Fill and Sign the Modified Annual Account of Married Ward Wisconsin Form

STATE OF WISCONSIN, CIRCUIT COURT,       COUNTY For Official Use IN THE MATTER OF       Amended Modified Annual Account of Married Ward       Date of Birth Case No.       I am the Guardian and I certify that this is an accurate account of the administration of the Guardianship with marital property for the period from January 1,       to December 31,       . I am filing this Modified Annual Account of the Married Ward as permitted by the court. Line Summary Explanation Total 1. Total assets of ward as determined under ch. 766 , on January 1 of the reporting year. (Attach Schedule A ) $       2. Income in the name of the ward without regard to ch. 766 , and the ward’s joint income. (Attach Schedule B ) $       3. Expenses incurred on behalf of the ward including the ward’s proportionate share of household expenses if the ward and the spouse resides in the same household, without regard to ch. 766. (Attach Schedule C) $       4. Total marital property of the ward, as determined under ch. 766 , on December 31 of the reporting year . ( Attach Schedule D) $       Status of Surety on Bond The status of the surety upon the guardian’s bond: has not changed. has changed. Explain:       Signature of Guardian/ Signature of Spouse Name Printed or Typed       Telephone Number       Name Printed or Typed       Telephone Number       Address       Address       Subscribed and sworn to before me on       Notary Public/Court Official My commission expires:       Subscribed and sworn to before me on       Notary Public/Court Official My commission expires:       Name of Attorney       Address       Telephone Number       Bar Number       GN-3510, 10/06 Modified Annual Account of Married Ward or Married §§54.19(5), 54.62(4) and 54.66, Wisconsin Statutes This form shall not be modified. It may be supplemented with additional material. Page 1 of 3 GN-3510 Modified Annual Account of Married Ward Page 2 of 3 Case No. Schedule A - Total assets of ward as determined under ch. 766 , on January 1 of the reporting year. See attached. Amount             Total: (Enter in Summary on Line 1 on page 1.) $       Schedule B - Income in the name of the ward without regard to ch. 766 , and the ward’s joint income. See attached. Amount             Total: (Enter in Summary on Line 2 on page 1.) $       Schedule C - Expenses incurred on behalf of the ward including the ward’s proportionate share of household expenses if the ward and the spouse resides in the same household, without regard to ch. 766. See attached. Amount             Total: (Enter in Summary on Line 3 on page 1.) $       GN-3510, 10/06 Modified Annual Account of Married Ward §§54.19(5), 54.62(4) and 54.66, Wisconsin Statutes This form shall not be modified. It may be supplemented with additional material. Page 2 of 3 GN-3510 Modified Annual Account of Married Ward Page 3 of 3 Case No. Schedule D - Total marital property of the ward as determined under ch. 766 , on December 31 of the reporting year. See attached. Amount Total: (Enter in Summary on Line 4 on page 1.) $       For Authorized Persons Only Display of Assets and Examination of Accounts: I am not the guardian or spouse. I am authorized by the court to examine assets. I have examined all securities, depository accounts, and other investments, and such assets correspond with the account, except as indicated.       Authorized Signature (Not guardian or spouse)       Name Printed or Typed       Title Date GN-3510, 10/06 Modified Annual Account of Married Ward §§54.19(5), 54.62(4) and 54.66, Wisconsin Statutes This form shall not be modified. It may be supplemented with additional material. Page 3 of 3