WPC=  
          /{x%U.aAs=(av):9J>pGlFA݌%5	ƌv_I䢂ȿ)LEzVFJPomZi'JEKe%<̩;ON5E̹N3hNxݓ;(qtC{pY%'oWb/q5BC }f$?pP?:ϬfR4}LsO(1='WkFcX9|E( ;7\|̓\iS| f*dg_b`f*pUB l]a3G06)}GV8@3f~UGEFb:؞$koA٣,sӨ &6IK=MMLI=K]@W:67cTH@Xs+_Xp|Cmtqzc2- e            U4   >            0   "  d
  0       0       0       0       0       0       0     .  0     D  0     Z  0     j  0     w  0   
    0   
    0       0       0       0       0       0       0       0   	     0   	  !  0     "  0     #  0     $  0     %  0   0  &   U   .   )(  0   `   W(  0   >   (  0   @   (  	1   s   5)        )  0      )  #     n*   U   N   7-  	%      -  M      -     (   -  N      -  	1   u   -  	7   2   ..  0   w   `.  ^      .  w      .  4      .        .  	m      .  0   c   /  0      w/      L   I0        0  0      11  0   N   1     _  	2   U   ,   h3  0      3  0      44  0      4  0      5  0      6  0   D  y7  	1   u   8   UP   ,   29   f      ^9   a      `9   f      t9   a      v9   f      9   a      9   f      9   a      9   f      9   a      9   f      9   a      9   f      9   a      9   f      9   a      9  	1      :  0      :   U   :   s;   f      ;   a      ;  	B      ;     _  ;   U   0   ?=   f      o=   a      q=            q=   f      =   a      =     "   =            =            =  	i	      =   \	  	   `  & 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
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       . .               >  4   8   @   H   P    X  " %>         2   ^   +       a   0 _ l e v e l 5                 ;  1     @   H   P    X  " %; 2     3
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            >  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                
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            >  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
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          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
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 0         (                  3$       
 %  g!             .  .                  '  X5  X  X' X      X5  X  X' X5     h t t p : / / w w w . k a n s a s j u d i c i a l c o u n c i l . o r g .    	       c o n s e r v a t e e      n o n m e d i c a l      p s y c h o s u r g e r y $     C O N S E R V A T O R S H I P S      t i m e s h e e t       (       b           $       0     0    `	(#(# 2  #    
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   U  
 U  +             .  .                  '  X5  X  X' X      X5  X  X' X5    d     _           S   X X5       @    ))$  SAMPLE         #   X5  X  S   # , i  A   Z   A r i a l               (       x           ir$       0     0    `	(#(# 0    `	(#`	(# 2  # (   0
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 0    p(#p(#    	      4 . 8 < = > ? @ x/        3 M Q U Y ] a e i    B u l l e t s   L i s t                           , c  A   Z    A r i a l              T A B L E   A      T A B L E   A      T A B L E   A      T A B L E   A      T A B L E   A      T A B L E   A      T A B L E   A   (   T A B L E   B                    (Eh        C E K Q W ] c i o A u t o L i s t 2     1 .   1 .   1 .   1 .   1 .   1 .   1 .   1 .                         (                  3$       
 %  g!             .  .                  '  X5  X  X' X      X5  X  X' X5        d , c  A   Z  " A r i a l   R e g u l a r             T A B L E   A                     d   
   U  
 U  +             .  .                  '  X5  X  X' X      X5  X  X' X5    d     _           S   X X5       @    ))$  SAMPLE         #   X5  X  S   # 2 S   A   Z   C a l i b r i              T A B L E   C      T A B L E   C    
         X                            
 %  g!             .  .                  '  X5  X  X' X      X5  X  X' X5     _                    X  ;  X X  X X5      H  4 8 8 8   @   H   P    X  "%   XH 8 V  V X X       d                  d  8     
 #   X5  X X; X   #       X X5       ;  |    BASICINSTRUCTIONS   	 |   ЀFORGUARDIANSANDCONSERVATORS# ;  X X ; |  #    	 z	    ;    X; X January1,2009# ;  X X ;   #    	 +   KansasJudicialCouncil#   X5  X X; X  # 	         ;  X X  X X5     
 Preface   	                Thesebasicinstructionsforguardiansandconservatorswerepreparedbythe   	 b   GuardianshipandConservatorshipAdvisoryCommitteeoftheKansasJudicialCounciland   	 H   wereapprovedbytheCouncilinDecember2008.Theinstructionsconstitutethebasic   	 .	~   instructionalprogramconcerningthedutiesandresponsibilitiesofaguardianand   	 
d   conservatorrequiredby_        K.S.A._        Ԁ2009Supp.593069(j).Afterreadingtheseinstructions,   	 
J   aproposedguardianorconservatorshouldsigntheaffidavitofcompletionattheendofthis   	 0   bookletandfileitwiththecourtasevidenceofcompletionofthebasicinstructional   	 	   program.#   X5  X X; X]  #    	 
        ;  X X  X X5 TableofContents#   X5  X X; X  #  '  X5  X  X X5    	 ^       #   X5  X  X' X5t  #  C  X X  X X5 Definitions    ""J (#.  TT  1   	 `   GuardiansPowersandDuties    ""J (#.  ;;&  1   	 F   ConservatorsPowersandDuties    ""J (#.  FF)  3   	 ,   ResponsibilitiestotheCourt   	         RequiredTraining    ""J (#.  ;;   4   	         Oath    ""J (#.    5   	 t        Bond    ""J (#.    5   	 Z        Letters    ""J (#.  l	l	  5   	 @        Guardianshipand/orConservatorshipPlans    ""J (#.  --8  5   	 &v        InventoryandValuation    ""J (#.  <<&  5   	 \        AnnualAccounting    ""J (#.     6   	 B        GuardiansAnnualReportontheWardsCondition    ""J (#.  ?  6   	 (        SpecialReportsandAccountings    ""J (#.  .  6   	         ReimbursementforTimeandExpenses    ""J (#.  2  6   	    ConflictsofInterest    ""J (#.  aa  7   	 p!    AdditionalResources    ""J (#.    7   	 V"!   SampleForms   	 "$r#        InventoryandValuationInstructionsforCompleting    ""J (#.  ::D  8   	 %>!%        SampleInventoryandValuation    ""J (#.  -  9   	 &$"&        AnnualAccountingInstructionsforCompleting    J"J"I (#.  >  11   	 '
#'        SampleAnnualAccounting    J"J"I (#.  ff'  13   	 (#(        SampleReportonConditionofGuardiansWard    J"J"I (#.  <  17   	 )$)   AffidavitofCompletionofBasicInstructionalProgram    B (#.  $$@  lastpage#   X5  X XC X  #  ;  X X  X X5 	    R+&+              BASICINSTRUCTIONSFORGUARDIANSANDCONSERVATORS   	            DefinitionsofWordsYouNeedtoKnow:   	 b   0     Guardian󀄀Aguardianisapersonappointedbyacourttoactonbehalfofaminor   	 .	~   orimpairedperson,whoiscalleda ward.Aguardianmanagesawardspersonal   	 
d   health,safety,andwelfare.    
J (#(#  0     Ward󀄀Awardisapersonforwhomaguardianhasbeenappointed.Awardmay   	 	   beeitheraminororanadultpersonwithanimpairment.    
 (#(#  0     Conservator󀄀Aconservatorisapersonappointedbyacourttoactonbehalfofa   	 x
   minororimpairedperson,whoiscalleda conservatee.Aconservatormanages   	 ^   aconservateespropertyor estate,suchasmoney,personalandrealproperty.    D (#(#  0     Conservatee󀄀Aconservateeisapersonforwhomaconservatorhasbeen   	 `   appointed.Aconservateemaybeeitheraminororanadultpersonwithan   	 F   impairment.    , (#(#  0     Accounting󀄀Adetailedwrittensummaryofallfinancialactionsdonebythe   	    conservatoronbehalfoftheconservatee.     (#(#  0     Bond󀄀Abondissimilartoaninsurancepolicyandisusuallypurchasedfroman   	 Z   insurancecompany.Itisintendedtoprotecttheconservateespropertyshouldthe   	 @   conservatormismanagethepersonsestate.    &v (#(#  NOTE:Sometimes,apersonisappointedasbothaguardianandconservator.Inthat   	 B   case,thepersontheyarehelpingmaybecalledeitherawardorconservatee,orboth.   	 (   WhatAreaGuardiansPowersandDuties?   	          Aguardianshipisalegalproceedingfiledtoprotectanimpairedperson,whois   	 V"!   calleda ward.#   X5  X X; X  # Ԁ ;  X X  X X5 Aguardianmanagesawardspersonalhealth,safety,andwelfare.Ifthe   	 <#"   courtappointsyouasguardianyourjobisseparatefromthedutiesofaconservator,   	 #$s#   thoughthecourtmayappointthesamepersontoserveinbothroles.Asguardianyouare   	 	%Y $   alwayssubjecttothecontrolanddirectionofthecourt.#   X5  X X; X  #  ;  X X  X X5 ԀAfterahearingtodetermine   	 %?!%   whetheraguardianshipisnecessary,acourtorderwillbeissued.Yourattorneyshould   	 &%"&   provideyouwithacopyofthatcourtorder.#   X5  X X; X=  # Ԁ ;  X X  X X5    	 '#'        Statelawandthecourtdefineaguardianspowerandsettherulestobefollowed   	 )$)   whencaringfortheward.Atalltimes,aguardianisunderthecourtsdirectionandcontrol.   	 n*%*   Aguardianmustalwaysactinthewardsbestinterestandusereasonablecareand   	 T+&+   attention.EACHYEARTHEGUARDIANMUSTFILEAREPORTWITHTHECOURT   	 :,',   TELLINGTHECOURTABOUTTHEGUARDIANSACTIONSANDTHEWARDS   	  -p(-   CONDITION.   	 .V).   Ї     Asaguardian,yourjobistogettoknowthewardandthewardsfamily,friends,and   	       caregivers.Youshoulduseyourauthorityonlyasneededandallowthewardtotakepart   	     indecisions.Youshouldconsiderthewardspersonaldesiresandvalueswhenmaking   	 |   decisionsonthewardsbehalf.Youshouldencouragethewardtomakedecisions,   	 b   developskillsfordailyliving,anddoasmuchasthewardcanonhisorherown.   	 H        ThelawdoesNOTrequireyouasguardiantouseyourownpersonalmoneyor   	 
d   otherassetsforsupportofthewardsolelybecauseyouhavebeenappointedasguardian.   	 
J   However,ifyouaretheparentorspouseoftheward,youmayhaveanindependentduty   	 0   tosupporttheward.Youarenotliabletootherpersonsfortheactsofthewardsolely   	 	   becauseyouhavebeenappointedasguardian.Thismeansyouarenotresponsibletoany   	 
   oneelseforsomethingthatthewardhasdonesimplybecauseyouaretheguardian.   	 	        Youshouldprotectthewardspersonal,civil,andhumanrights.Thelawrequires   	 ^   thatyouMUSTALWAYSactinthebestinterestofthewardandexercisereasonablecare,   	 D   diligence,andgoodsense.   	 *z        Asaguardian,youMAYgenerallytakeanyofthefollowingactionsonbehalf   	 F   ofthewardwithoutgettingadditionalcourtapproval:   	 ,   0           1.     Takechargeofthewardandprovideforthewardscare,treatment,housing,   	    education,support,andmaintenance;     (#(#  2.     Giveorwithholdconsentsforthewardexceptthoselistedbelow;   	 t   3.     Assurethewardislivingintheleastrestrictivesettingthatmeetshisorherneeds;   	 Z   4.     Assurethewardreceivesmedicalandnonmedicalcare;   	 @   5.     Protectthehealth,safety,andwelfareoftheward;   	 &v   6.     Makenecessaryarrangementsforthewardsfuneral,burialorcremation;and   	 \   7.     Revokeapowerofattorney.   	 B        Asaguardian,youmayNOTtakeanyofthefollowingactionsUNLESSthe   	    supervisingcourtissuesawrittenorderapprovingtheaction(s):   	    1.0     Consenttoadoptionoftheward;    p!  (#(#  2.0     Consenttoanypsychosurgery,organorlimbremovalexceptinalifethreatening   	 V"!   emergencyortopreventlastingimpairmenttothewardsphysicalbody;    <#" (#(#  3.     Consenttosterilizationoftheward;   	 "$r#   4.     Consenttoexperimentalprocedures;   	 %X $   5.0     Consenttowithholdingorwithdrawaloflifesavingmedicalcareunlesstheward   	 %>!%   previouslymadeawrittenadvancedirective(livingwill,durablepowerofattorney   	 &$"&   forhealthcaredecisions,orsimilardocument)thatmeetslegalrequirements;    '
#' (#(#  6.0     Haveanycontroloverthewardsproperty,unlesstheLettersofGuardianship   	 (#(   authorizeyoutodosoAND#   X5  X X; XL  #  ;  X X  X X5 thevalueofthewardspropertyislessthan$10,000;    )$) (#(#  7.     Placethewardinapsychiatrictreatmentfacility;   	 l*%*   8.     Payguardianfeesorreimburseexpenses;or   	 R+&+   9.     Disposeofpropertyafterthewardsdeath.	   	 8,',        Asaguardian,youmayNEVERtakeanyofthefollowingactions:   	       1.     Prohibitthemarriageordivorceoftheward;or   	 |   2.     Consenttoterminationofthewardsparentalrights.   	 b   WhatAreaConservatorsPowersandDuties?   	 
d      THESEDUTIESAPPLYTOBOTHVOLUNTARY   	 0   ANDINVOLUNTARYCONSERVATORSHIPS   	 	     .        Aconservatorshipisalawsuitfiledtoprotectthepropertyofanimpairedperson,   	 	   whoiscalleda conservatee.Afterahearingtodeterminewhetheraconservatorshipis   	 x
   necessary,acourtorderwillbeissued.Yourattorneyshouldprovideyouwithacopyof   	 ^   thatcourtorder.#   X5  X X; X+  #  ;  X X  X X5 ԀBeforethecourtwillissueyouLettersofConservatorship,youmustbe   	 D   bondedunlessthecourtwaivesthebond.Ifthecourtappointsyouasconservator,your   	 *z   responsibilitiesareseparatefromthedutiesofaguardianandyourjobistomanagethe   	 `   conservateesproperty.Theconservateespropertyiscalledhisorher estate.As   	 F   conservator,youarealwayssubjecttocourtcontrolanddirection.   	 ,        Statelawandthecourtdefineyourpower,asconservator,andsettherulesyou   	    mustfollowwhenmanagingtheconservateesproperty.Asconservator,youmustalways   	    actinthebestinterestoftheconservatee.   	 t        Yourfirstduty,asconservator,istoopenabankaccountundertheconservatees   	 @   socialsecuritynumber#   X5  X X; X0  #  ;  X X  X X5 ,titledinyourname asconservatorfortheconservatee.Youwill   	 &v   thenneedtofileaninventory(adetailedlist)ofallassetsintheconservateesestate   	 \   within30daysofissuanceoftheLettersofConservatorship.NEVERcombinethe   	 B   conservateesassetswiththoseofanotherperson,includingyourown.THE   	 (   CONSERVATORMUSTFILEANACCOUNTINGWITHTHECOURTEACHYEAR.   	         Youmustknowtheconservateesneedsandsupportandinvolvetheconservatee   	     indecisionmakingregardinghisorherproperty.Youshouldconsidertheconservatees   	 p!    stateddesiresandpersonalvalueswhenmakingdecisionsforhimorher.Youmusttry   	 V"!   toavoidconflictsofinterestandprotecttheconservateespersonal,civil,andhumanrights.   	 <#"        ThelawdoesNOTrequireyouasconservatortouseyourownpersonalmoneyor   	 %X $   otherassetsforsupportoftheconservateesolelybecauseyouhavebeenappointedas   	 %>!%   conservatee.However,ifyouaretheparentorspouseoftheconservatee,youmayhave   	 &$"&   anindependentdutytosupporttheconservatee#   X5  X X; X4  #  ;  X X  X X5 .Youarenotliabletootherpersonsfor   	 '
#'   theactsoftheconservateesolelybecauseyouhavebeenappointedasconservator.This   	 (#(   meansyouarenotresponsibletoanyoneelseforsomethingthattheconservateehas   	 )$)   donesimplybecauseyouaretheconservator.	   	 l*%*        Asaconservator,youMAYgenerallytakeanyofthefollowingactionson   	       behalfoftheconservateewithoutgettingadditionalcourtapproval:   	     1.0     Payreasonablechargesforthesupport,care,clothing,housing,andeducationof   	 b   theconservateeinareasonablemanner,unlesstheconservateesparentorspouse   	 H   isrequiredbylawtopaythosecharges;    .	~ (#(#  2.     Payalllawfuldebtsoftheconservatee;   	 
d   3.0     Controlandmanagealltheconservateespropertyandcollectdebtsandassert   	 
J   claimsinfavoroftheconservatee(forexample,iftheconservateeisowedmoney);    0 (#(#  4.0     Insurepropertyagainsttheftorotherlossinareasonableamount;or    	 (#(#  5.     Paythepremiumforyourconservatorsbond.   	 
        ThefollowingdecisionsALWAYSrequireWRITTENcourtapproval.As   	 x
   conservator,youmayNOTtakeanyofthefollowingactionsunlessthesupervising   	 ^   courtissuesawrittenorderapprovingtheaction(s):   	 D   1.     Settleanyclaimoftheconservateeforlessthanfullvalue;   	 `   2.     Sellortransferthepropertyofanyongoingbusinesses;   	 F   3.     Sell,convey,lease,ormortgagetheconservateeshomesteadorotherrealestate;   	 ,   4.     Leaseorconveypossessioninanyrealestateformorethan3years;   	    5.     Sell,convey,ormortgageanyoil,gas,orothermineralinterests;   	    6.     Sell,convey,lease,ormortgageanyinchoateinterestsinrealestate;   	    7.0     Extendanexistingmortgageformorethan5years,whichincludesbothmortgages   	 t   wheretheconservateeistheborrowerorthelender;    Z (#(#  8.     Makeagiftonbehalfoftheconservatee;or   	 @   9.     Paytheconservatorortheconservatorsattorneyafee.   	 &v        ThefollowingdecisionsMAYrequirecourtapproval.Asconservator,you   	 B   shouldgetcourtapprovalbeforetakinganyofthefollowingactions:   	 (   1.     Selltheconservateespersonalpropertyasnecessary;   	    2.     Manageanyongoingbusiness;   	     3.0     Investfundsinaconservativeandreasonablemanner,includingpurchasingan   	 p!    insurancepolicyorannuity,reservingtotheconservateetherighttochangethe   	 V"!   beneficiaryonterminationoftheconservatorship;    <#" (#(#  4.     Prosecuteanddefendallactionsinthenameoftheconservatee;or   	 "$r#   5.     Disposeofpropertyafterthedeathoftheconservatee.   	 %X $   WhatAreaGuardianandConservatorsResponsibilitiestotheCourt?   	 '
#'   RequiredTraining   	 )$)        Beforeyouareappointedasguardianandconservator,youmustcompleteabasic   	 R+&+   trainingprogramaboutthedutiesandresponsibilitiesofaguardianandconservator.   	 8,',   Readingthisbookletmeetsthatrequirement.Attheendofthisbooklet,youwillfindan   	 -n(-   affidavitofcompletionofthebasictrainingprogram(aformstatingyouhavereadthe   	 .T).   booklet).Whenyoufinishreadingthisbooklet,youshouldsigntheaffidavitandfileitwith   	       thecourttoprovethatyouhavecompletedtheprogram.Youshouldalsokeepthisbooklet   	     forfuturereference.   	 |   Oath   	 H        Whenyouareappointedasguardianandconservator,thecourtwillrequirethatyou   	 
d   fileanoathoraffirmationstatingthatyouwillfaithfully,impartiallyandtothebestofyour   	 
J   abilityfulfillalldutiesassignedbythecourt.Theoathmustbeinwritingandsignedbefore   	 0   anotaryorthejudge.   	 	   Bond   	 	        Whenyouareappointedasconservator(andsometimesasguardian),youmustbe   	 ^   bondedunlessthecourtwaivesthebond.#   X5  X X; X::  #  ;  X X  X X5 ԀAbondisintendedtoprotecttheconservatees   	 D   propertyshouldtheconservatormismanagethepersonsestate.#   X5  X X; XM  #  ;  X X  X X5 Thecourtwilldetermine   	 *z   theamountofthebondandwhethersuretiesarenecessary.Bondsareusuallypurchased   	 `   fromaninsurancecompanywiththeassistanceofaninsuranceagent.Tokeepthebond   	 F   ineffect,youmustpayayearlypremium(fee).Youwillbereleasedfromthebondonly   	 ,   afterthecourthasapprovedyouractionsandfinalaccounting#   X5  X X; XN  #  ;  X X  X X5 Ԁandhasendedthe   	    conservatorship.   	    Letters   	 t        Afteryouhavefiledyouroathandaffidavitofcompletionofthebasictraining   	 @   program,thecourtwillissueLettersofGuardianshipandConservatorship.Thisdocument   	 &v   givesyoutheauthoritytocarryoutyourlegalduties.Youshouldaskforacertified(legal)   	 \   copyoftheoriginaldocument,whichisonfilewiththecourt.Youshouldkeepthecertified   	 B   copyinasafeplaceandprovidecopiesoftheLettersofGuardianshipandConservatorship   	 (   toanyoneyoudealwithwhoprovidesservicestotheward/conservatee.   	    Guardianshipand/orConservatorshipPlans   	          Insomecases,thecourtmayrequire,oryourattorneymaysuggest,thatyoufilea   	 V"!   guardianshiporconservatorshipplan.Aguardianshipplanmightincludeprovisionsabout   	 <#"   whereawardwillliveandwhatkindsofdecisionsthewardwillbeallowedtomakeonhis   	 "$r#   orherown.Aconservatorshipplanmightincludeprovisionsabouthowmuchmoneya   	 %X $   conservateewillbeallowedtocontrolandhowtheconservatorplanstoprotectthe   	 %>!%   eligibilityoftheconservateeforpublicbenefits.Guardianshipandconservatorshipplans   	 &$"&   aremostusefulinsituationswherethewardorconservateeiscapableofmakingsome   	 '
#'   decisionsindependently.   	 (#(   InventoryandValuation   	 l*%*        Aconservator(andsometimesaguardian)isrequiredtofilewiththecourtan   	 8,',   inventoryandvaluation(statementofworth)ofthepropertyandassetsoftheconservatee's   	 -n(-   estate,includinganysourcesofregularincome.Thismustbedonewithin30daysof   	 .T).   issuanceoftheLettersofConservatorship.Theinventoryandvaluationdescribesthe   	       conservateesestateatthetimetheconservatorshipbegins.Youmustlistanddescribe   	     eachpropertyandassetseparatelyandgiveitsfullandfairvalue.Youmayneedtoobtain   	 |   anindependentappraisalofsomeassets.Asampleoftheinventoryandvaluationis   	 b   includedattheendofthisbooklet.   	 H   AnnualAccounting   	 
d             Aconservator(andsometimesaguardian)isrequiredtofileadetailedaccounting   	 0   everyyearofbothincomeandpaymentsmadeonbehalfoftheconservatee.The   	 	   reportingperiodusuallystartswhentheconservatorisappointedandcoversa12month   	 
   periodoftime,unlessthejudgeordersadifferentreportingtimeperiod.Asampleofthe   	 	   annualaccountingisincludedattheendofthisbooklet.   	 x
   GuardiansAnnualReportontheWardsCondition   	 D        Becausethecourtneedstoknowwherethewardislivingandhowthewardis   	 `   doing,aguardianmustfileareportonthewardsconditioneveryyear.Thisreportis   	 F   requiredevenifthereisnochangeinthewardscondition.Thereportingperiodusually   	 ,   startswhentheguardianisappointedandcoversa12monthperiodoftime,unlessthe   	    judgeordersadifferentreportingtimeperiod.Asampleoftheannualreportisincludedat   	    theendofthisbooklet.   	    SpecialReportsandAccountings   	 Z        Aguardianandconservatormustfileaspecialreportoraccountingwiththecourt   	 &v   ifanyofthefollowingoccurs:   	 \   0     , X%8 8 8X%0      1)0    4 achangeofaddressoftheguardianorconservator;    ( 4(#4(#       2)0    4 achangeofresidenceorplacementofthewardorconservatee;     4(#4(#  0     3)0    4(#(# asignificantchangeinthehealthorimpairmentofthewardorconservatee;     4(#4(#  0     4)0    4(#(# inthecaseofaguardianship,ifthewardacquiresanyrealproperty,orifthe   	     wardreceivesoraccumulatesotherpropertyorincomewhichcausesthetotal   	 p!    valueoftheward'sestatetoequalorexceed$10,000;or    V"! 4(#4(#       5)0    4 thedeathofthewardorconservatee.    <#" 4(#4(#       Iftheward/conservateedies,youwillneedtocompleteafinalreportonthe   	 %X $   ward/conservateesconditionaswellasa#   X5  X X; XP  #  ;  X X  X X5 finalaccountingoftheward/conservateesassets   	 %>!%   andhavethataccountingapprovedbythecourtsothatthecourtcanclosethecase.#   X5  X X; XMd  #  ;  X X  X X5 Ԁ   	 &$"&   ReimbursementforTimeandExpenses   	 (#(        Thecourtmustapproveinadvanceanyreimbursementtotheguardianand   	 l*%*   conservatorforexpensesandtimespentonofficialduties.Ifyouwanttobepaidbackfor   	 R+&+   yourtimeandexpenses,youmustkeepadetailedtimesheetoftimespentandadetailed   	 8,',   recordofexpensesincurred.Manyguardiansandconservatorsdonotclaimsuch   	 -n(-   expenses,especiallyiftheward/conservateeisafamilymember,andperformtheirduties   	 .T).   outofloveandaffection.Ifyouwanttoreceivereimbursement,youshouldtalktoyour   	       attorneyandbringthisuppreferablyatthefirstcourthearing.   	     WhatareConflictsofInterest?   	 H        Aconflictofinteresthappenswhenyourpersonalorfinancialinterestsasguardian   	 
d   andconservatorgoagainstthoseoftheward/conservateeorwhereyouractionsappear   	 
J   tobeselfserving(foryourownbenefit).Forexample,itwouldbeaconflictofinterestfor   	 0   aguardianandconservatortogetaloanfromorbuypropertybelongingtothe   	 	   conservateesestate.Itcouldalsobeaconflictofinterestforaguardianandconservator   	 
   toworkinthesamefacilitywherethewardlives.   	 	        Wheneveryouthinkyoumighthaveaconflictofinterest,evenifyouarenotsure,   	 ^   reportittothecourt.Justbecauseyoumayhaveaconflictofinterestdoesnotmeanyou   	 D   cannotserveasguardianandconservator,aslongasyoukeepthecourtinformed.   	 *z   Additionalresources:   	 F        Ifyouhavequestionsaboutanyofyourdutiesasaguardianandconservator,ask   	    yourattorney.#   X5  X X; X,e  #  ;  X X  X X5    	         Additionalresources,includingblankformsforinventories,accountings,and   	 t   guardiansreports#   X5  X X; X[m  #  ;  X X  X X5 ,canbefoundontheKansasJudicialCouncils_        webpage_        Ԁat:#   X5  X X; X6n  #  ;  X X  X X5 Ԁ   	 Z   4 6    R   9  O               5
   
 www.kansasjudicialcouncil.org6    o    9  Oo  orts               7   R8Mo   	   	 @   #   X5  X X; Xn  #  C  X X  X X5    CONSERVATORINVENTORYANDVALUATION   	       InstructionsforCompleting C  n2
  XC X    	       'p   # C  X X
 C n2p  # Definition   	 ;   3    X , X  , X%3 0     Adetailedlistorinventoryoftheconservateesestate(propertyandfinancialresources)   	 !q   atthetimeofappointmentofaconservator.    	W (#(#  FilingProcedures   	 
#        Theinventoryisfiledwiththecourtwithin30daysoftheappointmentdate.   	 	   PreparingDocumentsfortheCourt   	 
    
B 4 . 8 < = > ? @ A ( /        x                                3                            ,                    0     Thisdocumentisapermanentlegalrecord.Theinformationshouldbetypedorwritten   	 k	   legibly.Useblackordarkblueinkwhenreportsarehandwritten.    Q
 (#(#  SupplementaryInventoryandValuationmaybefiledtochangeoraddinformation.   	 m   @    *     ASSESSINGVALUES   	 9     t   RealEstate   	    0     Providealegaldescriptionandtheappraisedvalueoftheproperty.Theproperty   	    descriptionisavailablefromthelocalRegisterofDeedsoffice.Theassessedvalueis   	    availablefromtheCountyTreasureroffice.    g (#(#            0           StocksandBonds(CorporationStocks)    3 (#(#  0     Listallstocksandbondsandthevalues.    i (#(#  Mortgages,NotesandCash   	 5   0     Listanymortgages,notesorcashownedbytheconservatee.Includecheckingand/or   	    savingsaccounts,cashonhand,andfuneral/burialtrustinthissection.     (#(#  Insurance   	 }        Providecashvalueofallinsurancepolicies.   	 c       	 I!    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5  X XC Xp  # 	   	 --).       X    X     Z         C  X X  X X5 INTHE______JUDICIALDISTRICT#   X5  X XC X}  #    	        C  X X  X X5 DISTRICTCOURTOFAPACHECOUNTY,KANSAS   	       |    C  &i % XC X IntheMatterofthe   	 |        (Guardianship)(Conservatorship)CaseNo.97GC031   	 O   SamuelG.Crown   	 E   ProceedingPursuantto_        K.S.A._        ԀChapter59   	 
   # C  X X %C &i}  #     INVENTORYANDVALUATION   	 T	   ' 
  ,X X , X' REALESTATE   	  p	   +   X , X ,X  +    }   * D   Y E     d        d                              d d      X        d d      X        d d      X                             X%X% ,    d d            ,    4d d            ,    Fd d            +
   
 $    V
 V
      $  C  n2
  XC X ItemNo# C  X X
 C n2Y  # 
'    j
            ' !     X , X! @    "  Description
/  %  j
            g / ValuationF  <  j
 "    # g #         ? 1.       ? F 1.
4  * ( 4 	        ? 1. 	      ? 4 39SolarHavenRd,Lot59,SolarHavenAddition,_        Sanesville_        ,KS66666
   	 4               $0 @    45,489.00    4 3       
   	 ^   JointTenancywithMrs.BettyCrown
   	 ^            ^ 3       
   	 (         / 0       0 @   TotalRealEstate
'    (  0           '    2       $0 @    45,489.00"    ( 3       "        @    "  STOCKSANDBONDS   	 $   @    "  (CorporateStock)   	 
   * F   Y G     d        d                         d sd d            d d           4 d d           FD   Y E                 X%X% ,    9d d            ,    d d            ,    d d            ,    d d            +
   
 $           $  C  n2
  XC X ItemNo# C  X X
 C n2  # 
'    T            '        /  @      Description
'    T            ' UnitValue
/  %  T              / ValuationF  <  T "    #   #         ? 1.       ? F 1.
4  * ( ~  	        ? 1. 	      ? 4 
   	 ~!   
   	 ~"       $000.00"    ~#  0       "     L   @    (  BONDS   	 #   * H   Y I     d        d                         d sd d           9 d d            ed d            Wd d           F   Y G                 X%X% ,    $d d            ,    %d d            ,    rd d            ,    d d            ,    d d            +
   
 $    `% `      $  C  n2
  XC X ItemNo# C  X X
 C n2,  # 
'    &            ' @    >
>
 H SerialNumber
'    '            ' DateofPurchase    __: _ 
'    (            ' UnitValue
/  %  )              / ValuationF  <  * "    #   #         ? 1.       ? F 1.
4  * ( >+ 	        ? 1. 	      ? 4 
   	 >,   
   	 >-   
   	 >.       $000.00"    >/  0       "     0   @    *  @      MORTGAGES,NOTESANDCASH   	 : 0   * J   Y K     d        d                         d ]d d           $ 'd d           % d d           r ed d            Xd d           H   Y I                 X%X% ,    d d            ,    d d            ,    d d            +
   
 $     !p1  !p      $  C  n2
  XC X ItemNo# C  X X
 C n2  # 
'    !2            ' @    #  Description
'    !3           ' Valuation>  4  !4 "             ? 1.       ? > 1.
4  * ( "N5 	        ? 1. 	      ? 4 CheckingAccount,SaversUnionBank,_        Sanesville_        ,KS
   	 "N6        $1,178.00>  4  "N7 3               @ 2.        @ > 2.
4  * ( x$8 	         @ 2. 	       @ 4 SavingsAccount,SaversUnionBank,_        Sanesville_        ,KS
   	 x$9        $8,978.44    x$: 3       
   	 %B!;     
     0     TotalMortgages,NotesandCash
(    %B!< \\      (   
    + h $10,156.44"    %B!= 3       " @    %  INSURANCE   	 '>#>   * L   Y M     d        d                         d sd d            d d            d d           J   Y K                 X%X% _        ,    d d            ,    +d d            ,    Fd d            +
   
 ,  "  ($$? ($$         ,  C  n2
  XC X ItemNo# C  X X
 C n2  # 
/  %  8)$@      $   $      / @    11# $ Description
'    8)$A           ' Valuation>  4  8)$B "             ? 1.       ? > 1.
4  * ( *&C 	        ? 1. 	      ? 4 RedShieldLifeInsurance,_        Sanesville_        ,KS(CashValue)
   	 *&D          
 $0    f! 10,000.00$    *&E f!%f!% N$ 
   	 ,,|'F     
 !  p       0 @   0 @  p TotalInsurance
    ,,|'G  0           -   !   r :  \+ /! e! $0    f! 10,000.00(    ,,|'H f!%f!%N  ( _        	   	 B-(H             B      @    NN  JOINTLYOWNEDPROPERTY   	       * N   Y O     d        d                         d d d            +d d           + Fd d           FL   Y M                 X%X% ,    d d            ,    d d            ,    d d            +
   
 $             $  C  n2
  XC X ItemNo# C  X X
 C n2  # 
'    J            ' @    #  Description
'    J           ' Valuation>  4  J "             ? 1.       ? > 1.
4  * ( t 	        ? 1. 	      ? 4 
   	 t   $   	 t   
   	 >       ur :  \+e     0 @   TotalJointlyOwnedProperty
    >	  0           .   $000.00    >
    @    JJ  MISCELLANEOUSPROPERTY   	 
:   * P   Y Q     d        d                         d sd d            d d            d d           N   Y O                 X%X% ,    d d            ,    d d            ,    d d            +
   
 $             $  C  n2
  XC X ItemNo# C  X X
 C n2  # 
'    4            ' @    #  Description
'    4           ' Valuation>  4  4 "             ? 1.       ? > 1.
4  * (  	        ? 1. 	      ? 4 FuneralandBurialTrust,TimberlineMortuary,_        Sanesville_        ,KS
   	      
    + u $0    7! 4,250.00?  5   7!%7!%          @ 2.        @ ? 2.
4  * ( (x
 	         @ 2. 	       @ 4 HouseholdFurnishings
   	 (x
   $0    7! 4,500.00?  5  (x
 7!%7!%         @ 3.       @ ? 3.
4  * (  	        @ 3. 	      @ 4 LawnMowerandTools
   	    $0    7! 300.00?  5   7!%7!%         @ 4.       @ ? 4.
4  * ( l 	        @ 4. 	      @ 4 WearingApparel
   	 l   $0    7! 500.00?  5  l 7!%7!%         @ 5.       @ ? 5.
4  * (  	        @ 5. 	      @ 4 AntiqueGunCollection
   	    $0    7! 1,500.00     7!%7!%  
   	 `   $     s 	 a  
$ 0    ( TotalMiscellaneousProperty
    `  (\(\  $11,050.00    `!        RECAPITULATION'         s 	X'    	 \"              0    x 0    x%x% Valuation    B# %%  * R   Y S     d        d                         d sd d            d d            d d           P   Y Q                 X%X% ,    `	d d            ,    <d d            ,    ,d d            ,    d d            +
   
     ($ (  RealEstate      
   	 <%   .................................
   	 <&   $
;  1 	 <'         6@ 45489.00      6@ ; _        45,489.00_        :  0 . <( 	       6@ 45489.00 	     6@ : StocksandBonds
   	 )   .................................
   	 *   
   	 +   Ѐ0   	 ,   Mortgages,Notes&Cash
   	 0-   .................................
   	 0.   
;  1 	 0/    Q8@ 10156.44 Q8@ ; 10,156.44:  0 . 00 	  Q8@ 10156.44 	Q8@ : Insurance
   	 1   .................................
   	 2   
;  1 	 3         @ 10000.00      @ ; 10,000.00:  0 . 4 	       @ 10000.00 	     @ : JointlyOwnedProperty
   	 $t5   .................................
   	 $t6   
   	 $t7   Є0   	 $t8   MiscellaneousProperty
   	  9   .................................
   	  :   
;  1 	  ;         @ 11050.00      @ ; 11,050.00:  0 .  < 	       @ 11050.00 	     @ :     
    "h=  0                  TOTALESTATE
    "h>  0           "   $
;  1 	 "h?    p=
w@ 76695.44 p=
w@ ; 76,695.44>  4 2 "h@ 	  p=
w@ 76695.44 	 p=
w@ > $   X   X   ,$          Z (   SOURCESOFREGULARINCOME   	 $dA         0     0    %% SocialSecuritydisabilityinsurance0    %% $415/mo    %0!C %%  0     0    %% _        KPERS_        Ԁretirement0    %% 0    h%% 0    h%h% 0    %% $685/mo    &"D %%  0     0    %% Veteransbenefit0    %% 0    h%% 0    h%h% 0    %% $380/mo         '"E %%  0     0    %% Interestfrombankaccounts0    %% 0    %% amountvaries0     %% 0    x % %     (#F x%x%       IdeclareunderpenaltyofperjuryunderthelawsofthestateofKansasthattheforegoingistrueand   	 ^*%H   correct._        Executed_        ԀonJune27,2008.    h         	 D+&I                 `	               h      0     0    `	%% 0    `	%`	% 0    %% 0    h%% 0    h%h% 0    %% 0    p%%                x           (#     p%p%  0     0    %% 0    `	%% 0    `	%`	% 0    %% 0    h%% 0    h%h% 0    %% 0    p%% Conservator#   X5  X XC Xy}  # 	    -F)L p%p%      X    X  C  X X  X X5    ANNUALCONSERVATORACCOUNTING   	       InstructionsforCompleting   	          !  
  ,X   X ! Thisisareportofallincome(receipts)anddisbursements(expenses)oftheestate   	 H   transactedduringtheaccountingperiod.Italsoupdatestheinventoryandvaluation.   	 .	~   Theaccountingissubmittedtothecourtonceayeareitherontheanniversarydateofthe   	 
J   appointmentoftheconservator,or,onacalendaryearbasis.Thisvariesbycounty.File   	 0   theaccountingwithin30daysoftheendoftheaccountingperiod.   	 	   RecordKeeping   	 	   0     Keepthefollowingfinancialinformationtoprepareanaccurateaccounting:    ^ (#(#  0     0    (#(# 0    4(#(#  @  4  @  4 BankStatements,checkbookregister,copiesofcancelledchecks    D 4(#4(#  0     0    (#(# 0    4(#(#  @  4  @  4 Receiptsofitemspurchased    *z 4(#4(#  0     0    (#(# 0    4(#(#  @  4  @  4 Financialreportsfromtrustaccounts0 @      0 @  (#(# 0 @  (#(#     ` 4(#4(#  @      COMPLETINGTHEACCOUNTING   	     
,                   ( #   3                                   x                             B 4 . 8 < = > ? @ A  " 4  3                   "      4  3ѵ   2  #      1
   
 .3
   
 0          Theaccountingisapermanentlegalrecord.TheformshouldbetypedORwritten   	    legibly.Useblackordarkblueinkwhenreportsarehandwritten. 4  3ѵ     ݌    t (#(#  Ќ	     " 4  3                  "      4  3H   2  #      2
   
 .3
   
 0          Workfrombankstatementstopreparetheaccountingusingthecheckregisterfor   	 @   supportinformation. 4  3H  u   ݌    &v (#(#  Ќ	     " 4  3                  "      4  3   2  #      3
   
 .3
   
 0          AttachmentsFinancialStatementsfromaProvider 4  3     ݌    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    4(#(# Setuplookslikethecheckbookregisterandincludesarunningbalanceof cash   	 '
#'   onhand.0 @      0 @      0 @      0 @  )    Advantage:Theaccountingmaybeeasilypreparedfromthebank   	 (#(   statements.    )$) 4(#4(#  0     0    (#(# 0    4(#(#     4(#4(#  0     0    (#(# Format2SpreadSheet    R+&+ (#(#  0     0    (#(# 0    4(#(# Columnstotalingincome,disbursementsandafinalbalanceofcashonhand.    8,', 4(#4(#  	   	 -n(-       I.STATEMENTOFRECEIPTS(INCOME)ANDDISBURSEMENTS(EXPENSES)   	           BalanceCarriedForward   	 |   0     IfanaccountingwasfiledforthepreviousyearThe balancecarriedforward   	 b   shouldbethesameamountasthe balanceonhandfromthepreviousyear   	 H   accounting.    .	~ (#(#  0     IfNoaccountingwasfiledforthepreviousyearThebalancecarriedforwardisthe   	 
J   cashbalanceontheinitialInventoryandValuation.    0 (#(#  Receipts(Income)   	 
   0     Itemizereceiptsfromallsourcesreceivedintheaccountingperiod.Addadditional   	 	   pagesifneeded.    x
 (#(#  0     Fillinalltheinformationrequiredontheform.Incomeforthesameamountmaybe   	 D   documentedinlumpsums.RefertoSampleAccounting.    *z (#(#  Disbursements(Expenditures)   	 F   0     Itemizeallmoneyspentduringtheaccountingperiod.Addpagesifneeded.    , (#(#  0     Fillinalltheinformationrequiredontheform.Expensesforthesameamount(i.e.   	    cable,orphone)maybedocumentedinlumpsums.RefertoSampleAccounting.     (#(#  Summary   	 Z   0     Listthetotalreceiptsandthetotaldisbursements.Thecashbalanceisthedifference   	 @   betweenthetotalreceiptsandtotalexpenditures.    &v (#(#     II.INVENTORY   	 B     V   RealEstateListanyrealestateincludingtheappraisedvalue.   	    PersonalProperty   	       
  , , 1.0     FinancialInstitutionAccounts    p!  (#(#  0     (a)0    (#(# Checkingthecheckbookbalancefortheendofaccountingreportingperiod    V"! (#(#  0     (b)0    (#(# Savingstheaccountbalance    <#" (#(#  0     (c)0    (#(# CertificatesofDepositlistanycertificatesowned    "$r# (#(#  0     (d)0    (#(# Othernoteotheraccountsnotlistedabove(i.e.residenttrustaccount)    %X $ (#(#  2.0     StocksandBondsListanystocksandbondsownedbyconservatee.    &$"& (#(#  3.0     OtherPersonalPropertyInclude:    (#( (#(#  0     Burial/Funeraltrust,valueofclothing,furniture,householdgoods.Documentnew   	 )$)   purchasessuchasaTV,bicycleorfurniture.Totalthepersonalproperty.    l*%* (#(#  " 4  3                  "      4  3   2  #      4
   
 .3
   
 0          AddthetotalsfromTotalPersonalPropertyandTotalRealEstateandputtheamount   	 8,',   ontheTotalRealEstateandTotalPersonalPropertyline.#   X5  X XC X솯  #  ;  X X  X X5  4  3  L   ݌	    -n(- (#(#  Ќ	         h    hX     h    h #   X5  X X; Xr  #  C  X X  X X5    INTHE______JUDICIALDISTRICT#   X5  X XC X2  #  V  X X  X X5  V  &i % XV X    	 h      # V  X X %V &i  # #   X5  X XV X  #  C  X X  X X5 DISTRICTCOURTOFAPACHECOUNTY,KANSAS   	 N      Q   IntheMatterofthe   	    (Guardianship)(Conservatorship)CaseNo.97GC031   	     SamuelG.Crown   	 d   ProceedingPursuantto_        K.S.A._        ԀChapter59   	 0       5ANNUAL_FINALACCOUNTING   	 d

        -   X , X   p xX ,- IntheConservatorshipofSamuelG.Crown    (      July01,2007toJune30,2008    8"    	 0
      	    Comesnow,0     Marjorie_        Crestone_        Ԁ0    (p&p& 0    (p&(p& 3299SmithvilleRoad,Apartment#4     p&p&  Ѐ0     Name    ( 0    p&p& Address    z p&p&  Ѐ0     _        Sanesville_        ,KS666660    (p&p& 0    (p&(p& (785)9997100    ` p&p&  Ѐ0     City&ZipCode    ( 0    p&p& TelephoneNumber    F p&p&  (guardian)(conservator)intheaboveentitledestateandsubmitsthefollowing(annual)(final)accountingin   	 z   theconservatorshipof   	 `   @    *  <   h   h    XX , X   p xX< SamuelG.Crown0     39SolarHavenRd,_        Sanesville_        ,KS666660    p&p&      1942    8"     $ #   X5  X XC X8  #  C  X X  X X5     , p&p&  Name          Address,City&ZipCode0     0    p&p& YearofBirth#   X5  X XC X|  #  C  X X  X X5     p&p&R p&p&p&    	    fortheperiodfromJuly01,2007toJune30,2008.   	 v   @      I.StatementofReceiptsandDisbursements   	 (   @    

"  RECEIPTS(INCOME)   	 \   * W   Y X        d                  d 
d d           `	 d d           < Zd d           , id d           R   Y S                 hp&hp& ,    rd d            ,    d d            ,    d d            ,    d d            +
   
 $    B B      $ DATE
'    >             ' RECEIVEDFROM
'    >!            ' @    kk0 R EXPLANATION
'    >"            ' AMOUNT    >#        
   	  $   BalanceCarried   	  %   Forward
   	  &   CheckingAccount
   	  '        B    	     ! % Q1 3 	=Xh   h    XB $1,050.00     ( 3       JulyDec2007
   	 ! )   SocialSecurityAdmin
   	 ! *    :      m  $415X6mos
C  9 	 ! +         t@ 2490.00           t@ C Ѐ0 @  ! 0 @  !    2,490.00B  8 6 ! , 3     	       t@ 2490.00 	     t@ B JanJune2008
   	 "!-   SocialSecurityAdmin
   	 "!.   $425X6mos
C  9 	 "!/         @ 2550.00           @ C 0 @  ! 2,550.00B  8 6 "!0 3     	       @ 2550.00 	     @ B JulyJune2008
   	 t$#1   VeteransAffairs
   	 t$#2   $380x12mos
C  9 	 t$#3         б@ 4560.00           б@ C 4,560.00B  8 6 t$#4 3     	       б@ 4560.00 	     б@ B JulyJune2008
   	 %$5   _        KPERS_        ԀRetirement
   	 %$6   $685x12mos
C  9 	 %$7         @ 8220.00           @ C 8,220.00B  8 6 %$8 3     	       @ 8220.00 	     @ B JulyJune2008
   	 h' &9   SaversUnionBank
   	 h' &:   _        Yrly_        ԀCheckingAccountInterest
A  7 	 h' &;    {G0@ 16.98      {G0@ A 16.98@  6 4 h' &< 3     	  {G0@ 16.98 	{G0@ @ JulyJune2008
   	 (z'=   USTreasury
   	 (z'>   IRSTaxRefundEarnedIncomeCredit
A  7 	 (z'?         R@ 75.00           R@ A 75.00c  Y 4 (z'@ 3     	       R@ 75.00 	     R@       `U@ 39595     `U@ c May28,2008
7  - + \*(A 	      `U@ 39595 	    `U@ 7 CrownSavingsAccount
   	 \*(B   TransferofFunds
C  9 	 \*(C         @@ 1000.00           @@ C 1,000.00e  [ 6 \*(D 3     	       @@ 1000.00 	     @@       W@ 39613     W@ e June15,2008
7  - + +n*E 	      W@ 39613 	    W@ 7 SaversUnionBank
   	 +n*F   CashedCertificateofDeposit
C  9 	 +n*G         @@ 2000.00           @@ C 2,000.00B  8 6 +n*H 3     	       @@ 2000.00 	     @@ B 
   	 P-+I   
   	 P-+J        TotalReceipts(Includingbalance   	 P-+K   carriedforward)
'    6.,L           ' $21,961.98"    P-+M 3    
  " #   X5  X XC X>  #  [  X X  X X5    	 L/-M   Ї     #   X5  X X[ X  #  C  X X  X X5 DISBURSEMENTS(EXPENSES)fromCheckingAccount   	 h      * \   Y ]        d                  d d d           r B	d d            d d            ?d d           W   Y X                 hp&hp& ,    ed d            ,    9d d            ,    rd d            ,    d d            ,    Gd d            +
   
 $    4 4     $ DATE
'    0 "         '  C  n2
  XC X Check## C  X X
 C n2  # 
'    0 "         ' PAIDTO
'    0 "         ' PURPOSE
'    0 "         ' AMOUNT    0 "       C  n2
  XC X 07/0706/08
   	    
   	 	   SaversUnionBank
   	 
   MonthlyMortgage_        Incls_        ԀInsurance($568x12mos)
   	         Ѐ$6,816.00     3       07/0706/08
   	 e   
   	 e   _        Westar_        ԀEnergy
   	 e   ElectricalUtility(AveragePaymentPlan$55x12)
B  8 	 e         @ 660.00           @ B Ѐ660.00A  7 5 e 3     	       @ 660.00 	     @ A 07/0706/08
   	 P   
   	 P   CityWaterDept
   	 P   WaterandSewage($35x12mos)
B  8 	 P         @z@ 420.00           @z@ B 420.00A  7 5 P 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
   	 ^
   
   	 ^
   RippleCityCable
   	 ^
   CableBill($38.50x12mos)
B  8 	 ^
         |@ 462.00           |@ B 462.00A  7 5 ^
  3     	       |@ 462.00 	     |@ A 07/0706/08
   	 I
!   
   	 I
"   BirchTelephone
   	 I
#   Phone($41.89permonthX12mos)
B  8 	 I
$    {Gj@ 502.68      {Gj@ B 502.68A  7 5 I
% 3     	  {Gj@ 502.68 	{Gj@ A 07/0706/08
   	 &   
   	 '   # C  X X
 C n2  #  C    XC X _        Sanesville_        ԀLifeLine# C  X X C   #  C  n2
  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
   	 W+   
   	 W,   _        BCBS_        ԀInsurance
   	 W-   SupplementalInsurance($97.45x12mos)
C  9 	 W.    E@ 1169.40      E@ C _        1,169.40_        B  8 6 W/ 3     	  E@ 1169.40 	E@ B 07/0706/08
   	 B0   
   	 B1   _        Pelley_        ԀPharmacy
   	 B2   PrescriptionCopay
B  8 	 B3          e@ 168.00            e@ B _        168.00_        A  7 5 B4 3     	        e@ 168.00 	      e@ A 07/0706/08
   	 5   
   	 6   TuppenceFoods
   	 7   Groceries$65x52wks(PerConservatorPlan)
C  9 	 8         h@ 3380.00           h@ C _        3,380.00_        B  8 6 9 3     	       h@ 3380.00 	     h@ B 07/0706/08
   	 P:   
   	 P;   SamuelCrown
   	 P<   SpendingMoney($100/mox12)(ConservatorPlan)
C  9 	 P=         @ 1200.00           @ C 1,200.00e  [ 6 P> 3     	       @ 1200.00 	     @       -@ 39276     -@ e 07/14/07
7  - + ;? 	      -@ 39276 	    -@ 7 #2498
   	 ;@   KMart
   	 ;A   Socks,personalhygieneproduces,video
B  8 	 ;B         @`@ 130.00           @`@ B _        130.00_        A  7 5 ;C 3     	       @`@ 130.00 	     @`@ A 07/0706/08# C  X X
 C n28  #  C  n2
  XC X 
   	 D   
   	 E   Barberof_        Saville_        Ԁ
   	 F   Haircuts($10x12mos)
B  8 	 G          ^@ 120.00            ^@ B 120.00d  Z 5 H 3     	        ^@ 120.00 	      ^@       -@ 39276     -@ d 07/14/07
7  - + II 	      -@ 39276 	    -@ 7 #2501
   	 IJ   SeniorsTravel
   	 IK   PublicTransportation(12booksx$25x12mos)
B  8 	 IL         r@ 300.00           r@ B 300.00d  Z 5 IM 3     	       r@ 300.00 	     r@        2@ 39312      2@ d 08/19/07
7  - + 4N 	       2@ 39312 	     2@ 7 #2543
   	 4O   _        Sanesville_        ԀLibrary
   	 4P   AudioReaderRental($10x12mos)
B  8 	 4Q          ^@ 120.00            ^@ B 120.00d  Z 5 4R 3     	        ^@ 120.00 	      ^@        6@ 39344      6@ d 09/20/07
7  - + S 	       6@ 39344 	     6@ 7 #2559
   	 T   _        Walmart_        Ԁ
   	 U   Jeans,shirts,underwear
B  8 	 V          _@ 124.00            _@ B _        124.00_        d  Z 5 W 3     	        _@ 124.00 	      _@       8@ 39364     8@ d 10/10/07
7  - + BX 	      8@ 39364 	    8@ 7 #2561
   	 BY   _        Sanesville_        ԀBowl
   	 BZ   SeniorBowling;SeniorOlympics_        Yrly_        ԀFee
B  8 	 B[         b@ 150.00           b@ B 150.00d  Z 5 B\ 3     	       b@ 150.00 	     b@       >@ 39413     >@ d 11/28/07
7  - + -] 	      >@ 39413 	    >@ 7 #2584
   	 -^   Sears
   	 -_   WinterJacket;Christmasgifts
B  8 	 -`         k@ 220.00           k@ B _        220.00_        d  Z 5 -a 3     	       k@ 220.00 	     k@       `@@ 39427     `@@ d 12/12/07
7  - + b 	      `@@ 39427 	    `@@ 7 #2598
   	 c   OrvilleFurniture
   	 d   LiftChairforSamuelCrown
C  9 	 e         @ 1200.00           @ C 1,200.00e  [ 6 f 3     	       @ 1200.00 	     @       I@ 39501     I@ e 02/24/08
7  - + ;g 	      I@ 39501 	    I@ 7 #2677
   	 ;h   _        Walmart_        Ԁ
   	 ;i   Clothing;personalcareitems;TV
B  8 	 ;j    Gz|@ 456.78      Gz|@ B _        456.78_        d  Z 5 ;k 3     	  Gz|@ 456.78 	Gz|@       Q@ 39565     Q@ d 04/28/08
7  - + &l 	      Q@ 39565 	    Q@ 7 #2792
   	 &m   Penneys
   	 &n   Towels,bathset,showercurtain;(Dresser$400)
B  8 	 &o    (\@ 687.92      (\@ B _        687.92_        d  Z 5 &p 3     	  (\@ 687.92 	(\@       T@ 39591     T@ d 05/24/08
7  - +  yq 	      T@ 39591 	    T@ 7 #2812
   	  yr   CountyTreasurer
   	  ys   YearlyPropertyTaxes
B  8 	  yt    (\@ 725.67      (\@ B _        725.67_        d  Z 5  yu 3     	  (\@ 725.67 	(\@       W@ 39615     W@ d 06/17/08
7  - + 4" v 	      W@ 39615 	    W@ 7 #2822
   	 4" w   _        Walmart_        Ԁ
   	 4" x   Hygieneitems;householdcleaners
A  7 	 4" y         @U@ 85.00           @U@ A _        85.00_        c  Y 4 4" z 3     	       @U@ 85.00 	     @U@        X@ 39616      X@ c 06/18/08
7  - + #"{ 	       X@ 39616 	     X@ 7 #2823
   	 #"|   Sears&_        Applebees_        
   	 #"}   BirthdayGiftandDinnerforSamuelCrown
A  7 	 #"~          I@ 50.00            I@ A 50.00c  Y 4 #" 3     	        I@ 50.00 	      I@        X@ 39616      X@ c 06/18/08
7  - + $r# 	       X@ 39616 	     X@ 7 #2824
   	 $r#   Dr.LongTooth
   	 $r#   Dentistcleaningandtwofillings
B  8 	 $r#         r@ 298.00           r@ B _        298.00_        d  Z 5 $r# 3     	       r@ 298.00 	     r@       X@ 39620     X@ d 06/22/08
7  - + -&$ 	      X@ 39620 	    X@ 7 #2825
   	 -&$   EyeMagic
   	 -&$   NewGlasses
B  8 	 -&$         k@ 220.00           k@ B _        220.00_        d  Z 5 -&$ 3     	       k@ 220.00 	     k@       X@ 39620     X@ d 06/22/08
7  - + '& 	      X@ 39620 	    X@ 7 #2826
   	 '&   SaversUnionBank
   	 '&   OrderedChecks
A  7 	 '&          B@ 36.25            B@ A 36.25c  Y 4 '& 3     	        B@ 36.25 	      B@       X@ 39620     X@ c 06/22/08
7  - + (k' 	      X@ 39620 	    X@ 7 #2827
   	 (k'   _        Sanesville_        ԀTimes
   	 (k'   NewspaperSubscription($11.95x12mos)
B  8 	 (k'    a@ 143.30      a@ B _        143.30_        d  Z 5 (k' 3     	  a@ 143.30 	a@       X@ 39622     X@ d 06/24/08
7  - + &*( 	      X@ 39622 	    X@ 7 #2828
   	 &*(   USPostOffice
   	 &*(   Stampsforpayingbills($7.80x4books)
A  7 	 &*(    333333?@ 31.20      333333?@ A _        31.20_        @  6 4 &*( 3     	  333333?@ 31.20 	333333?@ @ 
   	 y+*   
   	 y+*   
   	 y+*       TOTAL
'    y+* 3         ' $20,956.08"    y+* 3      " # C  X X
 C n2  # 	   	 h, +         a  N  @    88  SavingsAccountTransactions   	 h      * _   Y `        d                  d d d           e ed d           9 d d           r d d            d d           G\   Y ]                 hp&hp& ,    ed d            ,    9d d            ,    rd d            ,    d d            ,    Gd d            +
   
 $    4 4     $ DATE
'    0 "         ' 
'    0 "         ' PAIDTO
'    0 "         ' PURPOSE
'    0 "         ' AMOUNTA  7  0 "           +@ 39263     +@ A  C  n2
  XC X 07/01/07
7  - +  	      +@ 39263 	    +@ 7 
   	 	   
   	 
   BeginningBalance
   	         $8,245.95     3       
   	 e   
   	 e   
   	 e   
   	 e        A  7  e 3            `3@ 39323     `3@ A 08/30/07
7  - + P 	      `3@ 39323 	    `3@ 7 
   	 P   SamuelCrown
   	 P   QuarterlyInterest
   	 P        (+3.45)    P 3       
   	 	   
   	 	   
   	 	   
   	 	        A  7  	 3            B@ 39446     B@ A 12/31/07
7  - + ^
 	      B@ 39446 	    B@ 7 
   	 ^
   SamuelCrown
   	 ^
   Quarterly# C  X X
 C n2 #  C  n2
  XC X #    
 C n2!  #  C  n2
    Interest
   	 ^
        (+3.79)    ^
  3       
   	 I
!   
   	 I
"   
   	 I
#   
   	 I
$        A  7  I
% 3             N@ 39537      N@ A 03/31/08
7  - + & 	       N@ 39537 	     N@ 7 
   	 '   # C  X X
 C n2 #  C  n2
  XC X SamuelCrown
   	 (   Quarterly# C  X X
 C n2j #  C  n2
  XC X #    
 C n2 #  C  n2
    Interest
   	 )        (+3.57)    * 3       # C  X X
 C n2 # 
   	 W+   
   	 W,    C  n2
  XC X 
   	 W-   
   	 W.        A  7  W/ 3            `U@ 39595     `U@ A # C  X X
 C n2 #  C  n2
  XC X 05/28/08
7  - + i0 	      `U@ 39595 	    `U@ 7 # C  X X
 C n2 # 
   	 i1    C  n2
  XC X SamuelCrown
   	 i2   TransfertoCheckingAccount
   	 i3        (1,000.00)    i4 3       # C  X X
 C n2 #  C  n2
  XC X 
   	 K5   # C  X X
 C n2 # 
   	 K6    C  n2
  XC X 
   	 K7   
   	 K8        A  7  K9 3            Y@ 39628     Y@ A # C  X X
 C n2Q #  C  n2
  XC X 06/30/08
7  - + ]: 	      Y@ 39628 	    Y@ 7 # C  X X
 C n2 # 
   	 ];    C  n2
  XC X SamuelCrown
   	 ]<   Quarterly# C  X X
 C n2 #  C  n2
  XC X #    
 C n2 #  C  n2
    Interest
   	 ]=        (+3.02)    ]> 3       # C  X X
 C n2 # 
   	 ??   
   	 ?@   
   	 ?A   
   	 ?B            ?C 3        C  n2
  XC X 
   	 QD   
   	 QE   
   	 QF   
   	 QG            QH 3       
   	 I   
   	 J   
   	 K   
   	 L            M 3       
   	 _N   
   	 _O   
   	 _P   
   	 _Q            _R 3       
   	 JS   
   	 JT   
   	 JU   
   	 JV            JW 3       
   	 X   
   	 Y   
   	 Z   
   	 [            \ 3       
   	 X]   
   	 X^   
   	 X_   
   	 X`            Xa 3       
   	 Cb   
   	 Cc   
   	 Cd   
   	 Ce            Cf 3       
   	 g   
   	 h   
   	 i   
   	 j            k 3       
   	 Q l   
   	 Q m   
   	 Q n   
   	 Q o            Q p 3       
   	 !< q   
   	 !< r   
   	 !< s   
   	 !< t            !< u 3       
   	 "!v   
   	 "!w   
   	 "!x   
   	 "!y            "!z 3       
   	 J$"{   
   	 J$"|   
   	 J$"}   
   	 J$"~            J$" 3       
   	 %5$   
   	 %5$   
   	 %5$   
   	 %5$            %5$ 3       
   	 &%   
   	 &%   
   	 &%   
   	 &%            &% 3       
   	 C(&   
   	 C(&   
   	 C(&   
   	 C(&            C(& 3       
   	 ).(   
   	 ).(   
   	 ).(   
   	 ).(            ).( 3       
   	 *)   
   	 *)   
   	 *)   
   	 *)            *) 3       
   	 <,*   
   	 <,*   
   	 <,*       
'    <,* 3         ' # C  X X
 C n2V # $7,259.78 C  n2
  XC X "    <,* 3      " # C  X X
 C n2;& # 	   	 R-+     a N  
   a       Xh     h 
     a  
   
     h    h     X SUMMARY   	 X              0   (# 	     ! % Q1 3 	=X0 TotalReceipts    ? (#.    $21,961.98   	 $   TotalDisbursements    ? (#.  

  $20,956.08   	 }%   CashBalanceonHand    > (#.    $1,005.90   	 ~     
    X(# @      II.INVENTORYasofJune30,2008   	 	0
   @        Yourconservatoraccountsforthefairmarketvalueofthefollowingassets:   	 
   6  " 
   , , 4X Y !	$ T$   X6 @    HH%  REALESTATE     0     0    LT$T$ 0    YLT$LT$ 0    !YT$YT$     ; 	$ FairMarketValue    ; !T$!T$         U'           1.     39SolarHavenRd,Lot59,SolarHavenAddition,_        Sanesville_        ,KS66666    Y $0    !     X X B 	$ 45,489.00     !T$!T$       JointTenancywithMrs.BettyCrown,spouse.0    D 0    DT$DT$ 0    T$T$ 0    LT$T$ 0    YLT$LT$ $    E YT$YT$       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$ 0    DT$DT$ TotalRealEstate0    YT$T$ $0    !YT$YT$       C 	$ 45,489.00    F !T$!T$  @    "  PERSONALPROPERTY   	 P   1.FinancialInstitutionAccounts   	 Q        0         4 Description0    T$T$     < 0    T$T$ 0    T$T$ 0    DT$T$ 0    DT$DT$ 0    T$T$ 0    LT$T$ 0    YLT$LT$ 0    !YT$YT$     X!X!F 	$ Amount     !T$!T$       (a)CheckingAccountSaversUnionBank,_        Sanesville_        ,KS0     0    LT$T$ 0    YLT$LT$ $0    !YT$YT$       D 	$ 1,005.90    [  !T$!T$       (b)SavingsSaversUnionBank,_        Sanesville_        ,KS0    D 0    DT$DT$ 0    T$T$ 0    LT$T$ 0    YLT$LT$ $0    !YT$YT$       D 	$ 7,259.78    \" !T$!T$       (c)CertificatesofDeposit(oneCDvaluedat$4,329)0     0    T$T$ 0    LT$T$ 0    YLT$LT$ $0    !YT$YT$       D 	$ 4,329.71    $ !T$!T$       (d)Burial/FuneralTrust(TimberlineMortuary,_        Sanesville_        ,KSasof06/30/08)0    Y $0    !YT$YT$       D 	$ 4,600.00    f& !T$!T$  !     	                 !  
T                   ( Eh        8                               3                          ,                    " 4  3                  "      4  33  2  Eh      2
   
 .3
   
 0          Stocks&Bonds0    
T$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$ 0    YLT$LT$ $    ! 0 4  33 03  ݌    * YT$YT$  Ќ	     " 4  3                  "      4  34  2  Eh      3
   
 .3
   
 0          OtherPersonalProperty 4  34 4  ݌    !r. T$T$  Ќ	          Householdgoods,furniture,wearingapparel    D 0     0    T$T$ 0    LT$T$ 0    YLT$LT$ $0    !YT$YT$       D 	$ 5,455.00    ## 0 !T$!T$  0     Television$250;Dresser$400;LiftChair$1,200    D 0    T$T$ 0    T$T$ 0    LT$T$ 0    YLT$LT$ $0    !YT$YT$       D 	$ 1,800.00    |$$"2 !T$!T$                4 TotalPersonalProperty0     0    T$T$ 0    DT$T$ 0    DT$DT$ 0    T$T$ 0    LT$T$ 0    YLT$LT$ $0    !YT$YT$       C 	$ 24,450.39    %}#4 !T$!T$            0    4 TotalRealEstateandPersonalProperty0    D4T$4T$ 0    DT$DT$ 0    T$T$ 0    LT$T$ 0    YLT$LT$ $0    !YT$YT$       C 	$ 69,939.39 C  n2
  XC X Ԉ    .'$6 !T$!T$  E   X   h  p   
   , , 4X Y !	$ T$E # C  X X
 C n2P9 #      IdeclareunderpenaltyofperjuryunderthelawsofthestateofKansasthattheforegoingis   	 )M':   trueandcorrect.Executedon_________________,20____.   	 *(<    C  n2
  XC X 0     0    T$T$ 0    T$T$ 0    T$T$ 0    T$T$           !  @  !  @  !  @  ! ________________________________    u-+@ T$T$                           # C  X X
 C n2: # Conservator#   X5  X XC XM #  ;  X X  X X5 	   	 .;,B      X     X              #   X5  X X; XM< #  C  X X  X X5         INTHE______JUDICIALDISTRICT@ @  *     	       DISTRICTCOURTOFAPACHECOUNTY,KANSAS   	        <       IntheMatterofthe0     )    b (#(#  (Guardianship)(Conservatorship)of0     )    H (#(#            0     )    .	~ (#(#  SamuelG.Crown0     )0    (#(# 0    (#(# CaseNo.97GC031    
d (#(#                 )   	 
J   ProceedingPursuantto_        K.S.A._        ԀChapter59   	 0   @    		  XANNUAL_FINALREPORTONTHECONDITION   	 
   @      OFTHEGUARDIANSWARD   	 	   @    ss  FromJuly01,2007toJune30,2008   	 x
   9    , XX  XX   h  p ,9 Comesnow,Marjorie_        Crestone_        Ԁ0    h 0    h(#h(# 0    (#(# 3299SmithvilleRoad,Apartment#4    *z (#(#   C    XC X 0     0    (#(# Name0    (#(# 0    (#(# 0    h(#(# 0    h(#h(# 0    (#(# Address    p     ` (#(#  # C  X X C A #           _        Sanesville_        ,KS666660     0    (#(# (785)99971000     (#(#        C    XC X 0     City&ZipCode0    (#(# 0    h(#(# 0    h(#h(# 0    (#(# TelephoneNumber# C  X X C ZC #      (#(#  guardianintheaboveentitledestateandsubmitsthefollowing(annual)(final)reportonthe   	 6   conditionof:   	 l   SamuelG.Crown          0    h 1942    8 h(#h(#   C    XC X Name0     0    (#(# 0    (#(# 0    (#(# 0    h(#(# YearofBirth# C  X X C 4E #      h(#h(#  1.0     Thewardresidedatthefollowingplacesduringthereportingperiod:    a (#(#  39SolarHavenRd,_        Sanesville_        ,KS66666.     Ownhome.     0      0    x (# (# 22years.    G x(#x(#  (address)                   h      0     (TypeofResidence)(Lengthofstay)    -} (#(#  2.0     Statetheapproximatenumberoftimestheguardianhascontactwiththeward,the   	 I   natureofsuchcontacts,andthedatethewardwaslastseenbytheguardian:    / (#(#  Guardianvisitswardinhisownhomeapproximatelytwotothreetimespermonth.   	      Guardianchecksonthewardshealthstatus,sufficientgroceries,householdandpersonal   	 !!   careitems,andthehomecleanliness,maintenanceandupkeep.   	 ""   3.0     Summarizethemedical,social,educational,vocationalandotherprofessional   	 ]$$   servicesreceivedbythewardduringthereportingperiod:    C% % (#(#  Samuelisretired.Heisrecuperatingfromrecenthipsurgeryandreceivesbiweekly   	 )&y!&   physicaltherapy;hetakesmedicationsfordiabetes,highbloodpressure,heartdiseaseand   	 '_"'   painassociatedwithosteoporosis.Hehasmonthlydoctorappointmentstomonitor   	 'E#(   medications.Additionally,ahomehealthnursevisitsweeklytosetuphismedications.   	 (+$)   Samuelreads,watchesTVandenjoysactivitiesattheseniorcenterandperiodicvisitsfrom   	 )%*   hisgreatniecewholivesoutofstate.   	 *%+      	 +&,   Ї4.0     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    (#(# 0    h(#(# 0    h(#h(# 0    (#(#                p                x       ________________________________    "$r# (#(#                          h           Guardian#   X5  X XC X< #  ;  X X  X X5 	   	 %X $          
=                 A  INTHE򀀀JUDICIALDISTRICT   	       DISTRICTCOURTOF򀀀COUNTY,KANSAS   	       X  IntheMatterofthe   	 H   (Guardianship)/(Conservatorship)of   	 .	~                  0         h 0    (#(#          p 0    (#(# CaseNo._________    
d (#(#  򀀀   	 
J   ProceedingPursuantto_        K.S.A._        ԀChapter59   	 	      AFFIDAVITOFCOMPLETION   	 x
   OFBASICINSTRUCTIONALPROGRAM   	 ^     Z       IdeclarethatIhavereceivedandreviewedtheBasicInstructionsforGuardiansand   	 *z   ConservatorsandkeptacopyofthoseInstructions.Iacknowledgethat,asguardian   	 `   and/orconservator,IhavethedutiesandresponsibilitiesdescribedintheInstructions.   	 F   0     Ideclareunderpenaltyofperjurythatthisistrueandcorrect.     (#(#  0     Executedonthis򀀀dayof򀀀,򀀀.     (#(#       0     0    (#(# 0    (#(# 0    h(#(# 0    h(#h(# 0    (#(#     p                x           (#(#       0     0    (#(# 0    (#(# 0    h(#(# 0    h(#h(# 0    (#(# Signature    \ (#(#       0     0    (#(# 0    (#(# 0    h(#(# 0    h(#h(# 0    (#(#     p                x           (#(#       0     0    (#(# 0    (#(# 0    h(#(# 0    h(#h(# 0    (#(# PleasePrintYourName     (#(#       0                   h               p                x           (#(#  0     0    (#(#               h               p                x           (#(#       0     0    (#(# 0    (#(# 0    h(#(# 0    h(#h(# 0    (#(# Address    <#" (#(#       0     0    (#(# 0    (#(# 0    h(#(# 0    h(#h(# 0    (#(#     p                x           (#(#       0          0    (#(# 0    h(#(# 0    h(#h(# 0    (#(# TelephoneNumber    %>!% (#(#  #   X5  X X; XW # 
