IN THE PROBATE DIVISION, CIRCUIT COURT, ST. LOUIS COUNTY, MISSOURI No. In the matter of U Minor GUARDIAN'S ANNUAL REPORT I/We, , Guardian/ u Co-Guardians of the above named minor submit the following information as required pursuant to the provisions of 475.082 R.S. Mo 1985.u The present address of the minor is u . My/Our present address is u .u During the past year the minor had contact with parents The nature and description of the contact with the parents ­ times. u u .u Date minor last saw the parents was The minor is currently enrolled in school at: .u u . The date the minor was last seen by a physician is visit by a physician was . The purpose of the u u u .u For Court's Use Only: CCPR002-WSA Rev. 05/15 American LegalNet, Inc. www.FormsWorkFlow.com KSTAT ­ Status/Annl Report Filing KOSTR ­ Order Approving Status Report General condition of minor's health u U u .u I/We feel that the continuance of the guardianship is/is not needed for the following reasons: u u u u . Comments: u U U U .U Return To: St. Louis County Probate Court 105 South Central Avenue, Fifth Floor Clayton, MO 63105 Signed this day of , 20 u U Signature of Guardian/Co-Guardians U Typed Name of Guardian/Co-Guardians u Street Address u City State Telephone Number Zip Code u CCPR002-WSA Rev. 05/15 American LegalNet, Inc. www.FormsWorkFlow.com