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Fill and Sign the Form Pag 152 Adult Guardian Closing Report and Discharge

Fill and Sign the Form Pag 152 Adult Guardian Closing Report and Discharge

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Form PAG152 – Adult Guardian Closing Report and Discharge Order (9 /2014) Page 1 of 1 STATE OF VERMONT SUPERIOR COURT PROBATE DIVISION Unit Docket No.: In re Guardianship of : ADULT GUARDIAN CLOSING REPORT and DISCHARGE ORDER The following is a final report to the court concerning Name of Respondent I hereby report under oath that the following facts are true: 1. This report is filed within one year after the final accounting in this proceeding. 2. Persons entitled to money or other property have been paid in the amount s set forth in the final accounting. 3. A receipt for each payment is attached to this report together wi th proof of delivery or other proof as required by the Court. Based on this report, I request that I be discharged and that this pro ceeding be closed. Date Signature of Guardian Signed and sworn to before me: Date Signature of Notary Public Expiration Date DISCHARGE ORDER Report approved and proceeding closed. The Guardian is hereby disch arged. Dated: Signed Probate Judge

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