1 2 3 4 5 6 7 8 IN THE SUPERIOR COURT OF THE STATE OF WASHINGTON IN AND FOR THE COUNTY OF KING 9 10 In the Guardianship of: 11 _____________________________, 12 An Incapacitated Person. 13 ) Case No.: ) ) CREDITOR’S RECEIPT ) ) (RCP) I acknowledge receipt in the amount of $______________ from the Guardianship 14 Estate. This amount is accepted in full payment and satisfaction of a claim that the Guardian 15 or Court has previously approved, and which was submitted on behalf of 16 ____________________________________________________________. 17 18 19 20 21 22 23 24 25 I DECLARE UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT. Signed at ________________, Washington, ___________, ____200__. Signature Printed Name Address Telephone/Fax Number City, State, Zip Code Email Address 26 RECEIPT OF CREDITOR- 1 12/2005 GUARDIANSHIP FORMS American LegalNet, Inc. www.USCourtForms.com