Download Free Print-Only PDF OR Purchase Interactive PDF Version of this Form
Annual Report Form. This is a Illinois form and can be use in Lake Local County.
Loading PDF...
Tags: Annual Report, 171P-19, Illinois Local County, Lake
STATE OF ILLINOIS
COUNTY OF LAKE
)
) SS
)
IN THE CIRCUIT COURT OF THE NINETEENTH JUDICIAL CIRCUIT,
LAKE COUNTY, ILLINOIS
In the Matter of the Guardianship of:
________________________________________
)
)
)
)
)
Gen No. ______________________
ANNUAL REPORT
NOW comes the Guardian of the person named in the caption hereto and shows unto the Court:
1.
An Order was entered on __________________________, finding said person to be a
disabled adult, and appointing the undersigned Guardian of the person;
2.
The last Annual Report to the Court was made on _____________________________.
3.
The ward’s current mental, physical and social condition is: _______________________
________________________________________________________________________
________________________________________________________________________.
4.*
The ward has no minor or adult dependant children.
5.
The ward’s present living arrangement, a description and address of every residence where
the ward lived during the reporting period and length of stay at each place is:___________
________________________________________________________________________
________________________________________________________________________
6.
A summary of the medical, educational, vocational and other professional services given
the ward is: ______________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
7.
A summary of the guardians visits with and activities on behalf of the ward is: _________
________________________________________________________________________
________________________________________________________________________
*Check only if applicable
171P-19 Rev. 09/00
Page 1 of 2
2002 © American LegalNet, Inc.
8.*
The undersigned guardian recommends continued guardianship.
9.
Other information which may be useful to the Court is: ____________________________
________________________________________________________________________
________________________________________________________________________
All which is respectfully submitted.
By: _________________________________
GUARDIAN
STATE OF ILLINOIS
COUNTY OF LAKE
)
) SS
)
____________________________________, being first duly sworn on oath states that he/she as
guardian of the above named person, is authorized to execute this Report, has read the foregoing Report
by him/her subscribed, knows the contents thereof and that the same are true in substance and in fact.
___________________________________
SUBSCRIBED and sworn to before me this _____day of ____________________, _______.
______________________________________
NOTARY PUBLIC
*Check only if applicable
171P-19 Rev. 09/00
Page 2 of 2
2002 © American LegalNet, Inc.
