WPCd  
      J     7AfuK*L?yruMNPޔn4PJ{KcA}˵Ep4I[]b$}E'\WDg:S=;8Mt+бD69VoyJ,=5oٜ?'L1D|v'.`ߊcƤ㤷
&~:"׮m(s:A,m)*AU:)TF/lozʉ鳸,/TSEoCWV~Qi
Jk2WXoOU]ɗ7pcĩ*C-`vSبp0G7K(gʷwhuB>*}`'Mx!&gۤy!@*(7Ϳ$3;½_+n)(ӽKes%ʴ̓AR pjL^
diߠK?A!"&_d            #     

   U
   N     	%      !  0   :   '  	B      a  	D   -   ~  	D   +      U?   ,      U   :     ^      <  w      H  4      L        `        o  	m      q   f         a         f         a                                                  V                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          	B   *                                                                                                                 	D   O                                                                                                                                                                                         	B   -   7   \ \ K J C D C 0 1 \ S A V I N   4 0 6 0   P C L   6                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          0                                                                                                                                                                 ( 9  	   Z  6 T i m e s   N e w   R o m a n   R e g u l a r           X    (                  $          USUS. ,                     d    '                           d x    d  '                              d x    d, i  A   Z   A r i a l           , Z  A   Z   " A r i a l   R e g u l a r         T':Z         솃9    :i +003| x                     U      T A B L E   A       T A B L E   A    
          с                                        L e v e l   1                   L e v e l   2                   L e v e l   3                   L e v e l   4                   L e v e l   5                                                       L e v e l   1                   L e v e l   2                   L e v e l   3                   L e v e l   4                   L e v e l   5                                                       L e v e l   1                   L e v e l   2                   L e v e l   3                   L e v e l   4                   L e v e l   5                                                       L e v e l   1                   L e v e l   2                   L e v e l   3                   L e v e l   4                   L e v e l   5                                                       L e v e l   1                   L e v e l   2                   L e v e l   3                   L e v e l   4                   L e v e l   5                
            &      0        d         d     G "   T h i n   T o p / B o t t o m !               d x    dx   )    H a i r l i n e           d  
   !    USUS. ,      _                  	  X  X  X X                   _  12/08   	             INTHE򀀀JUDICIALDISTRICT   	    ЀDISTRICTCOURTOF򀀀COUNTY,KANSAS   	 t        	  &A % X	 X  IntheMatterofthe0     0    (#(# 0    h(#(# )    2p h(#h(#  (Guardianship)(Conservatorship)of0    h )    D h(#h(#           `	      0         h )              p      CaseNo._________     (#(#           `	           0    h )    		 h(#h(#       0    `	 0    `	(#`	(#          h )    

 (#(#   	  w  %	 &A ProceedingPursuanttoK.S.A.Chapter59# 	  &A % 	 w  #    	 V	   #   & % %	 &A\   #    &A % % &    w  % &A     #   &A %  w  #    X  X % &A &ANNUAL&FINALACCOUNTING#   &A % X X   #    	        #   & % % &An  #    &A % % & &    Comesnow,0    `	               h           0    p`	(#`	(#     (#(#K (#p(#p(#    	 :x            `	      % &A Name              h           0    p Address    L p(#p(#  #   &A %  }  #    w  % &A '   f        0    `	               h           0    p`	(#`	(#     (#(#K (#p(#p(#          `	 #   &A %  w1  #      % &A City&ZipCode         h      0     0    p(#(# TelephoneNumber    f p(#p(#  #   &A %  .  #    w  % &A (guardian)(conservator)intheaboveentitledestateandsubmitsthefollowing(annual)(final)accountingin   	    theconservatorshipof   	 |            `	               h      0         (#(#K (#(#(# #   &A %  w  #      % &A Name#   &A %  `
  #    w  % &A          `	               h           #   &A %  w
  #      % &A Address,City&ZipCode#   &A %  <  #    w  % &A    	             `	 fortheperiodfrom    h           ,2    p to               x ,2      .#   &A %  w  #    w  % &A #   x   w  #    w   x    	 L   #   &A %  w  #      % &A YearofBirth#   &A %  E  #    w  % &A    	 
       I.StatementofReceiptsandDisbursements   	      RECEIPTS   	 f"       *             d                             d d      X        d d      X        d d      X                             (#(# ,    d d            ,    d d            ,    d d            ,    d d            +
   
 1  '  $b# $b D        1         ͧ   w  @  l DATE#   w   ͧ  # 
'    <z$              '         ͧ   w RECEIVEDFROM
'    <z%              '      EXPLANATION
'    <z&              '      AMOUNT6  ,  <z'       
  
D ,  6 
   	 (              ͧ    ^Q \   BalanceCarried   	 )   Forward#     \ ^Q&  # 
    F* "       
   	 +            ͧ    $6  ,  ,       
  
, *  6 
   	 -   
   	 .   
   	 /   -  #  0 
  
* *  - 
   	  (1   
   	  (2   
   	  (3   -  #   (4 
  
* *  - 
   	 "R 5   
   	 "R 6   
   	 "R 7   -  #  "R 8 
  
* *  - 
   	 >#|!9   
   	 >#|!:   
   	 >#|!;   -  #  >#|!< 
  
* *  - 
   	 h$"=   
   	 h$">   
   	 h$"?   -  #  h$"@ 
  
* *  - 
   	 %#A   
   	 %#B   
   	 %#C   -  #  %#D 
  
* *  - 
   	 &$E   
   	 &$F   
   	 &$G   -  #  &$H 
  
* *  - 
   	 '$&I   
   	 '$&J   
   	 '$&K   -  #  '$&L 
  
* ,  - 
   	 )N'M   
   	 )N'N   
   	 )N'O   -  #  )N'P 
  
, ,  - 
   	 <*z(Q   
   	 <*z(R   
   	 <*z(S   -  #  <*z(T 
  
, ,  - 
   	 h+)U   
   	 h+)V   
   	 h+)W   -  #  h+)X 
  
, y$ $ - 
   	 ,*Y   
   	 ,*Z      ^Q \  ͧ TOTALRECEIPTS(Including   	 ,*[   balancecarriedforward)
   	 (-f+\            ͧ  \ ^Q $-  # ! (-f+^       
$ $ 
y  -          `	               h    w   ͧ    	 0.b      _  
           
       
   
    DISBURSEMENTS   	            *            d                         d d d            d d            d d            d d                               (#(# ,    d d            ,    d d            ,    d d            ,    d d            +
   
     K| K|       #   ͧ   w  #  @  l DATE   w   ͧ 
                   #   ͧ   w3  # PAIDTO
                   PURPOSE
                   AMOUNT#             ?# 
   	               ͧ 
     "       
   	 	         #   ͧ   H  # $(    
       ? ,( 
   	 ,]   
   	 ,]   
   	 ,]       ,] ,  
   	 j	   
   	 j	   
   	 j	       j	   
   	 
   
   	 
   
   	 
       
   
   	    
   	    
   	           
   	 $U	   
   	 $U	   
   	 $U	       $U	   
   	 b
   
   	 b
    
   	 b
!       b
"   
   	 #   
   	 $   
   	 %       &   
   	 '   
   	 (   
   	 )       *   
   	 M+   
   	 M,   
   	 M-       M.   
   	 Z/   
   	 Z0   
   	 Z1       Z2   
   	 3   
   	 4   
   	 5   *     6  A  * 
'    7              ' 
0  &  8                    0    ^Q \  ͧ TOTALDISBURSEMENTS
0  & ! 9                    0 #   ͧ  \ ^Q[   # $3  ) ' : 
  
A              3 #   a   ͧ  #    ͧ   a       w   ͧ   X!                 `	               h                    SUMMARY   	 M~?      "   TotalReceipts    8 (#.   $򀀀   	 A   TotalDisbursements    9 (#. 

  $򀀀   	 B   CashBalanceonHand    9 (#. XX  $򀀀   	 EvC   #   ͧ   wd!  #         w   ͧ II.INVENTORY#   x   w9!  #    	  H          w   x      Yourconservatoraccountsforthefairmarketvalueofthefollowingassets:   	 "$K      REALESTATE   	 o$ M     $        0    `	 0    `	(#`	(# 0    (#(# 0    h(#(# 0    h(#h(# 0    (#(# 0    p(#(# 0    p(#p(# 0     (#(# 0    x (# (#       w ԀFairMarketValue    -%^!N x(#x(#          w            1.         `	               h               p            0    x $    (#(#K (#x(#x(#    	 a&"P   2.         `	               h               p            0    x $    (#(#K (#x(#x(#    	 ~'#R   #      w%  #    w    #   x   w#  #    w   x 3         `	               h               p            0    x $    (#(#K (#x(#x(#    	 ($T   #   x   w(  #    w   x #      w'  #    w    4.         `	               h               p            0    x $    (#(#K (#x(#x(#    	 )%V   #      w\)  # #   j   )  #        &         j    w             `	               h           0    p TotalRealEstate0    xp(#p(# $    (#(#K (#x(#x(#    	 +'Y   #      w*  #    w            	 08,_   Ї_        PERSONAL_        ԀPROPERTY   	            1.     FinancialInstitutionAccounts   	 j|                    `	 Description0     0    h(#(# 0    h(#h(#          p            0    x(#(# Amount     x(#x(#       (a)Checking              h               p                x $    (#(#K (#    	         (b)Savings              h               p                x $    (#(#K (#    	  2        (c)CertificatesofDeposit    h               p                x $    (#(#K (#    	 =	O
        (d)Other              h               p                x $    (#(#K (#    	 Z
l          ,           2.     Stocks&Bonds   	 5G	        0    `	 Description         h           0    p`	(#`	(# 0    p(#p(# 0     (#(# 0    x (# (# Amount    Rd
 x(#x(#           `	               h               p                x $    (#(#K (#    	 o   3.     OtherPersonalProperty   	         0    `	 Description         h           0    p`	(#`	(# 0    p(#p(# 0     (#(# 0    x (# (# Amount     x(#x(#           `	               h               p                x $    (#(#K (#    	             `	               h      TotalPersonalProperty    ||2 (#. ?  $ @  (#(#K (#x(#x(#    	 /            `	 0     0    (#(# TotalRealEstateandPersonalProperty#    ||2 (#. E (#(## $򀀀   	 :L!          J0        IdeclareunderpenaltyofperjuryunderthelawsofthestateofKansasthattheforegoingistrue   	 (   andcorrect.Executedon_________________,20___.   	 )            `	               h               p     (#(#K (#          `	               h               p Conservator   	 -   #   x   w*  #         X         h  
