Fillable Form 1: IN THE TULALIP TRIBAL COURT TULALIP (Tulalip Tribes of Washington)

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Form 1: IN THE TULALIP TRIBAL COURT TULALIP (Tulalip Tribes of Washington)

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Tulalip Tribal Court
6103 31
st
AVE NE
Tulalip, WA 98271
ANNUAL GAURDIANSHIP’S REPORT ACCOUNTING AND CARE PLAN 1 of 3 Tele. (360)716-4773 Fax (360)716-0657
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IN THE TULALIP TRIBAL COURT
TULALIP INDIAN RESERVATON
TULALIP, WASHINGTON
In Re Guardianship of: )
)
)
Name of child/or incapacitated Adult )
) NO.
)
Date of Birth ) Annual Guardianship’s Report
) Accounting & Care Plan
)
Petitioner(s) )
)
)
Respondent(s) )
)
)
COMES NOW guardian to present the annual guardianship’s report accounting and care plan.
The moving party swears under penalty of perjury as follows:
1. I am the guardian of the above referenced minor(s) or incapacitated adult.
2. I have performed all of the required obligations as my trust as guardian.
3. I have attached hereto a statement which sets forth the names and addresses of
education/healthcare/social service providers as well as an accounting of the guardianship estate.
DATED this day of , 20 .
Petitioner(s)/Guardian(s)
Address State Zip code
Telephone
Tulalip Tribal Court
6103 31
st
AVE NE
Tulalip, WA 98271
ANNUAL GAURDIANSHIP’S REPORT ACCOUNTING AND CARE PLAN 2 of 3 Tele. (360)716-4773 Fax (360)716-0657
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IN THE TULALIP TRIBAL COURT
TULALIP INDIAN RESRVATION
MARYSVILLE, WASHINGTON
In Re Guardianship of: )
)
)
Name of child/or incapacitated Adult )
) NO.
)
Date of Birth ) Annual Guardianship’s Report
) Accounting & Care Plan
)
Petitioner(s) )
)
)
Respondent(s) )
)
)
COMES NOW , [ ] Guardian [ ] attorney
for guardian, and presents the annual accounting and report pertaining to the above referenced ward.
The reporting party swears under penalty of perjury as follows:
1. Residential Location of Ward: (Include full postal and street address with appropriate contact phone
numbers):
.
2. The care giver for the ward: (If different from above).
.
3. Guardianship Funds:
[ ] All funds are maintained in a blocked account pursuant to T.T.C., Title 4, Chapters 4.05,
Section 4.05.260.
[ ] I maintain the following accounts for the ward. (List all bank accounts with current balances):
.
[ ] Attached as exhibit “A” is a register of account activity that represents beginning balances,
expenditures and ending balances.
Tulalip Tribal Court
6103 31
st
AVE NE
Tulalip, WA 98271
ANNUAL GAURDIANSHIP’S REPORT ACCOUNTING AND CARE PLAN 3 of 3 Tele. (360)716-4773 Fax (360)716-0657
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4. School location and contacts. (Provide school address and phone number and include name of ward’s
counselor. Attach IEP if applicable.)
.
5. Medical and Dental information: (List medical and dental providers.):
.
6. Designation of Standby Guardian: (List name, address and phone information for person who will act
in your absence for a period of 30 days pending appointment of new guardian, should something happen
to you.)
.
7. Service of Process (Please be sure to serve all necessary parties by regular United States Mail at least
10 day prior to the scheduled hearing to review and approve this report.)
[ ] I served every party to this proceeding and I have attached a declaration of service that shows
the addresses of the parties who have been served.
[ ] No party re quires service.
8. I have contacted the clerk and she has scheduled a hearing for my next annual report for
, at (a.m. /p.m.)
DATED this day of , 20 .
Guardian(s)
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Form 1: IN THE TULALIP TRIBAL COURT TULALIP (Tulalip Tribes of Washington)

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Completed 20 July 2020

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