Fill and Sign the Fillable Online the Ringgit Yo Yo the Return of Form

This report should be completed annually by the guardian, or more often \ if directed by the court. In the matter of First, middle, and last name , minor 1. I, Name (type or print) , am the guardian of the above named minor and my annual report for the period Date to Date is as follows: 2. Present age of the minor: Minor's date of birth: 3. Living Arrangement a. The current address and telephone number of the minor are: Check here if this is a new address . b. The minor's residence is: guardian's home relative's home: Relationship other: c. The minor has been in the present residence since Date . If moved within the past year, state the changes and the reasons for change: d. I rate the minor's living arrangement as excellent. average. below average. e. I believe the minor is content with the living situation. unhappy with the living situation. f. I recommend a more suitable living arrangement for the minor as follows:\ 4. Physical Health a. The minor's current physical condition is excellent. good. fair. poor. b. During the past year the minor's physical condition has remained about the same. improved. Explain worsened. Explain c. During the past year the minor received the following medical treatment (include check-ups and optical and dental work): Date Ailment Type of Treatment Doctor’s Name Approved, SCAO Do not write below this line - For court use only (SEE SECOND PAGE) USE NOTE: If this form is being filed in the circuit court family division, please\ enter the court name and county in the upper left-hand corner of the fo\ rm STATE OF MICHIGAN PROBATE COURT COUNTY ANNUAL REPORT OF GUARDIAN ON CONDITION OF MINOR FILE NO. PC 654 (12/17) ANNUAL REPORT OF GUARDIAN ON CONDITION OF MINOR MCL 700.5215(f), MCR 5.409(A) PCS CODE: AGM TCS CODE: AGM File No. 5. Education a. The minor regularly attends school at and is in grade . b. The minor attends alternative education at and is in grade . c. The minor does not attend school because . 6. Activities of Minor a. The minor's social activities (including sports) are: . b. During the past year the minor has been in counseling with at . c. During the past year the minor received in-patient services at . 7. Parenting time between the minor and parents was as follows: a. Parent’s name and current address: Parenting time: b. Parent’s name and current address: Parenting time: c. Comments about parenting time: 8. Parents complied with the court-structured plan limited guardianship placement plan as follows: Changes should be made to the plan as follows: 9. The guardianship should should not be continued because: 10. I am am not willing to continue to serve as guardian. 11. As guardian, I have been ordered by the court to file an annual account,\ which is attached. Date Date Signature of guardian Signature of co-guardian (if applicable) Address Address City, state, zip \ Telephone no. City, state, zip \ Telephone no. Check here if this is a new address Check here if this is a new address Annual Report of Guardian on Condition of Minor (12/17)