IN THE CIRCUIT COURT FOR ORANGE COUNTY, FLORIDA PROBATE/ MENTAL HEALTH DIVISION IN RE: GUARDIANSHIP OF File No. 48-_ SIMPLIFIED ACCOUNTING OF GUARDIAN OF PROPERTY Annual Accounting for the period commencing , _. , through The undersigned He/she is the duly qualified and acting guardian(s) of the property of , alleges: _. Pursuant to order of the above entitled court, all assets of the Ward are in the following designated depositories under Sec. 69.031, Florida Statutes: Institution Ini tut ion Account Number Account Number Balance Fiscal Year Balance Fiscal Year End Original or certified copies of the statement(s) of the Ward's account(s) from the financial institution(s) are attached to this accounting, consisting of the December statement(s) and the statement(s) for the fiscal month ending for the period being reported. The only transactions that have occurred in the account(s) are interest accrual, deposits pursuant to settlement, or financial institution charges. Under penalties of perjury, I/we declare that, to the best of my/our knowledge and belief, this accounting is true and correct, and that I/we have custody and control of the Ward's property as set forth in the attached aforementioned statements. Executed on the day of _, _. (Guardian) (Co- Guardian) American LegalNet, Inc. www.FormsWorkFlow.com