Section 743 CAUSE NO. ________________ GUARDIANSHIP OF § IN THE COUNTY COURT THE PERSON OF § AT LAW NO. _____ OF _____________________________ § FORT BEND COUNTY, TEXAS ANNUAL REPORT ON LOCATION, CONDITION, AND WELL-BEING OF WARD I, the undersigned, represent that I am the guardian of the person of the above-named Ward, and that my annual report to the Court for the period of __________________________ through ________________________________ is as follows: 1. Name of Guardian:________________________________________________________ Guardian’s Address____________________________________________ ____________________________________________________________ Telephone Number:(_____)_________________________________________________ Area Code 2. Name of Ward:___________________________________________________________ Telephone No. (______)____________________________________________________ Area Code Present Age of Ward:______________________________________________________ Date of Birth: ___________________________________________________________ Current Address of Ward:___________________________________________________ ___________________________________________________ [If the Ward has died, please state the date and place of death and do not complete the other sections.] 3. Ward’s Residence is: _____ Guardian’s Home _____ Own Home _____ Foster or Boarding Home _____ Relative’s Home Name/Address:_____________________________________________________ _____________________________________________________ _____________________________________________________ _____ Hospital or Medical Facility _____ Nursing Home Name/Address:_____________________________________________________ ______________________________________________________ ______________________________________________________ _____ Other:_____________________________________________________________ _____________________________________________________________ _____________________________________________________________ American LegalNet, Inc. www.USCourtForms.com 4. Ward has been in present residence since (date):_________________________________ If moved within past year, state reason for change:_______________________________ ________________________________________________________________________ ________________________________________________________________________ 5. During the last 12 months the Guardian has seen the Ward ___________ times. The last date the Guardian saw the Ward was __________________________________________ 6. Does Guardian have possession or control of the Ward’s estate? ________ Yes ________ No I have received $____________ for the Ward’s benefit from _______________________ __________________________________________, the sum of $___________________ was spent directly for the Ward’s benefit in the following manner. (If more space is needed, attach as statement): ________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ 7. During the past year the Ward’s mental health has: ______ Improved. Describe: ________________________________________________ ______ Remained Unchanged ______ Deteriorated. Describe:______________________________________________ During the past year the Ward’s physical health has: ______ Improved. Describe: ________________________________________________ ______ Remained Unchanged ______ Deteriorated. Describe: _____________________________________________ 8. During the past year the Ward has been treated or evaluated by the following: (Please state the date service was rendered and the type of service received). ______ Physician: ________________________________________________________ ______ Psychologist: ______________________________________________________ ______ Psychiatrist: _______________________________________________________ ______ Mental Health Provider: _____________________________________________ ______ Social or Other Case Worker: _________________________________________ ______ Dentist: __________________________________________________________ 9. Social Conditions: During the past year the Ward has participated in the following activities: (Describe) ______ Recreational: ______________________________________________________ ______ Educational: ______________________________________________________ ______ Occupational: _____________________________________________________ ______ None available or other: _____________________________________________ ______ Refuses or Unable to Participate. American LegalNet, Inc. www.USCourtForms.com 10. As Guardian, I rate my Ward’s living arrangements as: ______ Excellent ______ Average ______ Below average, explain ______________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ 11. As Guardian, I believe my Ward is: ______ Content with living situation. ______ Unhappy with living situation. 12. As Guardian, I believe my Ward has the following unmet needs: ___________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ 13. State whether the Guardian’s powers should be: ______ Increased: ________________________________________________________ ______ Decreased: ________________________________________________________ ______ Remain unchanged. 14. As Guardian, the bond premium has been paid for the next year? ________ Yes ________ No. If no, explain: ______ The full bond has been paid into the Registry of the Court. or ______ State the reason why the bond premium has not been ______________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ 15. Is there any other information that the Guardian desires to advise the Court of: ________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ Date: ________________________ Name: _______________________________ Signature: ___________________________ Guardian (printed) Name: _______________________________ Signature: ___________________________ Guardian (printed) American LegalNet, Inc. www.USCourtForms.com THE STATE OF TEXAS COUNTY OF _________________________ § § BEFORE ME, the undersigned authority, on this day personally appeared ____________ ____________________________________ and _____________________________________, who being first duly sworn, states on oath that the within and foregoing report is true, correct, and complete statement of the present location, condition, and well-being of ________________ ________________________, a minor or an incapacitated person, as of the date stated herein. Signed: _________________________________________ Guardian SWORN TO AND SUBSCRIBED BEFORE ME on this the _______ day of _______________ _______________________, 20______. [Seal] __________________________________________ Notary Public in and for The State of Texas Signed: _________________________________________ Guardian SWORN TO AND SUBSCRIBED BEFORE ME on this the _______ day of _______________ _________________________, 20______. [Seal] __________________________________________ Notary Public in and for The State of Texas ORDER ACKNOWLEDGING REVIEW OF ANNUAL REPORT ON LOCATION, CONDITION, AND WELL-BEING OF WARD On this _______ day of ___________________, 20______, came on to be considered the Report of the Condition, Welfare, and Well-Being of __________________________________, Ward, and the Court having examined said report, it is therefore ORDERED entered of record. SIGNED this _______ day of __________________________, 20______. ____________________________________ JUDGE, FORT BEND COUNTY, TEXAS I:\probate\internet forms\annual report.doc American LegalNet, Inc. www.USCourtForms.com