þ I, the undersigned, state that I am the en-USen-US Guardian en-USen-US Limited Guardian of the above-named Respondent, and report en-USto the Court as follows: 1. þ Present age of Ward: . 2. þ Date of birth: . 3. þ Current address of Ward: . 4. þ Ward's present living arrangement is: þ en-US þ Own home þ en-US þ Nursing home þ en-US þ Guardian's home þ en-US þ Skilled care þ en-US þ Hospital þ en-US þ Intermediate care þ en-US þ Relative's home þ en-US þ Personal care þ þ en-US þ Other: 5. þ Ward has been at present residence since en-USen-US. þ If Ward has lived elsewhere during the reporting period, list description and addre en-USss of each residence and the length þ of stay at each. þ þ þ 6. þ During this reporting period, the Ward's mental condition has: þ en-US þ Remained about the sa en-USme. þ en-US þ Improved. Describe: en-US þ þ en-US þ Deteriorated. Describe: en-US þ en-USAOC-790 Doc. Code: RGDen-USRev. 7-18en-USPage 1 of 3en-USCommonwealth of Kentuckyen-USCourt of Justice en-US www.courts.ky.goven-USKRS 387.670en-USANNUAL REPORT OF GUARDIAN lexet justitia COMMONWEALTHOFKENTUCKY COURTOFJUSTICE COMMONWEALTH OF KENTUCKY en-USVS.en-US þ RESPONDENT en-US)en-US)en-US)en-US)en-US)en-US)en-US* * * * * * * * * * * *en-USRelationship en-USDISTRICTen-USCase No. Court þ County þ Division þ American LegalNet, Inc. www.FormsWorkFlow.com en-USAOC-790en-USRev. 7-18en-USPage 2 of 3 7. þ During this reporting period, the Ward's physical health has: þ en-US þ Remained about the same. þ en-US þ Improved. Describe: en-US þ en-US þ en-US þ Deteriorated. Describe: en-US þ en-US 8. þ During this reporting period, the Ward's social condition en-UShen-USas: þ en-US þ Remained about the same. þ en-US þ Improved. Describe: en-US þ þ en-US þ Deteriorated. Describe: en-US þ 9. þ During this reporting period, the Ward has received the follow en-USing seren-USvices: þ Medical: þ þ Educational: þ þ Social: þ þ Vocational: þ þ Other: þ 10. þ My visits and activities on behalf of the Ward en-USwen-USere: þ þ þ 11. þ The guardianship en-USen-US should en-USen-USen-USs: þ þ þ 12. þ A standby guardian en-USen-US has en-USen-US has not been appointed. American LegalNet, Inc. www.FormsWorkFlow.com en-USAOC-790en-USRev. 7-18en-USPage 3 of 3 , 2 þ Date þ Guardian þ en-USGuardian's Phone Number þ Guardian's Social Security Number þ Address en-USSUBSCRIBED and SWORN to before me this day of , 2en-US.en-USMy Commission expires:en-US. þ þ Notary Public en-USTo be signed by Standby Guardian if one is appointed. þ I, the undersigned, state that I am the Standby Guardian of the above-named Respondent and continue to be willing en-USto serve in the event of the death, resignation, removal or incapacity of the Guardian. , 2 þ Date þ Signature of Standby Guardian þ en-USStandby Guardian's Phone Number þ Standby Guardian's Social Security Number þ Address en-US* * * * * * * * * * * *en-US* * * * * * * * * * * * American LegalNet, Inc. www.FormsWorkFlow.com