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In the Matter of: Case No: GUARDIAN’S ANNUAL REPORT ...

ANNUAL guardian s REPORT Adult Protected Person Page 1 of 4 (Jan 2021) IN THE CIRCUIT COURT OF THE STATE OF OREGON FOR THE COUNTY OF In the Matter of: Case No: _____ guardian S ANNUAL REPORT Protected Person FINAL REPORT guardian s Information: Name: Address: Phone: Information regarding Protected Person since the last REPORT : 1. Protected Person s current residence: a. Name (if applicable): b. Address: c. Type of facility or residence: d. Name of the person at the residence who is primarily responsible for care of Protected Person: e.

Annual Guardian’s Report – Adult Protected Person Page 3 of 4 (Jan 2021) 11. I, or other members of my household, have been convicted of the following crimes (not . including traffic violations): (include the name of the applicable person): 12. I have filed for or received bankruptcy protection from creditors (explain): 13.

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