WPC\E  
      h    +e@l)N#'"Ői;jK]$MCz-^ev/eEM4,J. dUKIrLi,77ZBMZ1۱w:LyT]c_3[M)fFțuQ|
#E0F<MzQdeR.x=>ûj買jb$@ݎ|#Zu%pSʤ1/f@V&"(a9"ORnpER\L8+m\<Ch>ZYY㓠<=AFC!7I֔	QzŮZŐ~J	6t *x[E_%,^ЫQWC1ṝ90WYK80|ucvXU1VqczF䝡-юl	z             U1   >   	       	  0      v  0        0        0     P        R  0      b  #        U   N     	%      /  M      5     (   9  N      a  ^      c  w      o  4      s          	m        0   U     0        0        0        0      \  0        0        0      u  0        0        0        0      S  0        0        0      Z  0        0        0      +  0        0      z   0      H!  0      !  0      "  0      F#  0      #  0      |$  0      %  0   0   %  0   <   %  0      &  0   >   &  0   v    '  0   `   v'  0   `   '  0   `   6(  0   .   (  0   `   (  0   8   $)  0      \)  0   2   .*  0      `*  0   :   *+  0   Y   d+  0   _   +  0      ,  0   8  ,  0     ,.  	B   *   /  	D   /   /  	D   +   	0  0     40  	D   /   1  0      1  0   6   2  0      2  0   :   3  0   ^   3  0   <   Y4  	1   e   4   U   6   4   U   *   05  	1   u   Z5  	7   2   5  0   c   6  0   w   d6  0      6        7     b   7  0   N   '8      J   u8  0      8  0      I9  0      9   U   ,   :  0      :  0      ;  0      k<  0   D  Z=  	1   u   >   U:   ,   ?  	B      ??  	i	      \?   f      y?   a      {?   f      ?   a      ?   f      ?   a      ?   f      ?   a      ?   f      ?   a      ?   f      ?   a      ?   f      ?   a      ?   f      @   a      @        )@  	1      ?@  0      @   U   :   A        A        A            A   U   0   
B     _  :B     "   C            C            C   f      C   a      C            C   f      C   a      C   f      C   a      C            C     _  C   \	  	   `  & T i m e s   N e w   R o m a n          '                                 Q U I C K   R E F E R E N C E   A N D   I N F O R M A T I O N   F O R   C E R T I F I C A T I O N   O F   C O N S E R V A T O R                                                                                                                                                                                                                                                                                                                                                                                                 
            R K P I R N E R   & 0    C h r i s t y   M o l z e n   
 .      
       
       
           h                  : D e f a u l t   P a r a   D e f a u l t   P a r a g r a p h   F o n t                  X      XX     <               D   . H e a d e r   H e a d e r       X Xhx   (#%  D  : X       X   `	   h   p    x   (#%D     <               D   . F o o t e r   F o o t e r       X Xhx   (#%  D  : X       X   `	   h   p    x   (#%D     @   a           a   0 L e v e l   1   L e v e l   1               X >  4     `	   h   p    x   (#%>           >  4 X X   `	   h   p    x   (#%>     #| x            (                  $           X    X    .  .                  
  Xk%  X  X
 X      Xk%  X  X
 Xk%  \ \ 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                                            Đ9Z         솃9    D M I N   0             U      *       +           ( _ 2 6     2      3
   
       . .        *   G   +       G   ( _ 2 5             /  % `	 `	   h   p    x  / 2     3
   
       . .    /  % `	 `	   h   p    x  /             *   8   +       8   ( _ 2 4         ,  " 
   h   p    x  , 2     3
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       . .    ,  " 
   h   p    x  ,         *   5   +       5   ( _ 2 3        `	 )   	  h   p    x  ) 2     3
   
       . .    )   	  h   p    x  )    `	     *   2   +       2   ( _ 2 2         &   h h   p    x  & 2     3
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       . .    &   h h   p    x  &         *   /   +       /   ( _ 2 1         #      p    x  # 2     3
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       . .    #      p    x  #         *   ,   +       ,   ( _ 2 0        h       p    x    2     3
   
       . .          p    x       h     *   )   +       )   ( _ 1 9            p p    x   2     3
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       . .       p p    x           *   &   +       &   ( _ 1 8                x   2     3
   
       . .           x           *   A          A   ( _ 1 7           5  +    `	   h   p    x  5 2      3
   
 Ԁ5  +    `	   h   p    x  5           *   G          G   ( _ 1 6             /  % `	 `	   h   p    x  / 2     3
   
 Ԁ/  % `	 `	   h   p    x  /             *   8          8   ( _ 1 5         ,  " 
   h   p    x  , 2     3
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 Ԁ,  " 
   h   p    x  ,         *   5          5   ( _ 1 4        `	 )   	  h   p    x  ) 2     3
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 Ԁ)   	  h   p    x  )    `	     *   2          2   ( _ 1 3         &   h h   p    x  & 2     3
   
 Ԁ&   h h   p    x  &         *   /          /   ( _ 1 2         #      p    x  # 2     3
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 Ԁ#      p    x  #         *   ,          ,   ( _ 1 1        h       p    x    2     3
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 Ԁ      p    x       h     *   )          )   ( _ 1 0            p p    x   2     3
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 Ԁ   p p    x           (   &          &   & _ 9                x   2     3
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 Ԁ       x           (   A          A   & _ 8           5  +    `	   h   p    x  5 2      3
   
 5  +    `	   h   p    x  5           (   G          G   & _ 7             /  % `	 `	   h   p    x  / 2     3
   
 /  % `	 `	   h   p    x  /             (   8          8   & _ 6         ,  " 
   h   p    x  , 2     3
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   h   p    x  ,         (   5          5   & _ 5        `	 )   	  h   p    x  ) 2     3
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 )   	  h   p    x  )    `	     (   2          2   & _ 4         &   h h   p    x  & 2     3
   
 &   h h   p    x  &         (   /          /   & _ 3         #      p    x  # 2     3
   
 #      p    x  #         (   ,          ,   & _ 2        h       p    x    2     3
   
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   
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   
        x           0                   . N o r m a l         <                   : D e f i n i t i o n   T         <   A           A   : D e f i n i t i o n   L        , 5  +    `	   h   p    x  5       5  +    `	   h   p    x  5     8                  6 D e f i n i t i o n         (   '           '   & H 1                                        (                 & H 2                               (                 & H 3                               (                 & H 4         X      XX                (                 & H 5         (                 & H 6                               2                 0 A d d r e s s         8   M           M   6 B l o c k q u o t e        ,    , 5  +    `	   h   p    x  5             5  +    `	   h   p    x  5     ,                  * C I T E         ,       K       S    * C O D E     K O          < 6X  9   ` (  C o u r i e r   N e w         K S            \	  	   `  & T i m e s   N e w   R o m a n         S     4                  2 E m p h a s i s         6                  4 H y p e r l i n k                    <                  : F o l l o w e d H y p e                   4       N       V    2 K e y b o a r d     K O          < 6X  9   ` (  C o u r i e r   N e w         K S            \	  	   `  & T i m e s   N e w   R o m a n         S     <   z              : P r e f o r m a t t e d     /  %    
  , K k     %#/ K O          < 6X  9   ` (  C o u r i e r   N e w         K S            \	  	   `  & T i m e s   N e w   R o m a n         S /  %    
  , K k     %#/     <                 : z  B o t t o m   o f       7 D   (                   X                 7                ? P          % 2  A   `   A r i a l         ?                 S            \	  	   `  & T i m e s   N e w   R o m a n         S 7 E   (                   X                 7   &              d          d   C )     1                        d x    d  '                              d x    d    <                 : z  T o p   o f   F o r     7 G   (                   X                 7                ? P          % 2  A   `   A r i a l         ?                 S            \	  	   `  & T i m e s   N e w   R o m a n         S 7 E   (                   X                 7  C )     2                        d x    d    0       K       S    . S a m p l e     K O          < 6X  9   ` (  C o u r i e r   N e w         K S            \	  	   `  & T i m e s   N e w   R o m a n         S     0                  . S t r o n g         8       K       S    6 T y p e w r i t e r     K O          < 6X  9   ` (  C o u r i e r   N e w         K S            \	  	   `  & T i m e s   N e w   R o m a n         S     4                  2 V a r i a b l e         :                  8 H T M L   M a r k u p     B
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  Xt=  X  X
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   U  
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 X      Xt=  X  X
 Xt=     _           X      8 y  )'y X X       d                  d  8  {  /V     >   X Xt=       ]  	   >     
 BASICINSTRUCTIONS   	       ЀFORCONSERVATORS# ]  X)' X ] 	  #    	     ]    X] X)' January1,2009# ]  X)' X ]   #    	 E   KansasJudicialCouncil#   Xt=  X X] X)'J  # 	            X    X  ]  X)' X  X Xt=     
 Preface   	                ThesebasicinstructionsforconservatorswerepreparedbytheGuardianshipand   	 b   ConservatorshipAdvisoryCommitteeoftheKansasJudicialCouncilandwereapproved   	 H   bytheCouncilinDecember2008.Theinstructionsconstitutethebasicinstructional   	 .	~   programconcerningthedutiesandresponsibilitiesofaconservatorrequiredby_        K.S.A._           	 
d   2009Supp.593069(j).Afterreadingtheseinstructions,aproposedconservatorshould   	 
J   signtheaffidavitofcompletionattheendofthisbookletandfileitwiththecourtas   	 0   evidenceofcompletionofthebasicinstructionalprogram.#   Xt=  X X] X)'  #    	 	        ]  X)' X  X Xt= TableofContents#   Xt=  X X] X)'X  #    	 x
        c  X)' X  X Xt= Definitions    ""J (#.  TT  1   	 *z   ConservatorsPowersandDuties    ""J (#.  FF)  1   	 `   ResponsibilitiestotheCourt   	 F        RequiredTraining    ""J (#.  ;;   3   	         Oath    ""J (#.    3   	         Bond    ""J (#.    3   	         Letters    ""J (#.  l	l	  3   	 t        ConservatorshipPlan    ""J (#.  ~~#  4   	 Z        InventoryandValuation    ""J (#.  <<&  4   	 @        AnnualAccounting    ""J (#.     4   	 &v        SpecialReportsandAccountings    ""J (#.  .  4   	 \        ReimbursementforTimeandExpenses    ""J (#.  2  4   	 B   ConflictsofInterest    ""J (#.  aa  5   	    AdditionalResources    ""J (#.    5   	    SampleForms   	 p!         InventoryandValuationInstructionsforCompleting    ""J (#.  ::D  6   	 <#"        SampleInventoryandValuation    ""J (#.  -  7   	 "$r#        AnnualAccountingInstructionsforCompleting    ""J (#.  >  9   	 %X $        SampleAnnualAccounting    J"J"I (#.  ff'  11   	 %>!%        AffidavitofCompletionofBasicInstructionalProgram    B (#.  $$@  lastpage#   Xt=  X Xc X)'  #  ]  X)' X  X Xt= 	    '
#'      { /V  
   {       XX 
     {  
   
        _        _        _        _           BASICINSTRUCTIONSFORCONSERVATORS   	         &             DefinitionsofWordsYouNeedtoKnow:   	 |   0     ConservatorAconservatorisapersonappointedbyacourttoactonbehalfofa   	 H   minororimpairedperson,whoiscalleda conservatee.Aconservatormanages   	 .	~   aconservateespropertyor estate,suchasmoney,personalandrealproperty.    
d (#(#  0     ConservateeAconservateeisapersonforwhomaconservatorhasbeen   	 0   appointed.Aconservateemaybeeitheraminororanadultpersonwithan   	 	   impairment.    
 (#(#  0     GuardianAguardianisapersonappointedbyacourttoactonbehalfofaminor   	 x
   orimpairedperson,whoiscalleda ward.Aguardianmanagesawardspersonal   	 ^   health,safety,andwelfare.    D (#(#  0     WardAwardisapersonforwhomaguardianhasbeenappointed.Awardmay   	 `   beeitheraminororanadultpersonwithanimpairment.    F (#(#  0     AccountingAdetailedwrittensummaryofallfinancialactionsdonebythe   	    conservatoronbehalfoftheconservatee.     (#(#  0     BondAbondissimilartoaninsurancepolicyandisusuallypurchasedfroman   	 t   insurancecompany.Itisintendedtoprotecttheconservateespropertyshouldthe   	 Z   conservatormismanagethepersonsestate.    @ (#(#  #   Xt=  X X] X)'Q  #  ]  X)' X  X Xt= NOTE:Sometimes,apersonisappointedasbothaguardianandconservator.Inthat   	 B   case,thepersontheyarehelpingmaybecalledeitherawardorconservatee,orboth.   	 (   WhatAreaConservatorsPowersandDuties?   	       THESEDUTIESAPPLYTOBOTHVOLUNTARY   	 p!    ANDINVOLUNTARYCONSERVATORSHIPS   	 V"!             Aconservatorshipisalegalproceedingfiledtoprotectthepropertyofanimpaired   	 "$r#   person,whoiscalleda conservatee.Afterahearingtodeterminewhethera   	 %X $   conservatorshipisnecessary,acourtorderwillbeissued.Yourattorneyshouldprovide   	 %>!%   youwithacopyofthatcourtorder.BeforethecourtwillissueyouLettersof   	 &$"&   Conservatorship,youmustbebondedunlessthecourtwaivesthebond.Ifthecourt   	 '
#'   appointsyouasconservator,yourresponsibilitiesareseparatefromthedutiesofa   	 (#(   guardian,andyourjobistomanagetheconservateesproperty.Theconservatees   	 )$)   propertyiscalledhisorher estate.Asconservator,youarealwayssubjecttocourt   	 l*%*   controlanddirection.   	 R+&+        Statelawandthecourtdefineyourpower,asconservator,andsettherulesyou   	 8,',   mustfollowwhenmanagingtheconservateesproperty.Asconservator,youmustalways   	 -n(-   actinthebestinterestoftheconservatee.	   	 .T).    v  S   z  OY       Yourfirstduty,asconservator,istoopenabankaccountundertheconservatees   	       socialsecuritynumber,#   Xt=  X X] X)'>  #  ]  X)' X  X Xt= Ԁtitledinyourname asconservatorfortheconservatee.Youwill   	     thenneedtofileaninventory(adetailedlist)ofallassetsintheconservateesestate   	 |   within30daysofissuanceoftheLettersofConservatorship.NEVERcombinethe   	 b   conservateesassetswiththoseofanotherperson,includingyourown.THE   	 H   CONSERVATORMUSTFILEANACCOUNTINGWITHTHECOURTEACHYEAR.   	 .	~        Youmustknowtheconservateesneedsandsupportandinvolvetheconservatee   	 
J   indecisionmakingregardinghisorherproperty.Youshouldconsidertheconservatees   	 0   stateddesiresandpersonalvalueswhenmakingdecisionsforhimorher.Youmusttry   	 	   toavoidconflictsofinterestandprotecttheconservateespersonal,civil,andhumanrights.   	 
        ThelawdoesNOTrequireyouasconservatortouseyourownpersonalmoneyor   	 x
   otherassetsforsupportoftheconservateesolelybecauseyouhavebeenappointedas   	 ^   conservator.However,ifyouaretheparentorspouseoftheconservatee,youmayhave   	 D   anindependentdutytosupporttheconservatee.#   Xt=  X X] X)'  #  ]  X)' X  X Xt= ԀYouarenotliabletootherpersonsfor   	 *z   theactsoftheconservateesolelybecauseyouhavebeenappointedasconservator.This   	 `   meansyouarenotresponsibletoanyoneelseforsomethingthattheconservateehas   	 F   donesimplybecauseyouaretheconservator.#   Xt=  X X] X)'"  #  ]  X)' X  X Xt=    	 ,        Asaconservator,youMAYgenerallytakeanyofthefollowingactionson   	    behalfoftheconservateewithoutgettingadditionalcourtapproval:   	    1.0     Payreasonablechargesforthesupport,care,clothing,housing,andeducationof   	 Z   theconservateeinareasonablemanner,unlesstheconservateesparentorspouse   	 @   isrequiredbylawtopaythosecharges;    &v (#(#  2.     Payalllawfuldebtsoftheconservatee;   	 \   3.0     Controlandmanagealltheconservateespropertyandcollectdebtsandassert   	 B   claimsinfavoroftheconservatee(forexample,iftheconservateeisowedmoney);    ( (#(#  4.     Insurepropertyagainsttheftorotherlossinareasonableamount;or   	    5.     Paythepremiumforyourconservatorsbond.   	         ThefollowingdecisionsALWAYSrequireWRITTENcourtapproval.As   	 p!    conservator,youmayNOTtakeanyofthefollowingactionsunlessthesupervising   	 V"!   courtissuesawrittenorderapprovingtheaction(s):   	 <#"   1.     Settleanyclaimoftheconservateeforlessthanfullvalue;   	 %X $   2.     Sellortransferthepropertyofanyongoingbusinesses;   	 %>!%   3.     Sell,convey,lease,ormortgagetheconservateeshomesteadorotherrealestate;   	 &$"&   4.     Leaseorconveypossessioninanyrealestateformorethan3years;   	 '
#'   5.     Sell,convey,ormortgageanyoil,gas,orothermineralinterests;   	 (#(   6.     Sell,convey,lease,ormortgageanyinchoateinterestsinrealestate;   	 )$)   7.0     Extendanexistingmortgageformorethan5years,whichincludesbothmortgages   	 l*%*   wheretheconservateeistheborrowerorthelender;    R+&+ (#(#  8.     Makeagiftonbehalfoftheconservatee;or   	 8,',   9.     Paytheconservatorortheconservatorsattorneyafee.   	 -n(-      	 .T).     v S  
   v         
     v  
   
      ThefollowingdecisionsMAYrequirecourtapproval.Asconservator,you   	       shouldgetcourtapprovalbeforetakinganyofthefollowingactions:   	 j    1.     Selltheconservateespersonalpropertyasnecessary;   	 6   2.     Manageanyongoingbusiness;   	    3.0     Investfundsinaconservativeandreasonablemanner,includingpurchasingan   	 ~   insurancepolicyorannuity,reservingtotheconservateetherighttochangethe   	 d   beneficiaryonterminationoftheconservatorship;    	J (#(#  4.     Prosecuteanddefendallactionsinthenameoftheconservatee;or   	 
0   5.     Disposeofpropertyafterthedeathoftheconservatee.   	 	   WhatareaConservatorsResponsibilitiestotheCourt?   	 L
   RequiredTraining   	         Beforeyouareappointedasconservator,youmustcompleteabasicinstructional   	 `   programaboutthedutiesandresponsibilitiesofaconservator.Readingthisbookletmeets   	 F   thatrequirement.Attheendofthisbooklet,youwillfindanaffidavitofcompletionofthe   	 ,   basictrainingprogram(aformstatingyouhavereadthebooklet).Whenyoufinishreading   	    thisbooklet,youshouldsigntheaffidavitandfileitwiththecourttoprovethatyouhave   	 |   completedtheprogram.Youshouldalsokeepthisbookletforfuturereference.   	 b   Oath   	 .        Whenyouareappointedasconservator,thecourtwillrequirethatyoufileanoath   	 v   oraffirmationstatingthatyouwillfaithfully,impartiallyandtothebestofyourabilityfulfill   	 \   alldutiesassignedbythecourt.Theoathmustbeinwritingandsignedbeforeanotary   	 B   orthejudge.   	 (   Bond   	 x        Whenyouareappointedasconservator,youmustbebondedunlessthecourt   	 D     waivesthebond.Abondisintendedtoprotecttheconservateespropertyshouldthe   	 *!!   conservatormismanagethepersonsestate.#   Xt=  X X] X)'#  #  ]  X)' X  X Xt= ԀThecourtwilldeterminetheamountofthe   	 ""   bondandwhethersuretiesarenecessary.Bondsareusuallypurchasedfromaninsurance   	 "r#   companywiththeassistanceofaninsuranceagent.Tokeepthebondineffect,youmust   	 #X $   payayearlypremium(fee).#   Xt=  X X] X)'Y6  #  ]  X)' X  X Xt= Youwillbereleasedfromthebondonlyafterthecourthas   	 $>!%   approvedyouractionsandfinalaccounting#   Xt=  X X] X)'7  #  ]  X)' X  X Xt= Ԁandhasendedtheconservatorship.   	 %$"&   Letters   	 t'#(             Afteryouhavefiledyouroath,bondandaffidavitofcompletionofthebasictraining   	 @)%*   program,thecourtwillissueLettersofConservatorship.Thisdocumentgivesyouthe   	 &*&+   authoritytocarryoutyourlegalduties.Youshouldaskforacertified(legal)copyofthe   	 +',   originaldocument,whichisonfilewiththecourt.Youshouldkeepthecertifiedcopyina   	 +n(-   safeplaceandprovidecopiesoftheLettersofConservatorshiptoanyoneyoudealwith   	 ,T).   whoprovidesservicestotheconservatee.   	 -:*/      	 . +0     z OY  
   z         
     z  
   
 ConservatorshipPlan   	            Insomecases,thecourtmayrequire,oryourattorneymaysuggest,thatyoufilea   	 |   conservatorshipplan.Aconservatorshipplanmightincludeprovisionsabouthowmuch   	 b   moneyaconservateewillbeallowedtocontrolandhowtheconservatorplanstoprotect   	 H   theeligibilityoftheconservateeforpublicbenefits.Conservatorshipplansaremostuseful   	 .	~   insituationswheretheconservateeiscapableofmakingsomedecisionsindependently.   	 
d   InventoryandValuation   	 0        Asconservator,youarerequiredtofilewiththecourtaninventoryandvaluation   	 
   (statementofworth)ofthepropertyandassetsoftheconservatee'sestate,includingany   	 	   sourcesofregularincome.Thismustbedonewithin30daysofissuanceoftheLettersof   	 x
   Conservatorship.Theinventoryandvaluationdescribestheconservateesestateatthe   	 ^   timetheconservatorshipbegins.Youmustlistanddescribeeachpropertyandasset   	 D   separatelyandgiveitsfullandfairvalue.Youmayneedtoobtainanindependent   	 *z   appraisalofsomeassets.Asampleoftheinventoryandvaluationisincludedattheend   	 `   ofthisbooklet.   	 F   AnnualAccounting   	              Aconservatorisrequiredtofileadetailedaccountingeveryyearofbothincomeand   	    paymentsmadeonbehalfoftheconservatee.Thereportingperiodusuallystartswhenthe   	 t   conservatorisappointedandcoversa12monthperiodoftime,unlessthejudgeordersa   	 Z   differentreportingtimeperiod.Asampleoftheannualaccountingisincludedattheend   	 @   ofthisbooklet.   	 &v   SpecialReportsandAccountings   	 B        Aconservatormustfileaspecialreportoraccountingwiththecourtifanyofthe   	    followingoccurs:   	         1)achangeofaddressoftheconservator;   	 p!         2)achangeofresidenceorplacementoftheconservatee;   	 V"!        3)asignificantchangeinthehealthorimpairmentoftheconservatee;or   	 <#"        4)thedeathoftheconservatee.#   Xt=  X X] X)'8  #  ]  X)' X  X Xt=    	 "$r#        Iftheconservateedies,youwillneedtocompleteafinalaccountingofthe   	 %>!%   conservateesassetsandhavethataccountingapprovedbythecourtsothatthecourtcan   	 &$"&   closethecase.   	 '
#'   ReimbursementforTimeandExpenses   	 )$)        Thecourtmustapproveinadvanceanyreimbursementtotheconservatorfor   	 R+&+   expensesandtimespentonofficialduties.Ifyouwanttobepaidbackforyourtimeand   	 8,',   expenses,#   Xt=  X X] X)'E  #  ]  X)' X  X Xt= youmustkeepadetailedtimesheetoftimespentandadetailedrecordof   	 -n(-   expensesincurred.Manyconservatorsdonotclaimsuchexpenses,especiallyifthe   	 .T).   conservateeisafamilymember,andperformtheirdutiesoutofloveandaffection.Ifyou   	       wanttoreceivereimbursement,youshouldtalktoyourattorneyandbringthisup   	     preferablyatthefirstcourthearing.   	 |   WhatareConflictsofInterest?   	 .	~        Aconflictofinteresthappenswhenyourpersonalorfinancialinterestsas   	 
J   conservatorgoagainstthoseoftheconservateeorwhereyouractionsappeartobeself   	 0   serving(foryourownbenefit).Forexample,itwouldbeaconflictofinterestfora   	 	   conservatortogetaloanfromorbuypropertybelongingtotheconservateesestate.It   	 
   couldalsobeaconflictofinterestforaconservatortoworkinthesamefacilitywherethe   	 	   wardlives.   	 x
        Wheneveryouthinkyoumighthaveaconflictofinterest,evenifyouarenotsure,   	 D   reportittothecourt.Justbecauseyoumayhaveaconflictofinterestdoesnotmeanyou   	 *z   cannotserveasconservator,aslongasyoukeepthecourtinformed.#   Xt=  X X] X)'kH  #  ]  X)' X  X Xt=    	 `   AdditionalResources:   	         Ifyouhavequestionsaboutanyofyourdutiesasaconservator,askyourattorney.   	    #   Xt=  X X] X)'9N  #  ]  X)' X  X Xt=      Additionalresources,includingblankformsforinventoriesandaccountings,#   Xt=  X X] X)'=O  #  ]  X)' X  X Xt= canbe   	 Z   foundontheKansasJudicialCouncils_        webpage_        Ԁat:#   Xt=  X X] X)'O  #  ]  X)' X  X Xt= Ԁ4 Y    at   X  O               5
   
 www.kansasjudicialcouncil.org6    P    X  OP                 7   at}!P   #   Xt=  X X] X)'P  #  ]  X)' X  X Xt= 	   	 @   #   Xt=  X X] X)'Q  #  c  X)' X  X Xt=    CONSERVATORINVENTORYANDVALUATION   	       ЀInstructionsforCompleting c  |
  Xc X)'    	       R   # c  X)' X
 c |qR  # Definition   	 ;   '    X , X   X' 0     Adetailedlistorinventoryoftheconservateesestate(propertyandfinancialresources)   	 !q   atthetimeofappointmentofaconservator.    	W (#(#  FilingProcedures   	 
#        Theinventoryisfiledwiththecourtwithin30daysoftheappointmentdate.   	 	   PreparingDocumentsfortheCourt   	 
   0     Thisdocumentisapermanentlegalrecord.Theinformationshouldbetypedorwritten   	 k	   legibly.Useblackordarkblueinkwhenreportsarehandwritten.    Q
 (#(#  SupplementaryInventoryandValuationmaybefiledtochangeoraddinformation.   	 m      ASSESSINGVALUES   	 9     V   RealEstate   	    0     Providealegaldescriptionandtheappraisedvalueoftheproperty.Theproperty   	    descriptionisavailablefromthelocalRegisterofDeedsoffice.Theassessedvalueis   	    availablefromtheCountyTreasureroffice.    g (#(#  StocksandBonds(CorporationStocks)   	 3   0     Listallstocksandbondsandthevalues.    i (#(#  Mortgages,NotesandCash   	 5   0     Listanymortgages,notesorcashownedbytheconservatee.Includecheckingand/or   	    savingsaccounts,cashonhand,andfuneral/burialtrustinthissection.     (#(#  Insurance   	 }   0     Providecashvalueofallinsurancepolicies.    c  (#(#  JointlyOwnedProperty   	 /"!        Verifyjointlyownedpropertyincludingthelegaldescriptionandnameofowner(s).   	 #e"   MiscellaneousProperty   	 $1 $   0     Furniture,householdgoodsandwearingapparel󀄀Listindividuallyvaluableitemssuch   	 %!%   asantiques,jewelry,coins,electronics,etc.Forassistanceforappraisalsonitemsof   	 &!&   value,contactacredibleantiquedealerorauctioneer.Householdgoodsandwearing   	 '"'   apparelmaybelistedasacombinedvalue.    y(#( (#(#  SourcesofRegularIncome   	 E*%*   0     Listanysourcesofregularincomesuchassocialsecurity,disabilitybenefits,pension   	 ++{&+   orretirementincome,andinterest.    ,a', (#(#  Addpagesasneededtoprovidecompletedocumentation.#   Xt=  X Xc X)'Q  # 	   	 --).       X     X    X     V     ~         c  X)' X  X Xt= INTHE______JUDICIALDISTRICT#   Xt=  X Xc X)'^  #    	 X       c  X)' X  X Xt= DISTRICTCOURTOFAPACHECOUNTY,KANSAS   	 >      ]    c  &) % Xc X)'     IntheMatterofthe   	 
   (Guardianship)(Conservatorship)     0    h 0    h%h% 0    %% 0    p%% CaseNo.97GC031     p%p%  SamuelG.Crown   	 X   ProceedingPursuantto_        K.S.A._        ԀChapter59   	 V   # c  X)' X %c &)^  #    _   @    OO  INVENTORYANDVALUATION   	 
	   @    $  REALESTATE   	 	   * f   d g     e        d                              d d      X        d d      X        d d      X                             X%X% ,    9d d            ,    d d            ,    d d            +
   
 $    i
 i
      $  c  |
  Xc X)' ItemNo# c  X)' X
 c |Jb  # 
'    %
            ' !     X , X! @    #  Description
'    %
           ' Valuation>  4  %
 "             ? 1.       ? > 1.
4  * ( G 	        ? 1. 	      ? 4 39SolarHavenRd,Lot59,SolarHavenAddition,_        Sanesville_        ,KS66666
   	 G               $0 @    45,489.00    G 3       
   	    JointTenancywithMrs.BettyCrown
   	              3       
   	 ;         / 0        TotalRealEstate
'    ;  0           ' $0 @    45,489.00"    ; 3       " @    "  STOCKSANDBONDS   	 7   @    "  (CorporateStock)   	 u   * h   d i     e        d                         d sd d           9 ^d d            Wd d           f   d g                 X%X% ,    9d d            ,    d d            ,    d d            ,    d d            +
   
 $    [ [      $  c  |
  Xc X)' ItemNo# c  X)' X
 c |;g  # 
'    g            '        /  @      Description
'    g            ' UnitValue
'    g           ' Valuation>  4  g "             ? 1.       ? > 1.
4  * ( 9  	        ? 1. 	      ? 4 
   	 9!   
   	 9"       $000.00"    9#  0       "    h   @    (  BONDS   	 5$   * j   d k     e        d                         d sd d           9 d d            ed d            Wd d           h   d i                 X%X% ,    $d d            ,    %d d            ,    rd d            ,    d d            ,    d d            +
   
 $    %       $  c  |
  Xc X)' ItemNo# c  X)' X
 c |j  # 
'    '&            ' @    >
>
 H SerialNumber
'    ''            ' DateofPurchase    __: _ 
'    '(            ' UnitValue
'    ')           ' Valuation>  4  '* "             ? 1.       ? > 1.
4  * ( + 	        ? 1. 	      ? 4 
   	 ,   
   	 -   
   	 .       $000.00"    /  0       "     l   @    *  @      MORTGAGES,NOTESANDCASH   	 0   * l   d m     e        d                         d ]d d           $ 'd d           % d d           r ed d            Xd d           j   d k                 X%X% ,    9d d            ,    d d            ,    d d            +
   
 $    1       $  c  |
  Xc X)' ItemNo# c  X)' X
 c |n  # 
'    ?2            ' @    #  Description
'    ?3           ' Valuation>  4  ?4 "             ? 1.       ? > 1.
4  * (  a5 	        ? 1. 	      ? 4 CheckingAccount,SaversUnionBank,_        Sanesville_        ,KS
   	  a6        $1,178.000 @   0 @   >  4   a7 3               @ 2.        @ > 2.
4  * ( 3"8 	         @ 2. 	       @ 4 SavingsAccount,SaversUnionBank,_        Sanesville_        ,KS
   	 3"9        $0 @   8,978.44    3": 3       
   	 #U!;       u  0     TotalMortgages,NotesandCash
(    #U!<       (   
    + u $0 @    10,156.44"    #U!= 3       "     k     B     k @    %  INSURANCE   	 %Q#>   * n   d o     e        d                         d sd d           9 ^d d            Wd d           l   d m                 X%X% ,    d d            ,    d d            ,    Fd d            +
   
 $    &7$? &7$      $  c  |
  Xc X)' ItemNo# c  X)' X
 c |s  # 
'    &$@            ' @    #  Description
'    &$A           ' Valuation>  4  &$B "             ? 1.       ? > 1.
4  * ( m(&C 	        ? 1. 	      ? 4 RedShieldLifeInsurance,_        Sanesville_        ,KS(CashValue)
   	 m(&D          
 Ӏ$10,000.00   	 m(&E  N 
   	 )'F     
 !  p       0 @   0 @  p TotalInsurance
    )'G  0           u   !   r :  \+ /! e! Ӏ$10,000.00    )'H N   	   	 *(H     V 
  
   V       X 
     V  
   
 @    NN  JOINTLYOWNEDPROPERTY   	 X      * p   d q     e        d                         d d d            d d            d d           Fn   d o                 X%X% ,    9d d            ,    d d            ,    d d            +
   
 $    >  >       $  c  |
  Xc X)' ItemNo# c  X)' X
 c |=x  # 
'    J            ' @    #  Description
'    J           ' Valuation>  4  J "             ? 1.       ? > 1.
4  * (  	        ? 1. 	      ? 4 
   	    $   	    
   	 >       ur :  \+e     0 @   TotalJointlyOwnedProperty
    >	  0           y   $000.00    >
    @    JJ  MISCELLANEOUSPROPERTY   	 :   * r   d s     e        d                         d sd d           9 ^d d            Wd d           p   d q                 X%X% ,    9d d            ,    d d            ,    d d            +
   
 $    x	  x	       $  c  |
  Xc X)' ItemNo# c  X)' X
 c |{  # 
'    	            ' @    #  Description
'    	           ' Valuation>  4  	 "             ? 1.       ? > 1.
4  * ( V 	        ? 1. 	      ? 4 FuneralandBurialTrust,TimberlineMortuary,_        Sanesville_        ,KS
   	 V     
    + u $0    ! 4,250.00?  5  V !%!%          @ 2.        @ ? 2.
4  * ( x
 	         @ 2. 	       @ 4 HouseholdFurnishings
   	 x
   $0    ! 4,500.00?  5  x
 !%!%         @ 3.       @ ? 3.
4  * ( J 	        @ 3. 	      @ 4 LawnMowerandTools
   	 J   $0    ! 300.00?  5  J !%!%         @ 4.       @ ? 4.
4  * ( l 	        @ 4. 	      @ 4 WearingApparel
   	 l   $0    ! 500.00?  5  l !%!%         @ 5.       @ ? 5.
4  * ( > 	        @ 5. 	      @ 4 AntiqueGunCollection
   	 >   $0    ! 1,500.00    > !%!%  
   	 `   0    B 0    BB TotalMiscellaneousProperty
    `    $11,050.00    `!        RECAPITULATION!         
!    	 \"   $   X  x    ,$       0     0    x%% 0     x%x% Valuation    B#  % %  * t   d u     e        d                         d sd d           9 ^d d            Wd d           r   d s                 X%X% ,    	d d            ,    Id d            ,    ,d d            ,    d d            +
   
     ($ (  RealEstate
   	 %   ......................................
   	 &   $
;  1 	 '         6@ 45489.00      6@ ; _        Ԁ45,489.00_        :  0 . ( 	       6@ 45489.00 	     6@ : StocksandBonds
   	 ^)   ......................................
   	 ^*   
   	 ^+   Ѐ0   	 ^,   Mortgages,Notes&Cash
   	 -   ......................................
   	 .   
;  1 	 /    Q8@ 10156.44 Q8@ ; Ѐ_        _        _        _        _        10,156.44_        :  0 . 0 	  Q8@ 10156.44 	Q8@ : Insurance
   	 R1   ......................................
   	 R2   
;  1 	 R3         @ 10000.00      @ ; _        Ԁ10,000.00_        :  0 . R4 	       @ 10000.00 	     @ : JointlyOwnedProperty
   	 t5   ......................................
   	 t6   
   	 t7   Є0   	 t8   MiscellaneousProperty
   	 F9   ......................................
   	 F:   
;  1 	 F;         @ 11050.00      @ ; _        Ԁ11,050.00_        :  0 . F< 	       @ 11050.00 	     @ :     
    h=  0           l       TOTALESTATE
    h>  0              $
;  1 	 h?    p=
w@ 76695.44 p=
w@ ; _        Ԁ76,695.44_        >  4 2 h@ 	  p=
w@ 76695.44 	 p=
w@ > $   X   X X  xX$     SOURCESOFREGULARINCOME   	 !dA         0     0    %% SocialSecuritydisabilityinsurance0    %% $415/mo    #0!C %%  0     0    %% _        KPERS_        Ԁretirement0    %% 0    h%% 0    h%h% 0    %% $685/mo    n$"D %%  0     0    %% Veteransbenefit0    %% 0    h%% 0    h%h% 0    %% $380/mo         T%"E %%  0     0    %% Interestfrombankaccounts0    %% 0    %% amountvaries0     %% 0    x % %     :&#F x%x%  IdeclareunderpenaltyofperjuryunderthelawsofthestateofKansasthattheforegoingistrueand   	 (%H   correct.ExecutedonJune27,2008.   	 (&I                 `	               h _________________________________   	 *`(K   0     0    %% 0    `	%% 0    `	%`	% 0    %% 0    h%% Conservator#   Xt=  X Xc X)'^  # 	    +F)L h%h%      X    X     X    X  c  X)' X  X Xt=          ~ (      C  ANNUALCONSERVATORACCOUNTING   	       InstructionsforCompleting   	           @    *      Thisisareportofallincome(receipts)anddisbursements(expenses)oftheestate   	 H   transactedduringtheaccountingperiod.Italsoupdatestheinventoryandvaluation.   	 .	~   Theaccountingissubmittedtothecourtonceayeareitherontheanniversarydateofthe   	 
J   appointmentoftheconservator,or,onacalendaryearbasis.Thisvariesbycounty.File   	 0   theaccountingwithin30daysoftheendoftheaccountingperiod.   	 	   RecordKeeping   	 	   *    X , `	XX   X * 0     Keepthefollowingfinancialinformationtoprepareanaccurateaccounting:    ^ (#(#       0     BankStatements,checkbookregister,copiesofcancelledchecks    D (#(#  0     0    (#(# Receiptsofitemspurchased    *z (#(#  0     0    (#(# Financialreportsfromtrustaccounts    ` (#(#  @      COMPLETINGTHEACCOUNTING   	     
Q                   ( #   3                              3                            Q                    " S  3                   "      S  3   2  #      1
   
 .3
   
 0          Theaccountingisapermanentlegalrecord.TheformshouldbetypedORwritten   	    legibly.Useblackordarkblueinkwhenreportsarehandwritten. S  3     ݌    t (#(#  Ќ	     " S  3                  "      S  3-   2  #      2
   
 .3
   
 0          Workfrombankstatementstopreparetheaccountingusingthecheckregisterfor   	 @   supportinformation. S  3-  Z   ݌    &v (#(#  Ќ	     " S  3                  "      S  3p   2  #      3
   
 .3
   
 0          AttachmentsFinancialStatementsfromaProvider S  3p     ݌    B (#(#  Ќ	     0     0    (#(# Ifthepersonlivesinafacility,ortheprovideristhepayeefortheconservatees   	 (   benefits,somecourtswillacceptanattachmentofthemonthlyorquarterlyfinancial   	    statementsfromtheprovider.Checkthemathaccuracybeforeattachingtothe   	    accounting.      (#(#       ComputerGeneratedFinancialSpreadSheets   	 V"!   0     0    (#(# Somecourtswillacceptanaccountinggeneratedbyacomputerprogram.Courts   	 <#"   mayhaveaformatpreferenceforhowinformationispresented.Generally,there   	 "$r#   aretwoacceptableformats:    %X $ (#(#  0     0    (#(# Format1SpreadSheet    &$"& (#(#  0     0    (#(# 0    `	(#(# Setuplookslikethecheckbookregisterandincludesarunningbalanceof   	 '
#'    cashonhand.0    h`	(#`	(#     (#( h(#h(#  0     0    (#(# 0    `	(#(# Advantage:Theaccountingmaybeeasilypreparedfromthebank   	 )$)   statements.    l*%* `	(#`	(#  0     0    (#(# 0    `	(#(#     `	(#`	(#  0     0    (#(# Format2SpreadSheet    8,', (#(#  0     0    (#(# 0    `	(#(# Columnstotalingincome,disbursementsandafinalbalanceofcashon   	 -n(-   hand.    .T). `	(#`	(#  Ї@    pp
  I.STATEMENTOFRECEIPTS(INCOME)ANDDISBURSEMENTS(EXPENSES)   	       BalanceCarriedForward   	 |   0     IfanaccountingwasfiledforthepreviousyearThe balancecarriedforward   	 b   shouldbethesameamountasthe balanceonhandfromthepreviousyear   	 H   accounting.    .	~ (#(#  0     IfNoaccountingwasfiledforthepreviousyearThebalancecarriedforwardisthe   	 
d   cashbalanceontheinitialInventoryandValuation.    
J (#(#  Receipts(Income)   	 	   0     Itemizereceiptsfromallsourcesreceivedintheaccountingperiod.Addadditional   	 
   pagesifneeded.    	 (#(#  0     Fillinalltheinformationrequiredontheform.Incomeforthesameamountmaybe   	 ^   documentedinlumpsums.RefertoSampleAccounting.    D (#(#  Disbursements(Expenditures)   	 `   0     Itemizeallmoneyspentduringtheaccountingperiod.Addpagesifneeded.    F (#(#  0     Fillinalltheinformationrequiredontheform.Expensesforthesameamount(i.e.   	    cable,orphone)maybedocumentedinlumpsums.RefertoSampleAccounting.     (#(#  Summary   	 t   0     Listthetotalreceiptsandthetotaldisbursements.Thecashbalanceisthedifference   	 Z   betweenthetotalreceiptsandtotalexpenditures.    @ (#(#  @    #  II.INVENTORY   	 \   RealEstateListanyrealestateincludingtheappraisedvalue.   	 (   PersonalProperty   	    1.0     FinancialInstitutionAccounts      (#(#  0     (a)0    (#(# Checkingthecheckbookbalancefortheendofaccountingreportingperiod    p!  (#(#  0     (b)0    (#(# Savingstheaccountbalance    V"! (#(#  0     (c)0    (#(# CertificatesofDepositlistanycertificatesowned    <#" (#(#  0     (d)0    (#(# Othernoteotheraccountsnotlistedabove(i.e.residenttrustaccount)    "$r# (#(#  2.0     StocksandBondsListanystocksandbondsownedbyconservatee.    %>!% (#(#  3.0     OtherPersonalPropertyInclude:    '
#' (#(#  0     Burial/Funeraltrust,valueofclothing,furniture,householdgoods.Documentnew   	 (#(   purchasessuchasaTV,bicycleorfurniture.Totalthepersonalproperty.    )$) (#(#  " S  3                  "      S  3   2  #      4
   
 .3
   
 0          AddthetotalsfromTotalPersonalPropertyandTotalRealEstateandputtheamount   	 R+&+   ontheTotalRealEstateandTotalPersonalPropertyline.#   Xt=  X Xc X)'  #  S  3     ݌    8,', (#(#  Ќ	        ʐ   @    *     	 .T).      C  
          XX     X 
       
   
     X    X  c  X)' X  X Xt=     INTHE______JUDICIALDISTRICT#   Xt=  X Xc X)'+  #  y  X)' X  X Xt=  y  &) % Xy X)'    	 X      # y  X)' X %y &)  # #   Xt=  X Xy X)'  #  c  X)' X  X Xt= DISTRICTCOURTOFAPACHECOUNTY,KANSAS   	 >       J   IntheMatterofthe   	 
   (Guardianship)(Conservatorship)0         h 0    %% 0    %% 0    p%% 0    p%p% 0     %% CaseNo.97GC031      % %  SamuelG.Crown   	 ~   ProceedingPursuantto_        K.S.A._        ԀChapter59   	 J        5ANNUAL_FINALACCOUNTING   	 n
	        6   X , X   p xX X , `	X6 IntheConservatorshipofSamuelG.Crown         p July01,2007toJune30,2008    (#    	 :	      	  
   Comesnow,0     Marjorie_        Crestone_        Ԁ0    %% 0    p%% 3299SmithvilleRoad,Apartment#4     p%p%  Ѐ0     Name     0    p%% Address     p%p%  Ѐ0     _        Sanesville_        ,KS666660    %% 0    p%% (785)9997100    z p%p%  Ѐ0     City&ZipCode     0    p%% TelephoneNumber    ` p%p%      (guardian)(conservator)intheaboveentitledestateandsubmitsthefollowing(annual)(final)accounting   	 ,   intheconservatorshipof   	 j      ӳ   @    *  <   X , X   p xXX , X   p xX< SamuelG.Crown0     39SolarHavenRd,_        Sanesville_        ,KS666660    x%% 1942          (# #   Xt=  X Xc X)'1  #  c  X)' X  X Xt=     6 x%x%     ,X Name          Address,City&ZipCode0    p 0    xp&p& YearofBirth0    %x&x&  @  %      %&%&  #   Xt=  X Xc X)'  #  c  X)' X  X Xt= fortheperiodfromJuly01,2007toJune30,2008.   	    @    <<  I.StatementofReceiptsandDisbursements   	 \             @    #  RECEIPTS(INCOME)   	 (   *    d         d                  d [
d d           	 d d           I Ad d           , d d           t   d u                 X&X& ,    rd d            ,    d d            ,    d d            ,    d d            +
   
 $    f f      $ DATE
'    r            ' RECEIVEDFROM
'    r            ' @    1  EXPLANATION
'    r             ' AMOUNT    r!        
   	 D"   BalanceCarried   	 D#   Forward
   	 *$   CheckingAccount
   	 D%        B    	     ! % Q1 3 	=XX , X   p xXB $1,050.00#    D& 3      v# JulyDec2007
   	  L'   SocialSecurityAdmin
   	  L(          o  $415X6mos
C  9 	  L)         t@ 2490.00           t@ C Ѐ0 @  ! 0 @  !    2,490.00G  = ;  L* 3     	       t@ 2490.00 	v     t@ G JanJune2008
   	 "+   SocialSecurityAdmin
   	 ",   $425X6mos
C  9 	 "-         @ 2550.00           @ C 0 @  ! 2,550.00B  8 6 ". 3     	       @ 2550.00 	     @ B JulyJune2008
   	 #@!/   VeteransAffairs
   	 #@!0   $380x12mos
C  9 	 #@!1         б@ 4560.00           б@ C Ѐ0 @  ! 4,560.00B  8 6 #@!2 3     	       б@ 4560.00 	     б@ B JulyJune2008
   	 %"3   _        KPERS_        ԀRetirement
   	 %"4   $685x12mos
C  9 	 %"5         @ 8220.00           @ C 8,220.00B  8 6 %"6 3     	       @ 8220.00 	     @ B JulyJune2008
   	 &4$7   SaversUnionBank
   	 &4$8   _        Yrly_        ԀCheckingAccountInterest
A  7 	 &4$9    {G0@ 16.98      {G0@ A Ѐ0 @  ! 16.98@  6 4 &4$: 3     	  {G0@ 16.98 	{G0@ @ JulyJune2008
   	 (%;   USTreasury
   	 (%<   IRSTaxRefundEarnedIncomeCredit
A  7 	 (%=         R@ 75.00           R@ A 75.00c  Y 4 (%> 3     	       R@ 75.00 	     R@       `U@ 39595     `U@ c May28,2008
7  - + )('? 	      `U@ 39595 	    `U@ 7 CrownSavingsAccount
   	 )('@   TransferofFunds
C  9 	 )('A         @@ 1000.00           @@ C 1,000.00e  [ 6 )('B 3     	       @@ 1000.00 	     @@       W@ 39613     W@ e June15,2008
7  - + *(C 	      W@ 39613 	    W@ 7 SaversUnionBank
   	 *(D   CashedCertificateofDeposit
C  9 	 *(E         @@ 2000.00           @@ C 2,000.00B  8 6 *(F 3     	       @@ 2000.00 	     @@ B 
   	 t,*G   
   	 t,*H        TotalReceipts(Includingbalance   	 t,*I   carriedforward)
'    Z-+J           ' $21,961.98"    t,*K 3    
  " #   Xt=  X Xc X)'׶  #  }  X)' X  X Xt=     k      #   Xt=  X X} X)'q  #  c  X)' X  X Xt= @    +     	 p.,K   Ї     DISBURSEMENTS(EXPENSES)fromCheckingAccount   	 X      *    d         d                  d d d           r 	d d            pd d            &d d              d                  X&X& ,    ed d            ,    9d d            ,    rd d            ,    d d            ,    Gd d            +
   
 $    >  >      $ DATE
'    J "         '  c  |
  Xc X)' Check## c  X)' X
 c |  # 
'    J "         ' PAIDTO
'    J "         ' PURPOSE
'    J "         ' AMOUNT    J "       c  |
  Xc X)' 07/0706/08
   	    
   	    SaversUnionBank
   	 	   MonthlyMortgage_        Incls_        ԀInsurance($568x12mos)
   	 
        Ѐ$6,816.00     3       07/0706/08
   	 o   
   	 o   _        Westar_        ԀEnergy
   	 o   ElectricalUtility(AveragePaymentPlan$55x12)
B  8 	 o         @ 660.00           @ B Ѐ660.00A  7 5 o 3     	       @ 660.00 	     @ A 07/0706/08
   	 j   
   	 j   CityWaterDept
   	 j   WaterandSewage($35x12mos)
B  8 	 j         @z@ 420.00           @z@ B 420.00A  7 5 j 3     	       @z@ 420.00 	     @z@ A 07/0706/08
   	 	   
   	 	   KSGasService
   	 	   GasUtility(EqualPaymentsPlan$70x12)
B  8 	 	         @@ 840.00           @@ B 0 @  ! 840.00A  7 5 	 3     	       @@ 840.00 	     @@ A 07/0706/08
   	 h
   
   	 h
   RippleCityCable
   	 h
   CableBill($38.50x12mos)
B  8 	 h
         |@ 462.00           |@ B 462.00A  7 5 h
 3     	       |@ 462.00 	     |@ A 07/0706/08
   	 c	    
   	 c	!   BirchTelephone
   	 c	"   Phone($41.89permonthX12mos)
B  8 	 c	#    {Gj@ 502.68      {Gj@ B 502.68A  7 5 c	$ 3     	  {Gj@ 502.68 	{Gj@ A 07/0706/08
   	 
%   
   	 
&   # c  X)' X
 c |  #  c    Xc X)' _        Sanesville_        ԀLifeLine# c  X)' X c   #  c  |
  Xc X)' 
   	 
'   MedicalAlert($19.99x12mos)
B  8 	 
(    \(m@ 239.88      \(m@ B 239.88A  7 5 
) 3     	  \(m@ 239.88 	\(m@ A 07/0706/08
   	 a	*   
   	 a	+   _        BCBS_        ԀInsurance
   	 a	,   SupplementalInsurance($97.45x12mos)
C  9 	 a	-    E@ 1169.40      E@ C Ѐ1,169.40B  8 6 a	. 3     	  E@ 1169.40 	E@ B 07/0706/08
   	 \/   
   	 \0   _        Pelley_        ԀPharmacy
   	 \1   PrescriptionCopay
B  8 	 \2          e@ 168.00            e@ B Ѐ168.00A  7 5 \3 3     	        e@ 168.00 	      e@ A 07/0706/08
   	 4   
   	 5   TuppenceFoods
   	 6   Groceries$65x52wks(PerConservatorPlan)
C  9 	 7         h@ 3380.00           h@ C Ѐ3,380.00B  8 6 8 3     	       h@ 3380.00 	     h@ B 07/0706/08
   	 Z9   
   	 Z:   SamuelCrown
   	 Z;   SpendingMoney($100/mox12)(ConservatorPlan)
C  9 	 Z<         @ 1200.00           @ C 1,200.00e  [ 6 Z= 3     	       @ 1200.00 	     @       -@ 39276     -@ e 07/14/07
7  - + U> 	      -@ 39276 	    -@ 7 #2498
   	 U?   KMart
   	 U@   Socks,personalhygieneproduces,video
B  8 	 UA         @`@ 130.00           @`@ B Ѐ130.00A  7 5 UB 3     	       @`@ 130.00 	     @`@ A 07/0706/08# c  X)' X
 c |  #  c  |
  Xc X)' 
   	  C   
   	  D   Barberof_        Saville_        Ԁ
   	  E   Haircuts($10x12mos)
B  8 	  F          ^@ 120.00            ^@ B 120.00d  Z 5  G 3     	        ^@ 120.00 	      ^@       -@ 39276     -@ d 07/14/07
7  - + SH 	      -@ 39276 	    -@ 7 #2501
   	 SI   SeniorsTravel
   	 SJ   PublicTransportation(12booksx$25x12mos)
B  8 	 SK         r@ 300.00           r@ B 300.00d  Z 5 SL 3     	       r@ 300.00 	     r@        2@ 39312      2@ d 08/19/07
7  - + NM 	       2@ 39312 	     2@ 7 #2543
   	 NN   _        Sanesville_        ԀLibrary
   	 NO   AudioReaderRental($10x12mos)
B  8 	 NP          ^@ 120.00            ^@ B 120.00d  Z 5 NQ 3     	        ^@ 120.00 	      ^@        6@ 39344      6@ d 09/20/07
7  - + R 	       6@ 39344 	     6@ 7 #2559
   	 S   _        Walmart_        Ԁ
   	 T   Jeans,shirts,underwear
B  8 	 U          _@ 124.00            _@ B Ѐ124.00d  Z 5 V 3     	        _@ 124.00 	      _@       8@ 39364     8@ d 10/10/07
7  - + LW 	      8@ 39364 	    8@ 7 #2561
   	 LX   _        Sanesville_        ԀBowl
   	 LY   SeniorBowling;SeniorOlympics_        Yrly_        ԀFee
B  8 	 LZ         b@ 150.00           b@ B 150.00d  Z 5 L[ 3     	       b@ 150.00 	     b@       >@ 39413     >@ d 11/28/07
7  - + G\ 	      >@ 39413 	    >@ 7 #2584
   	 G]   Sears
   	 G^   WinterJacket;Christmasgifts
B  8 	 G_         k@ 220.00           k@ B Ѐ220.00d  Z 5 G` 3     	       k@ 220.00 	     k@       `@@ 39427     `@@ d 12/12/07
7  - + a 	      `@@ 39427 	    `@@ 7 #2598
   	 b   OrvilleFurniture
   	 c   LiftChairforSamuelCrown
C  9 	 d         @ 1200.00           @ C 1,200.00e  [ 6 e 3     	       @ 1200.00 	     @       I@ 39501     I@ e 02/24/08
7  - + Ef 	      I@ 39501 	    I@ 7 #2677
   	 Eg   _        Walmart_        Ԁ
   	 Eh   Clothing;personalcareitems;TV
B  8 	 Ei    Gz|@ 456.78      Gz|@ B Ѐ456.78d  Z 5 Ej 3     	  Gz|@ 456.78 	Gz|@       Q@ 39565     Q@ d 04/28/08
7  - + @k 	      Q@ 39565 	    Q@ 7 #2792
   	 @l   Penneys
   	 @m   Towels,bathset,showercurtain;(Dresser$400)
B  8 	 @n    (\@ 687.92      (\@ B Ѐ687.92d  Z 5 @o 3     	  (\@ 687.92 	(\@       T@ 39591     T@ d 05/24/08
7  - +  p 	      T@ 39591 	    T@ 7 #2812
   	  q   CountyTreasurer
   	  r   YearlyPropertyTaxes
B  8 	  s    (\@ 725.67      (\@ B Ѐ725.67d  Z 5  t 3     	  (\@ 725.67 	(\@       W@ 39615     W@ d 06/17/08
7  - + >"u 	      W@ 39615 	    W@ 7 #2822
   	 >"v   _        Walmart_        Ԁ
   	 >"w   Hygieneitems;householdcleaners
A  7 	 >"x         @U@ 85.00           @U@ A Ѐ85.00c  Y 4 >"y 3     	       @U@ 85.00 	     @U@        X@ 39616      X@ c 06/18/08
7  - + #9!z 	       X@ 39616 	     X@ 7 #2823
   	 #9!{   Sears&_        Applebees_        
   	 #9!|   BirthdayGiftandDinnerforSamuelCrown
A  7 	 #9!}          I@ 50.00            I@ A 50.00c  Y 4 #9!~ 3     	        I@ 50.00 	      I@        X@ 39616      X@ c 06/18/08
7  - + $" 	       X@ 39616 	     X@ 7 #2824
   	 $"   Dr.LongTooth
   	 $"   Dentistcleaningandtwofillings
B  8 	 $"         r@ 298.00           r@ B 298.00d  Z 5 $" 3     	       r@ 298.00 	     r@       X@ 39620     X@ d 06/22/08
7  - + 7&# 	      X@ 39620 	    X@ 7 #2825
   	 7&#   EyeMagic
   	 7&#   NewGlasses
B  8 	 7&#         k@ 220.00           k@ B 220.00d  Z 5 7&# 3     	       k@ 220.00 	     k@       X@ 39620     X@ d 06/22/08
7  - + '2% 	      X@ 39620 	    X@ 7 #2826
   	 '2%   SaversUnionBank
   	 '2%   OrderedChecks
A  7 	 '2%          B@ 36.25            B@ A 36.25c  Y 4 '2% 3     	        B@ 36.25 	      B@       X@ 39620     X@ c 06/22/08
7  - + (& 	      X@ 39620 	    X@ 7 #2827
   	 (&   _        Sanesville_        ԀTimes
   	 (&   NewspaperSubscription($11.95x12mos)
B  8 	 (&    a@ 143.30      a@ B  @  ! 143.30d  Z 5 (& 3     	  a@ 143.30 	a@       X@ 39622     X@ d 06/24/08
7  - + 0*' 	      X@ 39622 	    X@ 7 #2828
   	 0*'   USPostOffice
   	 0*'   Stampsforpayingbills($7.80x4books)
A  7 	 0*'    333333?@ 31.20      333333?@ A  @  ! 31.20@  6 4 0*' 3     	  333333?@ 31.20 	333333?@ @ 
   	 ++)   
   	 ++)   
   	 ++)       TOTAL
'    ++) 3         ' $20,956.08"    ++) 3      " # c  X)' X
 c |  #    	 >.+   @ @  \\+ \ SavingsAccountTransactions   	 X           *    d         d                  d d d           e Td d           9 d d           r Wd d            vd d           G   d                  X&X& ,    ed d            ,    9d d            ,    rd d            ,    d d            ,    Gd d            +
   
 $    >  >      $ DATE
'    J "         ' 
'    J "         ' PAIDTO
'    J "         ' PURPOSE
'    J "         ' AMOUNTA  7  J "           +@ 39263     +@ A  c  |
  Xc X)' 07/01/07
7  - +  	      +@ 39263 	    +@ 7 
   	    
   	 	   BeginningBalance
   	 
        $8,245.95     3       
   	 o   
   	 o   
   	 o   
   	 o        A  7  o 3            `3@ 39323     `3@ A 08/30/07
7  - + j 	      `3@ 39323 	    `3@ 7 
   	 j   SamuelCrown
   	 j   QuarterlyInterest
   	 j        (+3.45)    j 3       
   	 	   
   	 	   
   	 	   
   	 	        A  7  	 3            B@ 39446     B@ A 12/31/07
7  - + h
 	      B@ 39446 	    B@ 7 
   	 h
   SamuelCrown
   	 h
   QuarterlyInterest
   	 h
        (+3.79)    h
 3       
   	 c	    
   	 c	!   
   	 c	"   
   	 c	#        A  7  c	$ 3             N@ 39537      N@ A 03/31/08
7  - + 
% 	       N@ 39537 	     N@ 7 
   	 
&   # c  X)' X
 c |c  #  c  |
  Xc X)' SamuelCrown
   	 
'   # c  X)' X
 c |,  #  c  |
  Xc X)' QuarterlyInterest# c  X)' X
 c |  # 
   	 
(         c  |
  Xc X)' (+3.57)# c  X)' X
 c |  #     
) 3       
   	 a	*   
   	 a	+   
   	 a	,   
   	 a	-        A  7  a	. 3            `U@ 39595     `U@ A  c  |
  Xc X)' 05/28/08
7  - + / 	      `U@ 39595 	    `U@ 7 
   	 0   SamuelCrown
   	 1   TransfertoCheckingAccount
   	 2        (1,000.00)    3 3       # c  X)' X
 c |  # 
   	 .4   
   	 .5   
   	 .6   
   	 .7        A  7  .8 3            Y@ 39628     Y@ A  c  |
  Xc X)' 06/30/08
7  - + P9 	      Y@ 39628 	    Y@ 7 
   	 P:   SamuelCrown
   	 P;   QuarterlyInterest
   	 P<        (+3.02)    P= 3       # c  X)' X
 c |  # 
   	 >   
   	 ?   
   	 @   
   	 A            B 3        c  |
  Xc X)' 
   	 uC   
   	 uD   
   	 uE   
   	 uF            uG 3       
   	 pH   
   	 pI   
   	 pJ   
   	 pK            pL 3       
   	 M   
   	 N   
   	 O   
   	 P            Q 3       
   	 nR   
   	 nS   
   	 nT   
   	 nU            nV 3       
   	 iW   
   	 iX   
   	 iY   
   	 iZ            i[ 3       
   	 \   
   	 ]   
   	 ^   
   	 _            ` 3       
   	 ga   
   	 gb   
   	 gc   
   	 gd            ge 3       
   	 bf   
   	 bg   
   	 bh   
   	 bi            bj 3       
   	  k   
   	  l   
   	  m   
   	  n             o 3       
   	 `!p   
   	 `!q   
   	 `!r   
   	 `!s            `!t 3       
   	 "[ u   
   	 "[ v   
   	 "[ w   
   	 "[ x            "[ y 3       
   	 $!z   
   	 $!{   
   	 $!|   
   	 $!}            $!~ 3       
   	 Y%#   
   	 Y%#   
   	 Y%#   
   	 Y%#            Y%# 3       
   	 &T$   
   	 &T$   
   	 &T$   
   	 &T$            &T$ 3       
   	 '%   
   	 '%   
   	 '%   
   	 '%            '% 3       
   	 R)&   
   	 R)&   
   	 R)&   
   	 R)&            R)& 3       
   	 *M(   
   	 *M(   
   	 *M(   
   	 *M(            *M( 3       
   	 +)   
   	 +)   
   	 +)       
'    +) 3         ' # c  X)' X
 c |J  # $7,259.78 c  |
  Xc X)' "    +) 3      " # c  X)' X
 c |/ # 	   	 -*       X    , @    &  SUMMARY   	 X              0   s# 	     ! % Q1 3 	=X0 TotalReceipts    ? s#.    $21,961.98   	 $   TotalDisbursements    ? s#.  

  $20,956.08   	 }%   CashBalanceonHand    > s#.    $1,005.90   	 ~   @      II.INVENTORYasofJune30,2008   	 	0
   @      Yourconservatoraccountsforthefairmarketvalueofthefollowingassets:   	 
   6  %  , , 4X   !s# T$ s#6      @    HH%  REALESTATE     0     0    LT$T$ FairMarketValue    ; LT$LT$                    1.39SolarHavenRd,Lot59,SolarHavenAddition,_        Sanesville_        ,KS666660    L 0    LT$LT$ $0    T$T$ 0    !T$T$     B s# 45,489.00     !T$!T$       JointTenancywithMrs.BettyCrown,spouse.0    D 0    DT$DT$ 0    T$T$ 0    LT$T$ 0    LT$LT$ $    E T$T$       0     0    4T$T$ 0    
4T$4T$ 0    
T$
T$ 0    <T$T$ 0    <T$<T$ 0    T$T$ 0    DT$T$ TotalRealEstate0    LDT$DT$ 0    LT$LT$ $0    T$T$ 0    !T$T$     B s# 45,489.00    F !T$!T$  @    pp!  PERSONALPROPERTY        	 P   1.FinancialInstitutionAccounts   	 Q   T  %  , , 4X   !s# T$  , , 4X   !s# T$T               4 Description0     0    <T$T$ 0    <T$<T$ 0    T$T$ 0    DT$T$ 0    DT$DT$ 0    T$T$ 0    LT$T$ 0    LT$LT$ Amount     T$T$       (a)CheckingAccountSaversUnionBank,_        Sanesville_        ,KS0     0    LT$T$ 0    LT$LT$ $0    T$T$ 0    !T$T$     i i C s# 1,005.90    [  !T$!T$       (b)SavingsSaversUnionBank,_        Sanesville_        ,KS0    D 0    DT$DT$ 0    T$T$ 0    LT$T$ 0    LT$LT$ $0    T$T$     !     i i C s# 7,259.78    T$T$M T$T$T$    	 \"        (c)CertificatesofDeposit(oneCDvaluedat$4,329)0     0    T$T$ 0    LT$T$ 0    LT$LT$ $0    T$T$ 0    !T$T$     i i C s# 4,329.71    $ !T$!T$       (d)Burial/FuneralTrust(TimberlineMortuary,_        Sanesville_        ,KSasof06/30/08)0     $0    T$T$     !     i i C s# 4,600.00    f& T$T$  !     	                 !  
w                   ( Eh        8                               3                          Q                    " S  3                  "      S  3  2  Eh      2
   
 .3
   
 0          Stocks&Bonds0    
T$T$ 0    
T$
T$ 0    <T$T$ 0    <T$<T$ 0    T$T$ 0    DT$T$ 0    DT$DT$ 0    T$T$ 0    LT$T$ 0    LT$LT$ $0    !T$T$     f!f!C s# 0 S  3 H  ݌    * !T$!T$  Ќ	     " S  3                  "      S  3  2  Eh      3
   
 .3
   
 0          OtherPersonalProperty0    <T$T$  S  3   ݌    !r. <T$<T$  Ќ	          Householdgoods,furniture,wearingapparel    D 0     0    T$T$ 0    LT$T$ 0    LT$LT$ $0    T$T$     !     i i C s# 5,455.00    ## 0 T$T$  0     Television$250;Dresser$400;LiftChair$1,200    D 0    T$T$ 0    T$T$ 0    LT$T$ 0    LT$LT$ $0    T$T$ 0    !T$T$     i i C s# 1,800.00    |$$"2 !T$!T$       0     0    4T$T$ 0    
4T$4T$ 0    
T$
T$     <           TotalPersonalProperty    L 0    T$T$ $0    T$T$ 0    !T$T$     B s# 24,450.39    %}#4 !T$!T$       0     0    4T$T$ 0    
4T$4T$ 0    
T$
T$     < TotalRealEstateandPersonalProperty0    LT$T$ 0    LT$LT$ $0    T$T$     !     B s# 69,939.39 c  |
  Xc X)' Ԉ    .'$6 T$T$  H   X   h  p    , , 4X   !s# T$H # c  X)' X
 c | #      IdeclareunderpenaltyofperjuryunderthelawsofthestateofKansasthattheforegoingis   	 (/&8   trueandcorrect._        Executed_        Ԁon_________________,20____.   	 )':    c  |
  Xc X)'                     _____________________________________   	 ,:*>                       # c  X)' X
 c |a # Conservator#   Xt=  X Xc X)'  # 	   	 -X+@       X    X           ]  X)' X  X Xt=        A            INTHE򀀀JUDICIALDISTRICT   	       DISTRICTCOURTOF򀀀COUNTY,KANSAS   	          IntheMatterofthe0     0    (#(# )    H (#(#  Conservatorshipof0     0    (#(# )    .	~ (#(#                 0     )     CaseNo._________    
d (#(#  򀀀0     0    (#(# )    
J (#(#       0     0    (#(#      )    0 (#(#  ProceedingPursuantto_        K.S.A._        ԀChapter59   	 	      5    AFFIDAVITOFCOMPLETION   	 x
               9       OFBASICINSTRUCTIONALPROGRAM   9 T  ݌   	 ^   Ќ	                                                  IdeclarethatIhavereceivedandreviewedtheBasicInstructionsforConservators   	 *z   andkeptacopyofthoseInstructions.Iacknowledgethat,asconservator,Ihavetheduties   	 `   andresponsibilitiesdescribedintheInstructions.   	 F        0     Ideclareunderpenaltyofperjurythattheforegoingistrueandcorrect.     (#(#       0     Executedonthis_________dayof_________,_______.     (#(#                      ______________________________   	 @      h   B   	    p    x  (#X   h  p ,B Signature   	 &v   ______________________________   	 B   PleasePrintYourEntireName9   	    p    x  (#  X(#9    	 (   ______________________________   	    ______________________________   	 p!    Address   	 V"!   ______________________________   	 "$r#   TelephoneNumber#   Xt=  X X] X)' # 
