(Copy Receipt) (Clerk’s Date Stamp) SUPERIOR COURT OF WASHINGTON COUNTY OF SPOKANE In the Guardianship of: CASE NO. ______________________ __________________________________ PETITION FOR ORDER CLOSING GUARDIANSHIP AND DISCHARGING GUARDIAN (PT) PETITION AND DECLARATION 1. Guardianship History. The undersigned Guardian was appointed Guardian of the Incapacitated Person on ______________ (date). The Court approved the Final Report of the Guardian on _____________ (date), and ordered that the following steps be taken to effectuate the closure of this Guardianship: _________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ 2. Activities by Guardian Since the Entry of the Order Approving Final Report. Since the entry of the Order Approving the Final Report, the Guardian has completed all of the requirements and conditions set forth by the Court in that Order. #62A-PETITION FOR ORDER CLOSING GUARDIANSHIP & DISCHARGING GUARDIAN PAGE 1 OF 2 Revised 3/07 American LegalNet, Inc. www.FormsWorkflow.com 3. Bond. A Guardianship bond in the amount of $________ (enter 0 if there is no bond in effect) with ________________________________________________________________ (name of insurer on bond) identified by bond number: ______________ was filed and approved in this case. WHEREFORE, the Guardian requests an order: 1. Determining that the Guardianship proceeding of the person and estate is completed. 2. Discharging the Guardian. 3. Exonerating the bond filed in this case, if any. 4. Directing the Clerk of the Court to close this case. I certify (or declare) under penalty of perjury under the laws of the State of Washington that to the best of my knowledge the statements above are true and correct. SIGNED AT _____________, WASHINGTON THIS ____ DAY OF ______________, 20___ Signature of Guardian/Attorney Printed Name of Guardian/Attorney, WSBA/CPG# Address City, State, Zip Code *Telephone/Fax Number Email Address *Under GR 22 (b) (6), parties’ personal telephone number(s) are confidential information. If you do not want your personal phone number(s) on this public form, complete form #S2Sealed Confidential Information and file in the confidential file. #62A-PETITION FOR ORDER CLOSING GUARDIANSHIP & DISCHARGING GUARDIAN PAGE 2 OF 2 Revised 3/07 American LegalNet, Inc. www.FormsWorkflow.com