Nevada > County > Washoe > District Court > Family
Account Of Guardian (For Minor) 1010 - Nevada
| Account Of Guardian (For Minor) Form. This is a Nevada form and can be used in Family District Court Washoe County . |
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1 Code: 1010 2 3 4 5 6 IN THE FAMILY DIVISION 7 OF THE SECOND JUDICIAL DISTRICT COURT OF THE STATE OF NEVADA 8 IN AND FOR THE COUNTY OF WASHOE 9 10 In the Matter of ___________________________, 11 A Minor. Case No. ______________ 12 Dept. No. ______________ 13 ______________________________/ 14 15 ACCOUNT OF GUARDIAN 16 _________ Annual ___________ Final _________Interim 17 1. I, ____________________________________________, represent that I am the guardian of (name) 18 the estate and submit the following as my account, which covers the period from_____________ (date) 19 to _____________________. (date) 20 21 RECEIPTS 22 Date Payor Purpose Amount 23 24 25 26 27 28 -1- <<<<<<<<<********>>>>>>>>>>>>> 2 1 RECEIPTS (CONT. FROM PAGE 1) 2 Date Payor Purpose Amount 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 TOTAL (including page 1) 28 -2- <<<<<<<<<********>>>>>>>>>>>>> 3 1 DISBURSEMENTS 2 Check Date Payee Purpose Amount 3 No. 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 TOTAL 28 -3- <<<<<<<<<********>>>>>>>>>>>>> 4 1 2. Receipts in this accounting period (total from page 2).$_____________ 2 Subtract disbursements in this accounting period (total from page 3).$_____________ 3 Balance of assets on hand (itemize below)...$_____________ 4 3. The balance of assets on hand are: 5 ITEMIZED ASSETS REMAINING AT END OF ACCOUNTING PERIOD 6 7 8 9 10 11 12 13 14 Total Balance on Hand $ 15 16 4. I understand that I have an obligation to send a copy of this report, by certified mail, to 17 the ward and the interested parties and heirs listed in the original petition. Changes to that 18 list are as follows:__________________________________________________________ 19 _________________________________________________________________________ 20 _________________________________________________________________________ 21 5. I represent that the foregoing account contains a correct statement of all receipts and 22 disbursements made by me during the accounting period 23 6. I therefore request that the foregoing be allowed as my: 24 _________Annual Account 25 _________Final Account 26 7. I am _____ am not ____requesting fees (attach itemization of services performed, 27 including time spent and amount charged). 28 //// -4- <<<<<<<<<********>>>>>>>>>>>>> 5 1 I declare that this account and petition has been examined by me and that its contents 2 are true to the best of minformy ation, knowledge and belief. 3 Date____________________ Telephone Number:___________________ 4 ___________________________________ ___________________________________ Attorney signature Petitioner signature 5 ___________________________________ ___________________________________ 6 Attorney name (type or print) Petitioner name (type or print) 7 8 ___________________________________ __________________________________ Address Address 9 ___________________________________ __________________________________ 10 City, State, Zip City, State, Zip 11 12 Under penalties of perjury, the undersigned declares that he is the guardian named in 13 the foregoing Account of Guardian and knows the contents thereof; that the document is 14 true of his own knowledge except as those mrs stated upon informatte ation and belief, and 15 that as to such matters, he believes it to be true. 16 ______________________________ G uardian 17 SUBSCRIBED and SWORN to before me 18 19 this _________ date of _______________, _______. 20 21 __________________________________________ NOTARY PUBLIC 22 23 24 25 26 27 NOTICE: A hearing is required for approval of this accounting. See NRS 159.115 28 -5-
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