IN THE CIRCUIT COURT OF JACKSON COUNTY, MISSOURI - PROBATE DIVISION AT IN THE ESTATE OF ESTATE NUMBER , Adult Protectee. PETITION FOR APPROVAL OF SETTLEMENT AND ORDER FOR NO FURTHER PROCESS (Restricted Assets or Trust Assets) Now comes the conservator of the estate of the above named protectee, and states that said conservator has filed settlement which shows that said protectee is not now the owner of, and has no interest in any real property; and that: * The assets of the estate have been deposited in restricted custody to be withdrawn only on order of the court and that none of the assets are needed for the support, maintenance or education of said protectee. * The assets of the estate are entirely in trust and the trustees disburse any necessary monies for support of the protectee to care/service providers and not to the conservator. WHEREFORE, petitioner prays for an order approving said settlement and for an order of no further process. The undersigned swears that the matters set forth 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: Conservator: Address: zipAttorney: MO B AR No Address: zipTelephone Number: ( ) Fax Number: ( ) E-Mail Address: Form 10227