Page 1 of 3 Revised March 2019 251 201 9 Coconino Count y Law Library (1) Person Filing: Mailing Address: City, State, Zip: Phone Number: Email: Representing Self COCONI N O COUNTY SUPERIOR COURT (2) In the Matter of the Guardianship and/or (3) Case Number: GC Conservat orshi p of: Ward 1: Ward 2: Ward 3: [ ] An Adult [ ] A Minor (4) [ ] ANNUAL AND NOTICE OF HEARING (5) [ ] Non - app e arance calendar (6) [ ] UPON DISCHARGE ( 7 ) NOTICE OF HEARING: The court has set a hearing to review thi s Accoun ting as follows: Date: Time: Division: (All Divisions are in the Coconino County Court h ouse, 200 N . San Francisco St. , Flagstaff, AZ.) Unless it is on the non - appearance calendar, the conservator shall appear at the hearing. Anyone else with an inte rest in this case need appear at the hearing only if they wish to object to part of this Accounting. sking fo r a continuance involves multiple steps and deadlines that the court will expect you to know and follow. See the Self - Help Center packet Mo ving a Court Date to a Later Date . ACCOUNTING : (8 ) Accounting Period Opening Date: Closing Date: (9 ) Beginning Balance $ ( 10 ) Receipts (Itemized on Exhibit A, attached) $ ( 11 ) Gains (Itemized on Exhibit B, attached) $ (12 ) Disbursements (Itemized on Exhibit A, attached) ( $ ) (13) Losses (Itemized on Ex hibit B, attached) ( $ ) (14) Beginning Balance of Debts $ ( 15) Ending Balance of Debts (Itemized on Exhibit C, attached) ( $ ) (1 6 ) Ending Balance $ American LegalNet, Inc. www.FormsWorkFlow.com Page 2 of 3 Revised March 2019 251 201 9 Coconino Count y Law Library ( 1 7 ) [ ] True or [ ] False: The conservator has been charged with or con victed of a criminal offense, other than a civil traffic violation, during the accounting period . If True , explain: Charge: Court: Case Number: ( 18 ) Certificate o f Delivery : The conservator will mail or hand - deliver a copy of this Accounting t o the fol lowing on the date it is filed. WARD 1 WARD 2 WARD 3 THE WARD NAME: Street Address: City, State, Zip: THEIR MOTHER NAME: Street Address: City, State, Zip: THEIR FATHER NAME: St reet Add ress: City, State, Zip: THEIR CLOSEST ADULT RELATIVE NAME: Street Address: City, State, Zip: THEIR COURT - APPOINTED ATTORNEY NAME: Street Address: City, State, Zip: THEIR GUARDIAN AND/OR C ONSERVATOR NAME: Street Address: City, State, Zip: NAME: Street Address: City, State, Zip: PEOPLE HAVING CARE OR CUSTODY OF THEM NAME: Street Address: City, State, Zip: NAME: Street Address: City, State, Zip: American LegalNet, Inc. www.FormsWorkFlow.com Page 3 of 3 Revised March 2019 251 201 9 Coconino County Law Library PEOPLE WHO FILED A DEMAND FOR NOTICE NAME: Street Address: City, State, Zip: NAME: Street Address: City, State, Zip: THE WARD NAME: Street Address: City, State, Zip: (19 ) Conservator s Signature Conservator s Signature Date: Date: American LegalNet, Inc. www.FormsWorkFlow.com