Guardians Current Account - Minor Or Disabled Adult

IN THE CIRCUIT COURT OF THE FOURTH JUDICIAL CIRCUIT CLINTON COUNTY, CARLYLE, ILLINOIS In the Matter of the Guardianship of a minor / a disabled adult ) ) ) ) ) Case No: GUARDIAN'S CURRENT ACCOUNT The undersigned, , as the duly appointed Guardian of the Estate of the above-named ward respectfully submits to the Court the following report for the period beginning : Beginning Balance: Total Receipts & Investment Earnings/Gains Total Disbursements & Investment Losses: Ending Balance: $ $ $( $ ) , and ending Attached hereto, and incorporated herein, are true and correct copies of documents supporting the aforesaid summary accounting. Under penalties as provided by law pursuant to Section 1-109 of the Code of Civil Procedure, the undersigned certifies that the statements set forth in this instrument are true and correct. Dated: Guardian's Signature Address: Phone: American LegalNet, Inc. www.FormsWorkFlow.com