and each financial report or account, at the time of filing, to each party and attorney of record. • Maintain complete records of my management of the minor’s estate, including but not limited to, all journals or ledgers, bank statements or passbooks, deposit slips, cancelled checks or check images, receipts for disbursements , as listed in Probate Court Rules of Procedure, section 36.13. I understand that I must maintain these records until the court approves my final financial report or account and the expiration of any applicable appeal period. • Complete the financial report or accounting or have a professional complete the report or acc ounting. I understand that the reasonable fees associated with the preparation may be charged to the estate. • If the court has required a probate bond: o Report to the court the receipt of additional assets or income or capital gain from the sale of assets if the aggregate amount exceeds 10% of the probate bond or $50,000, whichever is greater. CONNECTICUT PROBATE COURTS Acceptance of Appointment and Agreement of Guardian of Estate of Minor PC -571 REV. 10/17 Acceptance of Appointment and Agreement of Guardian of Estate of Minor PC -571 • If assets are held in a restricted account: o Submit proof of deposit of funds into the restricted account within 10 days of receipt of assets. o Seek Probate Court approval for withdrawal requests in writing and show the exact amount to be withdraw n and an explanation of the proposed use of the funds. o Submit verification, PC -412, Verification RE Restricted Account, that the restricted account remains in forc e w ith an y financial report or account filed in court. • Seek Probate Court approval prior to using any assets of the minor’s estate for expenses to support the minor. • Seek approval of the Probate Court prior to receiving cash in advance of scheduled payments under an y s tructured settlement approved by the court in connection with a compromise of claim. • Notify the court of any change of address of either the guardian(s) or the minor. • I understand that failure to comply with these conditions may result in a court hearing to determine whether or not I may continue as guardian. T he representations contained herein are made under th e penalty of false statement. Signature Signature Type or Print Name Type or Print Name Date Date Address Address Telephone Number Telephone Number