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Custodians Report - Oregon
| Custodians Report Form. This is a Oregon form and can be used in Conservatorship Probate Circuit Court Marion Local County . |
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IN THE MARION COUNTY, OREGON, CIRCUIT COURT PROBATE DEPARTMENT In the Matter of the Protective Proceeding for ) ) Case No. ) ) CUSTODIAN S REPORT A minor, Protected Person. ) I am the custodian of funds for the child named above, and I make the following report tothe court: 1. My name, address and telephone number are: Phone: ( ) 2. The address where the child lives is: 3. Since my last report I have: a. Been convicted of the following crimes: / none. b. Received protection under federal bankruptcy laws: yes / no. c. Had a job-related license revoked or suspended: yes / no. d. Had my drivers license revoked or suspended: yes / no. 4. Attached to this report is a copy of the most recent statement of each account that holds the childs funds. CustodianSTATE OF OREGON ) ) ss. County of Marion ) I, an , [custodiansay that the above statements are true. Custodian Subscribed and sworn to before me on ,200 . Notary Public for OregonCUSTODIANS REPORT custrpt.wpd Rev. 6/13/01
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