IN THE CIRCUIT COURT OF JACKSON COUNTY, MISSOURI - PROBATE DIVISION AT IN THE ESTATE OF ESTATE NUMBER , Ward. ANNUAL REPORT OF GUARDIAN (Sec. 475.082, RSMO) 1. State present residence address of ward: 2. State the type and the name, if any, of the home or facility where the ward lives and the name of the person in chargeof the home: 3. State your present residence address: 4. During the last year, how many times have you seen the ward? What wa s the date when youlast saw the ward? State the nature of your visits: 5. Is there a plan for the wards care, training or treatment? If so, do you agree with its provisions? If not, explain what you disagree with: 6. When was the ward last seen by a physician? What was the purpose of the visit? (Over) >>>> 27. Have you observed any major changes in the wards physical or mental condition during the last year? If so, state your observations: 8. In your opinion, should this guardianship/conservatorship be continued? I f no, why not? 9. If you have been appointed limited guardian or conservator, should your powers be increased? If so, in what respects and why? 10. If you have been appointed full or limited guardian or conservator, should your powers be decreased? I f so, in what respects and why? 11. What is your opinion of the present care being provided to the ward? The undersigned swears that the answers set forth above are true and correct to the best knowledge and belief of the undersigned, subject to the penalties of making a false affidavit or declaration. Dated: SIGNED: TELEPHONE NUMBER: Form 10198 7/29/96