Annual Report On The Location, Condition And Well Being Of Ward

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NO. ______________
THE GUARDIANSHIP OF
§
IN THE COUNTY COURT
___________________________________,
§
OF
AN INCAPACITATED PERSON/ MINOR
§
SMITH COUNTY, TEXAS
ANNUAL REPORT ON THE LOCATION, CONDITION
AND WELL BEING OF WARD (EST §1163.101)
Now comes ________________________________________________ Guardian of the
person of _________________________________ , ward in the above and numbered cause, and
presents herewith a report which covers the term of ______________________________ (date)
thru ________________________________ (date) on the ward's physical and mental well-being
and condition as follows:
1. Ward's Age:_______ Date of Birth:__________________
2. Ward's Present Address:__________________________________________
__________________________________________
__________________________________________
3. Guardian's Present Address:_______________________________________
_______________________________________
_______________________________________
4. Has the Ward's residence changed in the last twelve (12) months? If so, state the date
and reason for such change:______________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
How long has the ward resided at the current address:__________________________
What type of facility does the ward reside:___________________________________
Facility phone number :__________________________________________________
Rev. 01.14

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