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1 2 3 4 5 6 7 8 9 10 11 12 13 14 IN THE CIRCUIT COURT OF STATE OF OREGON FOR THE COUNTY OF MARION Probate Department In the Matter of the Guardianship of: , A Protected Person. ) Case No.: ) ) MOTION TO ALLOW PAYMENT ) OF ROOM AND BOARD ) The Guardian in this matter moves the court pursuant to ORS 125.320(2) for an Order allowing reimbursement of room and board expenses incurred by the Guardian and/or the Guardian's Spouse, out of the Protected Person's estate, in the amount of $ per month. A declaration in support of this motion is attached. 15 16 17 18 19 20 21 22 23 24 25 26 27 28 Dated: Signature of Guardian Submitted by: I certify this is a true copy: Name Address City, State, Zip Telephone Email Fax Bar No. (if any) Signature American LegalNet, Inc. www.FormsWorkFlow.com MOTION TO ALLOW PAYMENT OF ROOM AND BOARD - Page 1 of 1 FC(08/25/16)