Name of Person Filing: __________________________________________ Mailing Address: __________________________________________ City, State, Zip Code: __________________________________________ Daytime Phone Number: __________________________________________ Evening Phone Number: __________________________________________ ATLAS Number (if applicable) _________________________________________ Attorney Bar Number (if Applicable) ____________________________________ Self Representing: Petitioner Respondent FOR CLERK’S USE ONLY SUPERIOR COURT OF ARIZONA MOHAVE COUNTY In the Matter of the (check one or both) Guardianship and/or Conservatorship of: Case No:_______________________________ PETITION FOR APPROVAL OF ANNUAL ACCOUNTING OF CONSERVATOR ______________________________ an Adult a Minor INSTRUCTIONS: AND/OR FEE STATEMENT For approval of annual accounting, put a check mark in boxes 1, 2, 3 and complete number 1: 1. This accounting covers the period from ____________________ (date) to ____________________ (date) and is due on ____________________(date) 2. Attached is a correct statement of all financial dealings I had on behalf of the ward or protected person during this accounting period. The summary of all financial transactions I conducted or allowed on behalf of the ward or protected person during this period of time are fully described, itemized, and summarized on the attached pages. I request that the Court enter an order approving this annual accounting. (Be sure to attach the accounting.) 3. Attached is a copy of the Estate Management Plan. INSTRUCTIONS: 4. For approvals of fee statements, put a check mark in box number 4: Attached is a copy of the Fee Statement for which I request approval too. (If you check this, attach the Fee Statement.) OATH OR AFFIRMATION STATE OF ARIZONA County of Mohave ) ) ss. I, the Petitioner, declare under penalty of perjury, that I have read this Petition. All the statements in the Petition are true and correct and complete to the best of my knowledge and belief. SIGNATURE:___________________________________ DATE:___________________________ Sworn to or affirmed before me this ____________ day of _____________, _______ by ____________________________________________. My Commission Expires:_____________________ 5/19/2009 ______________________________________ Notary Public / Deputy Clerk Page 1 of 1 American LegalNet, Inc. www.FormsWorkFlow.com