WPCE5  
           96FvOiDfb^> !\+r$O̋c&c`/B$YnA+",^0C"D?gs%ydآ/"@{h@l3([:i
ˀbgk0ݞb^UOGK0LTf;Mv$B`tF5(\ӝJæ^$xUÏScm*}'qBi wP̰ϪRC C**.ǣPmXYCZF)ԯ)|0YP~m6jw`yi.	OБ])	+@4Ap{Z}mh<-ʭW
?ux1O0|Ti\ye#)jGU3\c.}i!u:xc
G'%~M뾹             U   >          0	  0   "    0       0       0     0  0     L  0     h  0       0       0       0       0       0       0   
    0   
    0       0       0       0       0       0     )   0     5!  0   	  A"  0   	  J#  0     S$  0     Y%  0     _&  0     b'  0   0  e(   U   .   )  0   `   )  0   >   #*  0   @   a*  	1   s   *        +  0      $+  #     +   U   N   .  	%      .  M      .     (   .  N      #/  	1   u   %/  	7   2   /  0   w   /  ^      C0  w      O0  4      S0        g0  	m      i0   U   :   0  0      0        1     v   1   U   ,   2  0   N   D2      J   2            2            2   U   ,   2            2            2            2            2            2            2            2            2            2            2            2            2            2            2            2            2            2            2            2            2            2            2            2            2            2            2            2            2            2            2            2            2            2            2            2            2            2            2            2            2            2            2            2            2            2            2            2            2            2            2            2            2            2            2            2            2            2            2  0      3            3            3            3            3            3     _  3   \	  	   `  & 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   G U A R D I A N S                                                                                                                                                                                                                                                                                                                                                                                                           
            c g u l l e d g e   & 0    C h r i s t y   M o l z e n   
 .      
       
       
           2   d   +       a   0 _ l e v e l 1                , A  7    8   @   H   P    X  " %A 2      3
   
       . .               >  4   8   @   H   P    X  " %>         2   a   +       a   0 _ l e v e l 2                X >  4 8 8 8   @   H   P    X  " %> 2     3
   
       . .               >  4   8   @   H   P    X  " %>         2   a   +       a   0 _ l e v e l 3                 >  4 d d d   @   H   P    X  " %> 2     3
   
       . .               >  4   8   @   H   P    X  " %>         2   ^   +       a   0 _ l e v e l 4                 ;  1     @   H   P    X  " %; 2     3
   
       . .               >  4   8   @   H   P    X  " %>         2   ^   +       a   0 _ l e v e l 5                 ;  1     @   H   P    X  " %; 2     3
   
       . .               >  4   8   @   H   P    X  " %>         2   [   +       a   0 _ l e v e l 6                 8  .    @   H   P    X  " %8 2     3
   
       . .               >  4   8   @   H   P    X  " %>         2   [   +       a   0 _ l e v e l 7                4 8  . 
 
 
 @   H   P    X  " %8 2     3
   
       . .               >  4   8   @   H   P    X  " %>         2   X   +       a   0 _ l e v e l 8                `	 5  + @ @ @   H   P    X  " %5 2     3
   
       . .               >  4   8   @   H   P    X  " %>         2   X   +       a   0 _ l e v e l 9                
 5  + l l l   H   P    X  " %5 2     3
   
       . .               >  4   8   @   H   P    X  " %>         2   d          a   0 _ l e v s l 1                , A  7    8   @   H   P    X  " %A 2      3
   
 Ԁ           >  4   8   @   H   P    X  " %>         2   a          a   0 _ l e v s l 2                X >  4 8 8 8   @   H   P    X  " %> 2     3
   
 Ԁ           >  4   8   @   H   P    X  " %>         2   a          a   0 _ l e v s l 3                 >  4 d d d   @   H   P    X  " %> 2     3
   
 Ԁ           >  4   8   @   H   P    X  " %>         2   ^          a   0 _ l e v s l 4                 ;  1     @   H   P    X  " %; 2     3
   
 Ԁ           >  4   8   @   H   P    X  " %>         2   ^          a   0 _ l e v s l 5                 ;  1     @   H   P    X  " %; 2     3
   
 Ԁ           >  4   8   @   H   P    X  " %>         2   [          a   0 _ l e v s l 6                 8  .    @   H   P    X  " %8 2     3
   
 Ԁ           >  4   8   @   H   P    X  " %>         2   [          a   0 _ l e v s l 7                4 8  . 
 
 
 @   H   P    X  " %8 2     3
   
 Ԁ           >  4   8   @   H   P    X  " %>         2   X          a   0 _ l e v s l 8                `	 5  + @ @ @   H   P    X  " %5 2     3
   
 Ԁ           >  4   8   @   H   P    X  " %>         2   X          a   0 _ l e v s l 9                
 5  + l l l   H   P    X  " %5 2     3
   
 Ԁ           >  4   8   @   H   P    X  " %>         2   d          a   0 _ l e v n l 1                , A  7    8   @   H   P    X  " %A 2      3
   
            >  4   8   @   H   P    X  " %>         2   a          a   0 _ l e v n l 2                X >  4 8 8 8   @   H   P    X  " %> 2     3
   
            >  4   8   @   H   P    X  " %>         2   a          a   0 _ l e v n l 3                 >  4 d d d   @   H   P    X  " %> 2     3
   
            >  4   8   @   H   P    X  " %>         2   ^          a   0 _ l e v n l 4                 ;  1     @   H   P    X  " %; 2     3
   
            >  4   8   @   H   P    X  " %>         2   ^          a   0 _ l e v n l 5                 ;  1     @   H   P    X  " %; 2     3
   
            >  4   8   @   H   P    X  " %>         2   [          a   0 _ l e v n l 6                 8  .    @   H   P    X  " %8 2     3
   
            >  4   8   @   H   P    X  " %>         2   [          a   0 _ l e v n l 7                4 8  . 
 
 
 @   H   P    X  " %8 2     3
   
            >  4   8   @   H   P    X  " %>         2   X          a   0 _ l e v n l 8                `	 5  + @ @ @   H   P    X  " %5 2     3
   
            >  4   8   @   H   P    X  " %>         2   X          a   0 _ l e v n l 9                
 5  + l l l   H   P    X  " %5 2     3
   
            >  4   8   @   H   P    X  " %>         h       \       l    : 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              C                            $  C a l i b r i         C     X      XX S            \	  	   `  & T i m e s   N e w   R o m a n         S                  $  C a l i b r i             `                    : F o o t n o t e   R e f   F o o t n o t e   R e f e r e n c e       (                  $           0
   
     @                   0 L e v e l   1   L e v e l   1          	 
          3 5 ; C K S [ c k 1     1 .   1 . 1   1 . 1   1 . 1   1 . 1   1 . 1   1 . 1   1 . 1   #| x            (                  g$                   .  .                  '  X">  X  X' X      X">  X  X' X">  \ \ 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                                                            3#   3 7 = C I Q Y a g       1 .   a .   i .   ( 1 )   ( a )   ( i )   1 )   a )            ,    i )                                           (       O           ;$       0     2  #    a
   
 .3
   
 0    `	(#(# ΐ9Z         솃9    :i +00             U                        " A r i a l   R e g u l a r             (                  3$       
 %  g!             .  .                  '  X5  X  X' X      X5  X  X' X5      
            	       c o n s e r v a t e e      n o n m e d i c a l      p s y c h o s u r g e r y      t i m e s h e e t   , c  A   Z    A r i a l               (                 O$                         h t t p : / / w w w . k a n s a s j u d i c i a l c o u n c i l . o r g   , i  A   Z   A r i a l               (                  3$       
 %  g!             .  .                  '  X5  X  X' X      X5  X  X' X5        d  
   U  
 x  +             .  .                  '  X5  X  X' X      X5  X  X' X5    d     _           
   X X5       @    ))$  SAMPLE         #   X5  X
     # 
 %  g!             .  .                  '  X5  X  X' X      X5  X  X' X5     _                    X       6  -  8 4  ܖ4 X X       d                  d  8       X X5       =          
 BASICINSTRUCTIONS   	       ЀFORGUARDIANS# =  Xܖ X = ;  #    	     @    @  `	  @    @    @  h  @    @    =    X= Xܖ January1,2009# =  Xܖ X = c  #    	 E   KansasJudicialCouncil#   X5  X X= Xܖf  # 	         =  Xܖ X  X X5     
 Preface   	                ThesebasicinstructionsforguardianswerepreparedbytheGuardianshipand   	 b   ConservatorshipAdvisoryCommitteeoftheKansasJudicialCouncilandwereapproved   	 H   bytheCouncilinDecember2008.Theinstructionsconstitutethebasicinstructional   	 .	~   programconcerningthedutiesandresponsibilitiesofaguardianrequiredby_        K.S.A._        Ԁ2009   	 
d   Supp.593069(j).Afterreadingtheseinstructions,aproposedguardianshouldsignthe   	 
J   affidavitofcompletionattheendofthisbookletandfileitwiththecourtasevidenceof   	 0   completionofthebasicinstructionalprogram.#   X5  X X= Xܖ&  #    	 	        =  Xܖ X  X X5 TableofContents#   X5  X X= Xܖ  #    	 x
        8  Xܖ X  X X5 Definitions    ""J (#.  TT  1   	 *z   GuardiansPowersandDuties    ""J (#.  ;;&  1   	 `   ResponsibilitiestotheCourt   	 F        RequiredTraining    ""J (#.  ;;   3   	         Oath    ""J (#.    3   	         Letters    ""J (#.  l	l	  3   	         GuardianshipPlan    ""J (#.  ss   3   	 t        GuardiansAnnualReportontheWardsCondition    ""J (#.  ?  3   	 Z        SpecialReportsandAccountings    ""J (#.  .  4   	 @        ReimbursementforTimeandExpenses    ""J (#.  2  4   	 &v   ConflictsofInterest    ""J (#.  aa  4   	 B   AdditionalResources    ""J (#.    5   	 (   SampleForms   	              SampleReportonConditionofGuardiansWard    ""J (#.  <  6   	 p!    AffidavitofCompletionofBasicInstructionalProgram    B (#.  $$@  lastpage#   X5  X X8 Xܖ  #  =  Xܖ X  X X5 	    <#"      6 -  
   6          
     6  
   
           BASICINSTRUCTIONSFORGUARDIANS   	            DefinitionsofWordsYouNeedtoKnow:   	 |   0     GuardianAguardianisapersonappointedbyacourttoactonbehalfofaminor   	 H   orimpairedperson,whoiscalleda ward.Aguardianmanagesawardspersonal   	 .	~   health,safety,andwelfare.    
d (#(#  0     WardAwardisapersonforwhomaguardianhasbeenappointed.Awardmay   	 0   beeitheraminororanadultpersonwithanimpairment.    	 (#(#  0     ConservatorAconservatorisapersonappointedbyacourttoactonbehalfofa   	 	   minororimpairedperson,whoiscalleda conservatee.Aconservatormanages   	 x
   aconservateespropertyor estate,suchasmoney,personalandrealproperty.    ^ (#(#  0     ConservateeAconservateeisapersonforwhomaconservatorhasbeen   	 *z   appointed.Aconservateemaybeeitheraminororanadultpersonwithan   	 `   impairment.    F (#(#  NOTE:Sometimes,apersonisappointedasbothaguardianandconservator.Inthat   	    case,thepersontheyarehelpingmaybecalledeitherawardorconservatee,orboth.   	         WhatAreaGuardiansPowersandDuties?   	 Z        Aguardianshipisalegalproceedingfiledtoprotectanimpairedperson,whois   	 &v   calleda ward.Afterahearingtodeterminewhetheraguardianshipisnecessary,acourt   	 \   orderwillbeissued.Yourattorneyshouldprovideyouwithacopyofthatcourtorder.#   X5  X X= Xܖ  #  =  Xܖ X  X X5 ԀA   	 B   guardianmanagesawardspersonalhealth,safety,andwelfare.Ifthecourtappointsyou   	 (   asguardianyourjobisseparatefromthedutiesofaconservator,thoughthecourtmay   	    appointthesamepersontoserveinbothroles.Asguardianyouarealwayssubjecttothe   	    controlanddirectionofthecourt.   	          Statelawandthecourtdefineaguardianspowerandsettherulestobefollowed   	 V"!   whencaringfortheward.Atalltimes,aguardianisunderthecourtsdirectionandcontrol.   	 <#"   Aguardianmustalwaysactinthewardsbestinterestandusereasonablecareand   	 "$r#   attention.EACHYEARTHEGUARDIANMUSTFILEAREPORTWITHTHECOURT   	 %X $   TELLINGTHECOURTABOUTTHEGUARDIANSACTIONSANDTHEWARDS   	 %>!%   CONDITION.   	 &$"&        Ifthecourtauthorizesaguardiantoexerciseauthorityoverawardsestatevalued   	 (#(   atlessthan$10,000,theguardianmayhavemanyofthesamedutiesasaconservator,   	 )$)   includingfilinganannualaccountingwiththecourt.Inthatsituation,aguardianmightfind   	 l*%*   ithelpfultoreadthebooklet, BasicInstructionsforaConservator,whichincludesa   	 R+&+   sampleaccountingform.   	 8,',        Asaguardian,yourjobistogettoknowthewardandthewardsfamily,friends,and   	 .T).   caregivers.Youshoulduseyourauthorityonlyasneededandallowthewardtotakepart   	       indecisions.Youshouldconsiderthewardspersonaldesiresandvalueswhenmaking   	     decisionsonthewardsbehalf.Youshouldencouragethewardtomakedecisions,   	 |   developskillsfordailyliving,anddoasmuchasthewardcanonhisorherown.   	 b        ThelawdoesNOTrequireyouasguardiantouseyourownpersonalmoneyor   	 .	~   otherassetsforsupportofthewardsolelybecauseyouhavebeenappointedasguardian.   	 
d   However,ifyouaretheparentorspouseoftheward,youmayhaveanindependentduty   	 
J   tosupporttheward.#   X5  X X= Xܖ  #  =  Xܖ X  X X5 ԀYouarenotliabletootherpersonsfortheactsofthewardsolely   	 0   becauseyouhavebeenappointedasguardian.Thismeansyouarenotresponsibletoany   	 	   oneelseforsomethingthatthewardhasdonesimplybecauseyouaretheguardian.   	 
   #   X5  X X= Xܖ  #  =  Xܖ X  X X5      Youshouldprotectthewardspersonal,civil,andhumanrights.Thelawrequires   	 x
   thatyouMUSTALWAYSactinthebestinterestofthewardandexercisereasonablecare,   	 ^   diligence,andgoodsense.   	 D        Asaguardian,youMAYgenerallytakeanyofthefollowingactionsonbehalf   	 `   ofthewardwithoutgettingadditionalcourtapproval:   	 F   1.0     Takechargeofthewardandprovideforthewardscare,treatment,housing,   	    education,support,andmaintenance;     (#(#  2.     Giveorwithholdconsentsforthewardexceptthoselistedbelow;   	    3.0     Assurethewardislivingintheleastrestrictivesettingthatmeetshisorherneeds;    t (#(#  4.0     Assurethewardreceivesmedicalandnonmedicalcare;    Z (#(#  5.     Protectthehealth,safety,andwelfareoftheward;   	 @   6.     Makenecessaryarrangementsforthewardsfuneral,burialorcremation;and   	 &v   7.     Revokeapowerofattorney.   	 \        Asaguardian,youmayNOTtakeanyofthefollowingactionsUNLESSthe   	 (   supervisingcourtissuesawrittenorderapprovingtheaction(s):   	    1.0     Consenttoadoptionoftheward;      (#(#  2.0     Consenttoanypsychosurgery,organorlimbremovalexceptinalifethreatening   	 p!    emergencyortopreventlastingimpairmenttothewardsphysicalbody;    V"! (#(#  3.     Consenttosterilizationoftheward;   	 <#"   4.     Consenttoexperimentalprocedures;   	 "$r#   5.0     Consenttowithholdingorwithdrawaloflifesavingmedicalcareunlesstheward   	 %X $   previouslymadeawrittenadvancedirective(livingwill,durablepowerofattorney   	 %>!%   forhealthcaredecisions,orsimilardocument)thatmeetslegalrequirements;#   X5  X X= Xܖ  #  =  Xܖ X  X X5     &$"& (#(#  6.0     Haveanycontroloverthewardsproperty,unlesstheLettersofGuardianship   	 '
#'   authorizeyoutodosoANDthevalueofthewardspropertyislessthan$10,000;    (#( (#(#  7.     Placethewardinapsychiatrictreatmentfacility;   	 )$)   8.     Payguardianfeesorreimburseexpenses;or   	 l*%*   9.     Disposeofpropertyafterthewardsdeath.	   	 R+&+        Asaguardian,youmayNEVERtakeanyofthefollowingactions:   	       1.     Prohibitthemarriageordivorceoftheward;or   	 |   2.     Consenttoterminationofthewardsparentalrights.   	 b   WhatAreaGuardiansResponsibilitiestotheCourt?   	 
d   RequiredTraining   	 0        Beforeyouareappointedasguardian,youmustcompleteabasictrainingprogram   	 
   aboutthedutiesandresponsibilitiesofaguardian.Readingthisbookletmeetsthat   	 	   requirement.Attheendofthisbooklet,youwillfindanaffidavitofcompletionofthebasic   	 x
   trainingprogram(aformstatingyouhavereadthebooklet).Whenyoufinishreadingthis   	 ^   booklet,youshouldsigntheaffidavitandfileitwiththecourttoprovethatyouhave   	 D   completedtheprogram.Youshouldalsokeepthisbookletforfuturereference.   	 *z   Oath   	 F        Whenyouareappointedasguardian,thecourtwillrequirethatyoufileanoathor   	    affirmationstatingthatyouwillfaithfully,impartiallyandtothebestofyourabilityfulfillall   	    dutiesassignedbythecourt.Theoathmustbeinwritingandsignedbeforeanotaryorthe   	    judge.   	 t   Letters   	 @        Afteryouhavefiledyouroathandaffidavitofcompletionofthebasictraining   	 \   program,thecourtwillissueLettersofGuardianship.Thisdocumentgivesyouthe   	 B   authoritytocarryoutyourlegalduties.Youshouldaskforacertified(legal)copyofthe   	 (   originaldocument,whichisonfilewiththecourt.Youshouldkeepthecertifiedcopyina   	    safeplaceandprovidecopiesoftheLettersofGuardianshiptoanyoneyoudealwithwho   	    providesservicestotheward.   	     GuardianshipPlan   	 V"!        Insomecases,thecourtmayrequire,oryourattorneymaysuggest,thatyoufilea   	 "$r#   guardianshipplan.Aguardianshipplanmightincludeprovisionsaboutwhereawardwill   	 %X $   live,whatkindsofdecisionsthewardwillbeallowedtomakeonhisorherown,and,ifno   	 %>!%   conservatorhasbeenappointed,howthewardsfinancialassetswillbeused.   	 &$"&   Guardianshipplansaremostusefulinsituationswherethewardiscapableofmakingsome   	 '
#'   decisionsindependently.   	 (#(   AnnualReportontheWardsCondition   	 l*%*        Becausethecourtneedstoknowwherethewardislivingandhowthewardis   	 8,',   doing,theguardianmustfileareportonthewardsconditioneveryyear.Thisreportis   	 -n(-   requiredevenifthereisnochangeinthewardscondition.Thereportingperiodusually   	 .T).   startswhentheguardianisappointedandcoversa12monthperiodoftime,unlessthe   	       judgeordersadifferentreportingtimeperiod.Asampleoftheannualreportisincludedat   	     theendofthisbooklet.   	 |   SpecialReportsandAccountings   	 H        Aguardianmustfileaspecialreportoraccountingwiththecourtifanyofthe   	 
d   followingoccurs:   	 
J        1)achangeofaddressoftheguardian;   	 	        2)achangeofresidenceorplacementoftheward;   	 
        3)asignificantchangeinthehealthorimpairmentoftheward;   	 	   0     4)ifthewardacquiresanyrealproperty,orifthewardreceivesoraccumulates   	 x
   otherpropertyorincomewhichcausesthetotalvalueoftheward'sestatetoequal   	 ^   orexceed$10,000;or    D (#(#       5)thedeathoftheward.#   X5  X X= Xܖ'  #  =  Xܖ X  X X5    	 *z        Ifthewarddies,youwillneedtocompleteafinalreportonthewardsconditionso   	 F   thatthecourtcanclosethecase.   	 ,   ReimbursementforTimeandExpenses   	         Thecourtmustapproveinadvanceanyreimbursementtotheguardianforexpenses   	 t   andtimespentonofficialduties.Ifyouwanttobepaidbackforyourtimeandexpenses,#   X5  X X= Xܖ:  #  =  Xܖ X  X X5    	 Z   youmustkeepadetailedtimesheetoftimespentandadetailedrecordofexpenses   	 @   incurred.Manyguardiansdonotclaimsuchexpenses,especiallyifthewardisafamily   	 &v   member,andperformtheirdutiesoutofloveandaffection.Ifyouwanttoreceive   	 \   reimbursement,youshouldtalktoyourattorneyandbringthisuppreferablyatthefirst   	 B   courthearing.   	 (   WhatareConflictsofInterest?   	          Aconflictofinteresthappenswhenyourpersonalorfinancialinterestsasguardian   	 V"!   goagainstthoseofthewardorwhereyouractionsappeartobeselfserving(foryourown   	 <#"   benefit).Forexample,itwouldbeaconflictofinterestforaguardiantogetaloanfromor   	 "$r#   buypropertybelongingtothewardsestate.Itcouldalsobeaconflictofinterestfora   	 %X $   guardiantoworkinthesamefacilitywherethewardlives.   	 %>!%        Wheneveryouthinkyoumighthaveaconflictofinterest,evenifyouarenotsure,   	 '
#'   reportittothecourt.Justbecauseyoumayhaveaconflictofinterestdoesnotmeanyou   	 (#(   cannotserveasguardian,aslongasyoukeepthecourtinformed.#   X5  X X= Xܖ<  #  =  Xܖ X  X X5    	 )$)   	   	 l*%*   Additionalresources:   	                 Ifyouhavequestionsaboutanyofyourdutiesasaguardian,askyourattorney.   	 |        Additionalresources,includingblankformsforguardiansreports#   X5  X X= XܖHB  #  =  Xܖ X  X X5 ,canbefoundon   	 H   theKansasJudicialCouncils_        webpage_        Ԁat:#   X5  X X= XܖC  #  =  Xܖ X  X X5 Ԁ4 :    at   9  O               5
   
 www.kansasjudicialcouncil.org6    D    9  OD                 7   at;D   #   X5  X X= XܖnD  #  =  Xܖ X  X X5 	   	 .	~   #   X5  X X= XܖtE  #     ~         8  Xܖ X  X X5 INTHE______JUDICIALDISTRICT   	       DISTRICTCOURTOFAPACHECOUNTY,KANSAS   	       E   IntheMatterofthe0     0    (#(# 0    h(#(#      )    H h(#h(#  (Guardianship)(Conservatorship)of0     )    .	~ (#(#           `	               h 0     )    
d (#(#  SamuelG.Crown0     0    (#(# 0    h(#(# 0    h(#h(# )0    (#(# 0    p(#(#      CaseNo.97GC031    
J p(#p(#           `	               h      )   	 0   ProceedingPursuantto_        K.S.A._        ԀChapter59   	 	      XANNUAL_FINALREPORTONTHECONDITION   	 	   OFTHEGUARDIANSWARD   	 x
   FromJuly01,2007toJune30,2008   	 ^     WI   *    , XX  X   X* Comesnow,Marjorie_        Crestone_        Ԁ0    h 0    h(#h(# 0    (#(# 3299SmithvilleRoad,Apartment#4    ` (#(#   8  n  X8 Xܖ 0     0    (#(# Name0    (#(# 0    (#(# 0    h(#(# 0    h(#h(# 0    (#(# Address    p     F (#(#  # 8  Xܖ X 8 nK  #           _        Sanesville_        ,KS666660     0    (#(# (785)99971000     (#(#        8  n  X8 Xܖ Ԁ0     City&ZipCode0    (#(# 0    h(#(# 0    h(#h(# 0    (#(# TelephoneNumber# 8  Xܖ X 8 nL  #      (#(#  guardianintheaboveentitledestateandsubmitsthefollowing(annual)(final)reportonthe   	 l   conditionof:   	 R   SamuelG.Crown          0    h 1942     h(#h(#   8  n  X8 Xܖ Name0     0    (#(# 0    (#(# 0    (#(# 0    h(#(# YearofBirth# 8  Xܖ X 8 nN  #      h(#h(#  1.0     Thewardresidedatthefollowingplacesduringthereportingperiod:    G (#(#  39SolarHavenRd,_        Sanesville_        ,KS66666.     Ownhome.     0          x 22years.    -}  (# (#  (address)                   h      0     (TypeofResidence)(Lengthofstay)    c (#(#  2.0     Statetheapproximatenumberoftimestheguardianhascontactwiththeward,the   	 /   natureofsuchcontacts,andthedatethewardwaslastseenbytheguardian:       (#(#  Guardianvisitswardinhisownhomeapproximatelytwotothreetimespermonth.   	 !!   Guardianchecksonthewardshealthstatus,sufficientgroceries,householdandpersonal   	 ""   careitems,andthehomecleanliness,maintenanceandupkeep.   	 w##   3.0     Summarizethemedical,social,educational,vocationalandotherprofessional   	 C% %   servicesreceivedbythewardduringthereportingperiod:    )&y!& (#(#  Samuelisretired.Heisrecuperatingfromrecenthipsurgeryandreceivesbiweekly   	 '_"'   physicaltherapy;hetakesmedicationsfordiabetes,highbloodpressure,heartdiseaseand   	 'E#(   painassociatedwithosteoporosis.Hehasmonthlydoctorappointmentstomonitor   	 (+$)   medications.Additionally,ahomehealthnursevisitsweeklytosetuphismedications.   	 )%*   Samuelreads,watchesTVandenjoysactivitiesattheseniorcenterandperiodicvisitsfrom   	 *%+   hisgreatniecewholivesoutofstate.	   	 +&,   4.0     Ifthewardisinstitutionalized,theresultsofaninvestigationintothenatureand   	       appropriatenessofthewardscareandtreatmentareasfollows:      (#(#  Wardlivesinhisownhome.FollowinghipsurgeryinAugust2007,herecuperatedfor   	 |   threeweeksinalocalnursinghomeafterwhichhewasabletoreturnhome.   	 b   5.0     Whatchangesinthementalorphysicalconditionofthewardhastheguardian   	 .	~   observed?    
d (#(#  Duringthepastyear,Samuelexperiencedseveralepisodesofmemorylapsesforwhich   	 
J   heisnowreceivingmedication.ThedoctorindicatesSamuelisinearlystagesof   	 0   Alzheimersdisease.HehadhipreplacementsurgeryinAugust2007andnowisableto   	 	   walkusingacane.Othermedicalconditionsarestable.   	 
   6.     Whatmajorproblemsrelatingtotheguardianship,ifany,havearisenduringthe   	 x
   0     reportingperiod?    ^ (#(#  AformerneighborwhohadexploitedSamuelattemptedtoreintroducehimselfinto   	 D   Samuelslife.Guardiansecuredarestrainingorderagainsttheperson.Nootherproblems   	 *z   wereexperienced.   	 `   7.0     Intheopinionoftheguardian,doestheguardianshipneedtocontinue,andisit   	 ,   necessarytoincreaseordecreasethepowersoftheguardian?     (#(#  Theguardianhasadvocatedandprovidedconsentsregardinghealthcare,home   	    maintenanceandfreedomfromexploitation.Guardianshipshouldcontinuewiththecurrent   	    powers.   	 t   8.0     Compensationrequestedandexpensesincurredbytheguardian:    @ (#(#  Refertoitemizedlistattached.   	 &v   9.0     Otherinformationrequiredbythecourtis:    B (#(#       IdeclareunderpenaltyofperjuryunderthelawsofthestateofKansasthatthe   	    foregoingistrueandcorrect.ExecutedonJune30,2008.   	          0     0    (#(# 0    (#(# 0    h(#(# 0    h(#h(#          p                x           (#(#       0     0    (#(# 0    (#(# 0    h(#(# 0    h(#h(# Guardian#   X5  X X8 XܖE  #  =  Xܖ X  X X5     "$r# (#(#  	   	 %>!%          
      ~ (   INTHE򀀀JUDICIALDISTRICT   	       DISTRICTCOURTOF򀀀COUNTY,KANSAS   	       Va   IntheMatterofthe0     0    (#(# 0    h(#(# 0    h(#h(# )    H (#(#  Guardianshipof0     0    (#(# 0    h(#(# 0    h(#h(# )    .	~ (#(#                 0         h 0    (#(# )         p 0    (#(# CaseNo._________    
d (#(#  򀀀0    h 0    h(#h(# )    
J (#(#       0     0    (#(#          h 0    (#(# )    0 (#(#  ProceedingPursuantto_        K.S.A._        ԀChapter59         p         	 	      AFFIDAVITOFCOMPLETION   	 ^   OFBASICINSTRUCTIONALPROGRAM   	 D     Pe        IdeclarethatIhavereceivedandreviewedtheBasicInstructionsforGuardiansand   	 `   keptacopyofthoseInstructions.Iacknowledgethat,asguardian,Ihavethedutiesand   	 F   responsibilitiesdescribedintheInstructions.   	 ,        Ideclareunderpenaltyofperjurythatthisistrueandcorrect.   	         Executedonthis_____dayof____________,_____.   	 t        0     0    (#(# 0    (#(# 0    h(#(# 0    h(#h(# 0    (#(# _____________________________    \ (#(#       0     0    (#(# 0    (#(# 0    h(#(# 0    h(#h(# 0    (#(# Signature    B (#(#       0     0    (#(# 0    (#(# 0    h(#(# 0    h(#h(# 0    (#(# _____________________________     (#(#       0     0    (#(# 0    (#(# 0    h(#(# 0    h(#h(# 0    (#(# PleasePrintYourName     (#(#  #   X5  X X= Xܖa  #                         h            =  Xܖ X  X X5 ______________________________   	 p!         0     0    (#(# 0    (#(# 0    h(#(# 0    h(#h(# 0    (#(# ______________________________    <#" (#(#       0     0    (#(# 0    (#(# 0    h(#(# 0    h(#h(# 0    (#(# Address    "$r# (#(#       0     0    (#(# 0    (#(# 0    h(#(# 0    h(#h(# 0    (#(# ______________________________    %>!% (#(#       0     0    (#(# 0    (#(# 0    h(#(# 0    h(#h(# 0    (#(# TelephoneNumber    &$"& (#(#  _        #   X5  X X= Xܖj  # _        _        _        _        _        _        _        _        _        _        _        _        _        _        _        _        _        _        _        
