Annual Report of Guardian 10508

ANNUAL REPORT OF GUARDIAN



Superior Court of New Jersey
Chancery Division -- ______________County
Probate Part

In the Matter of the Annual Report of
_________________________, Guardian for
_______________________, an Incapacitated
Person.

Docket No. _______________

CIVIL ACTION
Guardian’s Annual Report for the Period
___________________ to ________________

This report must be filed by every Guardian once per year, unless the Judge otherwise specifies, on the anniversary
date of your appointment, which is ____________________. File the original with the Surrogate and a copy with
the court-appointed counsel for the ward at the following addresses:

Surrogate Address Court Appointed Counsel Address




1. Date of Report:

2. Guardian’s Current Information:
Name:
Address: 1



Telephone No.:
Day:
Evening:
1
Include mailing address, if different.


Please Check:
□ Guardian of Person
□ Guardian of Estate
□ Guardian of Both Person and Estate

3. Incapacitated Person Current Information

Name:
Address: 2


Telephone No.:

2
If the incapacitated person lives in a residential facility, include the
name of the Director or person responsible for the incapacitated
person’s care.

4. Bond Information:

Bonding Company’s Name:
Address:


Value of bond 3 $


3
: If the bonding requirement was waived, so state.
Revised 07/11/2008, CN 10508 - English Page 1 of 7
5. Guardian’s Relationship to Incapacitated Person

A. _____ Spouse/ Civil or Domestic Partner B. _____ Parent C. _____ Child D. ____ Other Blood Relative
E. ______ Friend F. ____ Private Attorney G. ____ Public Guardian or Public Agency H. ____ Other

6. Does the Incapacitated Person live with you?