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STRUCTIONS TO GUARDIAN: Fill this Report out completely, then sign and date on the last page. Attach separate sheets if needed to complete your response to the numbered questions. File original Report with the Court and serve the Incapacitated Person in hand or by certified mail, return receipt requested. Complete the Certificate of Service at the end of this Report. Age of Incapacitated Person (Check one box) INITIAL 60 DAY CARE PLAN Your relationship to Incapacitated Person ANNUAL REPORT OT.

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