Since my last report: (a) I have been convicted of the following crimes (not including traffic infractions): (b) I have filed for or received protection from creditors under the Federal Bankruptcy Code: Yes No (c) I have had a professional or occupational license revoked or suspended: Yes No (d) suspended: Yes No 18. A true copy of this report will be given to the protected person, any conservator for the person, and any other person who has requested notice or is required to receive service per ORS 125.060(3). I now hold the following amount of money on behalf of the person: $. I spent the following amount of money on behalf of the person: $. I received the following amount of money on behalf of the person: $. I believe the guardianship should or should not continue because: 15. I made the following major decisions on behalf of the person during the past year (brief description): 14. I made the following contacts with the person during the past year (brief description): 13. Facts that support the conclusion that the person is incapacitated include the following: 12. The name and address of any hospital or other institution where the person is now admitted on a temporary or permanent basis are: 9. place of residence is: American LegalNet, Inc. I was paid for providing the following items of lodging, food, or other services to the person: 7. The person is currently engaged in the following programs and activities and receiving the following services (brief description): 6. The person is currently residing at the following type of facility or residence: 5. The name, if applicable, and address of the place where the person now resides are: 4. My address and telephone number are: Phone 3. REPORT of 3 5/4/18 IN THE CIRCUIT COURT OF THE STATE OF OREGON FOR THE COUNTY OF JACKSON In the matter of the Guardianship of, CASE NO: (Name of protected person) REPORT I am the guardian for the person named above, and I make the following report to the court as required by law: 1.
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