Fill and Sign the Final Report of Conservator Rule 711 Form 5pdf Fpdf DOC

Rule 7.11 — Form 2: Initial/Annual/Final Report of Guardian  If filing electronically, you must provide any protected information in full on form 6, according to Division VI of Chapter 16 of the Iowa Court Rules .  If filing in paper, you may use form 6 to provide any protected information in full. In the Iowa Distri ct Court for County In the Matter of the Guardianship of: Full name: first, middle, last If the Ward is a minor, use initials only Ward. Probate no. Check one  Initial  Annual  Final Report of Guardian The undersigned duly appointed and qualified Guardian states as follows: 1. This Report is for the period fro m: / / to / / Month Day Year Month Day Year 2. The current mental an d physical condition of the Ward is:  Check this box if you have attached a sheet with additional information. 3. The present living arrangement of the Ward, including a description of each residence where the Ward has resided and with whom during the reporting period is:  Check this box if you have attached a sheet with additional information. 4. The following is a summary of the medical, educational, vocational, and other professional services provided for the Ward:  Check this box if you have attached a sheet with additional information. 5. The fol lowing is a description of the Guardian's visits with and activities on behalf of the Ward :  Check this box if you have attached a sheet with additional information. May 2014 Rule 7.11 — Form 2 Page 1 of 2 Rule 7.11 — Form 2 : Initial/Annual/Final Report of Guardian , con tinued 6. The Ward 's year of birth is : On Initial R eport only 7. The Ward is:  single.  married.  divorced. 8. Is the Ward a minor?  Yes  No If the Ward is a minor, names and addresses of parents: Name of parent Street address City State ZIP code Name of parent Street address City State ZIP code 9. Guardianship is recommended to be:  continued.  terminated. If termination is recommended, give reason(s). A hearing may be required on the matter of termination.  Check this box if you have attached a sheet with additional information. 10 . Other information the court requested that i s useful in the opinion of the Guardian:  Check this box if you have attached a sheet with additional information. 11 . Ha ve final court costs been paid?  Yes  No 12 . Oath and Signature I, , have read this Report, and I certify under penalty Print Guardian’s name of perjury and pursuant to the laws of the State of Iowa that the information I have prov ided in this Report is true and correct. , 20 Month Day Year Guardian ’s signature* Mailing address City State ZIP code ( ) Phone number Email address Additional email address, if applicable * Whether filing electronically or in paper, you must handwrite your signature on this form. If you are filing electronically, scan the form after signing it and then file electronically. Note: Bank statements, checks, receipts, stubs, and other items evidencing receipt o f funds and payment must be available to the court on demand. May 2014 Rule 7.11 — Form 2 Page 2 of 2