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Guardians Annual Status Report Form. This is a Missouri form and can be use in 7th Circuit (Clay County) Local Circuit Courts.
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Tags: Guardians Annual Status Report, 108-M, Missouri Local Circuit Courts, 7th Circuit (Clay County)
CIRCUIT COURT OF CLAY COUNTY, MISSOURI
PROBATE DIVISION
No.
Matter of
, Minor
.
GUARDIAN’S ANNUAL STATUS REPORT
*I - *We
as legally appointed Guardian
of the above named minor
state to the Court as follows:
1. Minor’s age
2. The present address of the minor
3.
(If different than the Guardian’s):
General condition of minor’s health:
4. In the past year, the following amounts of money or other assets have been received by or
on behalf of the minor
, and not reported to the Court elsewhere:
THE STATEMENTS AND REPRESENTATIONS IN THIS DOCUMENT ARE
MADE UNDER OATH AND ARE TRUE AND CORRECT TO THE BEST OF MY
KNOWLEDGE AND BELIEF. I UNDERSTAND THEY ARE MADE SUBJECT TO THE
PENALTIES OF MAKING A FALSE AFFIDAVIT OR DECLARATION.
Date
Signature of Guardian
ALL GUARDIANS MUST SIGN
Address
Phone:
Form 108M
Page 1 of 1
Revised 11/9/2004
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