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                      IN THE CIRCUIT COURT OF __________ COUNTY, ILLINOIS

                                  COUNTY DEPARTMENT - PROBATE DIVISION

 

 

ESTATE OF                                                                          ) No.

                                                                                                )

                                                                                                )   

                                                                                                )

A Disabled Person                                                             ) 

 

 

                                                  ANNUAL REPORT ON WARD

 

 

            Pursuant of Article 11a section 17 (b) of the Probate Act of 1975, guardian of the person of the above ward submits his/her annual report.  The guardian visits the ward at least four times annually.  Attached hereto is the most recent treatment plan detailing:

 

            1)         the current mental, physical and social condition of the ward.

 

            2)         the ward's present living arrangement and a description of the ward's residence for the reporting period.

 

            3)         a summary of medical, vocational and other professional services provided to the ward.

 

            The guardian submits this report in accordance with statutory requirements, its duties and obligations as guardian, and to advance the best interests of the ward herein.  Consistent with Section 11a-17 (b) of the Probate Act of 1975, the court may take such action as it deems appropriate pursuant to this report.

 

            The guardian respectfully recommends a continuing need for guardianship of the ward.

 

                                             VERIFICATION UPON AFFIRMATION

 

I affirm that I am the guardian of the above named ward, that I am familiar with circumstances relating to the estates herein, that I have read the forgoing, and that the facts and matters stated therein are true and accurate.

 

                                                Signed:_________________________________

                                                               guardian of the person

 

 

Name:

Address:

City, State, Zip:

Telephone Number:(        )     -

PRO SE