IN THE CIRCUIT COURT FOR FLORIDA IN RE: GUARDIANSHIP OF COUNTY, PROBATE DIVISION File No. Division PROOF OF SERVICE OF ANNUAL GUARDIANSHIP REPORT OF GUARDIAN OF THE PERSON I certify that the Annual Guardianship Report of the guardian of the person, consisting of the Annual Guardianship Plan, was filed with the Court on , , and copies thereof were furnished to the Ward and the attorney for the Ward, if any, at the following addresses: by on , . Under penalties of perjury, I declare that I have read the foregoing, and the facts alleged are true, to the best of my knowledge and belief. Signed on , . Attorney for Guardian Email Addresses: Florida Bar No. (address) Telephone: [Print or Type Names Under All Signature Lines] Bar Form No. G-4.021 © Florida Lawyers Support Services, Inc. January 1, 2017 American LegalNet, Inc. www.FormsWorkFlow.com