Fillable Instructions: Guardian Report Comprehensive Accounting Guardians of the (Cape May County)

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Instructions: Guardian Report Comprehensive Accounting Guardians of the (Cape May County)

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Revised 02/2017, CN 11801 (Instructions: Guardian Report - Comprehensive Accounting) Page 1
Instructions: Guardian Report Comprehensive Accounting
Guardians of the estate may be required to report using Judiciary forms as to the financial affairs of the incapacitated
person.
There are two different periodic reporting forms: the Periodic EZ Accounting form (“EZ form”), and the Periodic
Comprehensive Accounting form (“Comprehensive form”). The Judgment of Incapacity should specify which form you
are required to file, as well as the deadline for filing.
Note that instead of filing a Judiciary form, it is possible that a Judgment may direct periodic filing of a copy of a Social
Security Representative Payee Report for the most recent reporting period, or of a formal accounting.
Sometimes, a Judgment may simply direct the filing of an annual report or an informal account. If the Judgment does not
specify a type of accounting and you are unsure which form to utilize, you can file the EZ form and then wait for any
further direction.
The Comprehensive form is more detailed than the EZ form and requires more attachments to substantiate the figures
reported. If the Judgment directs that this form be filed in lieu of the EZ form, you should consider consulting with an
attorney, accountant, or other financial professional for purposes of preparing at least the first report. Reasonable fees for
such professional services are allowable from the estate of the incapacitated person, subject to court approval.
Item A asks if a bond is required, and if so, is one filed covering the period of this report. If you were appointed as
guardian of the estate but the Judgment waived the requirement of bond, then you should select “N/A”. Even if no bond
was imposed, if your Judgment requires the filing of a report, then you must file the report by the specified deadline.
Item B inquires if you have identified, traced and collected all of the protected person’s assets since your appointment. If
you answer “No” to this question, you must provide further explanation. For example, if you are aware of assets
belonging to the incapacitated person but in the custody of someone else, you should explain what steps you have taken to
retrieve those assets and bring them into the guardianship estate.
Item C addresses the status of the filing of the incapacitated person’s past and current state and federal tax returns, as well
as tax payments. If no tax returns are delinquent as of the filing of your report, then you should answer “Yes” to this
question even if tax returns for a subsequent year will soon be due.
For example, if your reporting deadline is in February, then in 2014 you may report that you have filed all past and current
returns and made all payments if everything is current through 2013, even though you will shortly be filing the 2014
returns. If the amount of income received by the incapacitated person is too little to require the filing of taxes, then write
this on the form.
The next section, “Summary”, is designed to provide an overview of the guardianship estate. “Part I: Cash” is divided
into two sections, and the figures for both sections are derived from the schedules on the following pages.
Line 1 is used to report income as calculated by “Schedule A: Income”, on page 3 of the form. All sources of the
incapacitated person’s income must be listed, even if a particular source may have been excluded for purposes of setting
bond. Note that if the incapacitated person receives more than one type of Social Security income, each type should be
specified. In general, income will be received for the full 12-month period covered by a report. If a particular source of
income is received for a lesser period of time, then this should be explained (i.e., alimony of $1250/month received from
former spouse through July 1, 2014, then terminated due to death of former spouse, so seven (7) months reported for this
period, 7 months x $1250/month = $8,750).
“Schedule B” addresses disbursements from the guardianship estate. “Schedule B-1”, on page 3 of the form is reserved
for attorney’s fees and costs directed to be paid from the assets of the protected person by the Judgment or subsequent
Court Order. The Judgment typically awards a specific amount to be paid to court-appointed counsel for the incapacitated
person. In some cases, an additional counsel fee award is included in the Judgment for a court-appointed guardian ad
litem.
Revised 02/2017, CN 11801 (Instructions: Guardian Report - Comprehensive Accounting) Page 2
If the attorney for the plaintiff in the underlying action sought approval of fees, then that attorney’s fee may also be
included in the Judgment. If you were the plaintiff in the guardianship action but did not seek or did not obtain court
approval of fees paid to your attorney at or after final judgment, then any fee you paid to your attorney should not be
listed in Schedule B-1. If the court approved payment from the assets of the protected person for less than the full amount
paid to your attorney (i.e., if the Judgment approved fees at $250/hour, but you agreed to pay your attorney $325/hour),
then only the amount awarded pursuant to the Judgment should be listed in Schedule B-1 as only that amount has been
approved for payment from the assets of the incapacitated person. If you have retained an attorney to assist you in
preparing this report, then unless that attorney’s fee has been approved by Court Order, it should not be included in
Schedule B-1. Remember to include the date of the Judgment or Court Order for each entry in Schedule B-1. On line 2
of the Summary, list the total attorney fees and costs reflected in Schedule B-1.
“Schedule B-2”, on page 3 of the form, covers guardian fees and reimbursements approved by the Judgment or
subsequent Court Order. Like Schedule B-1, entries for this schedule are limited to fees and costs approved by the court.
This may include not only your approved fees and costs, but potentially amounts approved as to a temporary guardian. If
you are the guardian of the estate only, then be sure to include any fees and/or costs allowed as to the guardian of the
person. The date of the Judgment or Order must be listed for each entry, and the total approved guardian fees and
reimbursements should be listed in line 3 of the Summary.
“Schedule B-3”, on page 3 of the form, should reflect all other fees and costs authorized by the Judgment or subsequent
Court Order. Such court-ordered disbursements may include fees allowed to an individual or institution who provided
care to the incapacitated person during the pendency of the underlying guardianship action, as well as fees charged by
physicians or psychologists who evaluated the protected person as part of the guardianship proceeding.
In some cases, after entry of the initial Judgment, the guardian will be directed or allowed to pursue specific matters such
as selling the incapacitated person’s former residence because he or she has been relocated to a skilled nursing facility.
The Order Authorizing Sale of Real Property might include an award of fees to the realtor retained to list and sell the
property, and this court-approved fee would be included in Schedule B-3. Note that if the Order Authorizing Sale of Real
Property included an additional counsel fee to an attorney or guardian ad litem appointed for the protected person, then
these amounts should be included in Schedule B-1. The total for approved disbursements is then entered on line 4 of the
Summary.
Whereas Schedules B-1 through B-3 are limited to payments specifically approved by the court,
“Schedule B-4”, on page 4 of the form, covers all other disbursements from the guardianship estate. Some disbursements,
like food and utilities, are for regular, recurring expenses. If food is purchased solely for the incapacitated person, then
the amount spent will likely vary from month to month. In this situation, the category of disbursements may be reported
on a monthly basis, but you must list check numbers and the range for dates of purchase. The following is appropriate:
# Category
Bank
Account #
Check # Payment Date Payee
Amount
Spent
1
Monthly Grocery - January
-6259
101, 105
January – December 2014
ACME/Shoprite
$293.77
2
Monthly Grocery - February
-6259
121, 124,
125
February 2014
Shoprite
$301.77
If the protected person resides with the guardian(s) as part of a family unit, then it is permissible for a set amount of the
incapacitated person’s funds to be utilized each month to cover his or her share of food purchases. In this case, for
Schedule B-4, you may report as follows:
# Category Bank
Account #
Check #
Payment Date Payee Amount Spent
1 Grocery (12 months)
-
6018
January-
December 2014
ACME/Shoprite $2,700
(12 x $225/month)
Revised 02/2017, CN 11801 (Instructions: Guardian Report - Comprehensive Accounting) Page 3
Other recurring monthly expenses, like a cell phone or cable plan, can also be reported in this manner.
# Category Bank
Account #
Check #
Payment Date Payee Amount Spent
1 Jitterbug Plus
(cell phone basic plan 29)
-6259 Auto-debit January-
December 2014
Sprint $359.88
(12 x $29.99/month)
Some disbursements will reflect occasional purchases, such as new clothes at the beginning of a season or for special
events. For these items, all fields of the Schedule B-4 should be completed, as follows:
# Category Bank
Account #
Check #
Payment Date Payee Amount
Spent
1 Clothing (winter coat, gloves,
snow boots)
-6018 103 January 2, 2014 Kohl’s $304.88
2 Clothing (sister’s wedding) -6018 134 April 2, 2014
David’s Bridal
$126.14
Keep in mind that reports are reviewed through the New Jersey Guardianship Monitoring Program. While the forms are
designed for simplicity and ease of use, if the entries are unclear or raise questions in the minds of reviewers, then you
may be asked to provide further explanation or substantiation. The B-4 total disbursements should be listed in the
Summary line 5.
Line 6 of the Summary will state the total disbursements, calculated by adding together the foregoing figures reflected on
lines 2, 3, 4 and 5.
“Schedule C” of the Summary shows cash that has come into the guardianship estate, or cash that has been paid out of the
guardianship estate, arising from principal assets. “Schedule C-1”, on page 4 of the form, seeks information regarding
sales proceeds (cash that has come into the guardianship estate), such as from the sale of a house, car, or shares of stock.
The total for C-1 sales proceeds is then given at line 7 of the Summary.
“Schedule C-2”, on page 5 of the form, addresses purchases of principal assets from the guardianship estate. Such
purchases are different than the disbursements set forth in Schedule B-4. For example, if the incapacitated person owns a
home encumbered by a mortgage, monthly mortgage payments would be listed as B-4 disbursements. If the protected
person’s existing house is sold during the guardianship, then the proceeds of that sale would be listed in C-1. If a new
house is purchased for the incapacitated person, then the purchase price for that house would be stated in C-2. The total
for C-2 purchases is inputted in the Summary, line 8.
Line 9 of the Summary will reflect the overall increase or decrease in cash for the period covered by the accounting, based
upon the figures already determined. The entry for line 9 is calculated by adding line 1 (income into the guardianship
estate) and line 7 (sales proceeds into the guardianship estate), and subtracting line 6 (disbursements paid out of the
guardianship estate) and line 8 (cash paid for purchases of principal assets).
The next entry in the Summary, in Section 2, will show total cash at the beginning of the accounting period. This figure is
determined by adding together the amounts of cash (and cash equivalents) maintained in banks or other financial
institutions as of the beginning of the reporting period. The total cash holdings in the guardianship estate should be set
forth at the bottom of “Schedule BC”, on page 2 of the form, in the bold box. The figure from the bold box is restated in
the Summary, Section 2, across from the description “Cash at the beginning of the period from Schedule BC”. Note that
you must not only provide the information identified in the table (institution name, street address, city, state, zip code,
bank account number, and amount) but also attach to the accounting copies of each statement from each depository as of
the beginning of the period covered by the accounting report. Submission of this back-up documentation is required in
order for the accounting to be complete.
There is no separate schedule that accompanies the next field of Section 2. Rather, the amount in Section 1, line 9, is
inputted across from the description “Increase (Decrease) in cash (from line 9)”.
Revised 02/2017, CN 11801 (Instructions: Guardian Report - Comprehensive Accounting) Page 4
The third and final field of Section 2 reflects the cash and cash equivalents remaining in the guardianship estate at the end
of the reporting period. In “Schedule D”, on page 5 of the form, you will list all cash and cash equivalent holdings, in the
same format as Schedule BC, but now as of the end of the accounting period. Again, you must attach to the accounting
copies of statements from each depository as of the end of the period covered by this accounting. The total cash holdings
in the guardianship estate should be set forth at the bottom of Schedule D, in the bold box, and then this figure restated in
the last field of the Summary, Part I, Section 2.
This concludes the information for the Summary, Part I, Cash. Before turning to “Part II”, however, you must complete
Schedule E on page 5 of the form, and Schedule F on page 6 of the form. These schedules are provided as tools to help
check the information being reported to the court in this accounting. By completing these schedules, you can confirm the
accuracy of your figures or identify any possible math errors or other discrepancies.
“Schedule E” is designed to show all bank account transfers during the accounting period. If you have moved funds
between accounts, such as by transferring small amounts of money held in various depositories into a single guardianship
account, then this table will reflect the movement of such funds. Disclosing this information provides transparency and
prevents future questions regarding your handling of cash in the guardianship estate.
In each row, you must provide the bank account number, date when funds were transferred into the account, transfer in
amount, date when funds were transferred out of the account, and the transfer out amount. Any fields that do not apply
should be left blank, as shown in the below example.
Bank Account #
Transfer In
Transfer Out
Date
Amount
Date
Amount
xxxxxxx-2359
1/31/2014
$5,221.76
xxxxxxx-6018
1/31/2014
$5,221.76
xxxxxxx-1314
2/1/2014
$1,088.43
xxxxxxx-6018
2/1/2014
$1,088.43
Total Transfer In
$6,310.19
Total Transfer Out
$6,310.19
The bolded box at the bottom of the column labeled “Transfer In Amount” should reflect the total funds transferred into
accounts. The bolded box at the bottom of the “Transfer Out Amount” column should show the total amount of funds
transferred out of accounts. These figures should match if all funds transferred out of accounts have been transferred into
other account(s) within the guardianship estate. Any discrepancy should be explained. For example, if you withdrew all
funds in one account for the purpose of transferring these funds into a new guardianship account, and the bank at which
you opened the new account charged an activation fee that you paid with the cash withdrawn from the prior account, then
you should note this fee and also make sure that it is reported as a disbursement in Schedule B-4.
“Schedule F” provides for reconciliation of each bank account included in the guardianship estate. In each column, you
will identify a bank account by number (or last 4 digits of account number), state the beginning balance (as shown on the
account statement attached per Schedule BC), plus the transfers into this account (per Schedule E), plus the income (per
Schedule A) and sales proceeds (per Schedule C-1) deposited into this account, minus the disbursements (per Schedule B,
including all sub-schedules) and purchases (per Schedule C-2), minus the transfers out of this account (per Schedule E),
and equaling the ending balance (as shown on the account statement attached per Schedule D). You will repeat this
process for each account included in the guardianship estate. Additional pages may be attached if necessary. In the far
right column of Schedule F, you should list the totals for each row, starting with beginning balance and continuing
through ending balance. If you have attached additional pages showing more accounts, make sure to include the figures
from those accounts when calculating the totals column.
Below Schedule F is an optional “Account Information Verification Tool” that should be used for any account for which
there are deposits in transit (not yet credited) and/or outstanding checks (delivered for payment but not cleared).
Identifying these pending amounts should clarify any apparent discrepancy as to the ending balance reflected on the most
recent bank statement.
Revised 02/2017, CN 11801 (Instructions: Guardian Report - Comprehensive Accounting) Page 5
You have now completed the portion of the Comprehensive Accounting relating to cash and cash equivalents. In Part II,
you will report as to all assets in the guardianship estate other than cash in the bank.
The first field seeks the value of assets, other than cash, as of the beginning of the accounting period. This figure is
calculated using “Schedule BA”, on page 2 of the form. Schedule BA is subdivided as to Assets and Liabilities. The top
portion, regarding assets, is further divided into categories.
The first category is real estate (or real property) in which the incapacitated person has an ownership interest. You should
list all interests in real property including real property held in common or jointly with another person or persons. If the
property is held jointly, include a description of the protected person’s interest. In the far right column, for “Beginning
Balance/Value”, report the value of the real property as of the start of the accounting period. This should be the fair
market value of the property, not the municipal tax assessed value. Although the value of real property included in the
guardianship estate must be reported, this does not mean that as guardian you must obtain a formal appraisal of the
protected person’s real estate each year. Rather, in Schedule BA, you should input a reasonable estimate of the fair
market value of each real estate asset in which the incapacitated person has an ownership interest. If an appraisal was
performed as part of the guardianship proceeding, or for purposes of preparing an initial inventory, then you may utilize
that appraisal value. Otherwise, informal resources may be consulted to determine a reasonable estimate of the fair
market value. If the incapacitated person has only a partial ownership interest, then be sure to state the value of the
incapacitated person’s interest rather than the full value of the real property.
The next subsection of Schedule BA seeks a list of the personal property of the incapacitated person, with values as to
each item listed. Personal property may include vehicles, household furnishings, jewelry, artwork, etc. You should
include a brief description of each item along with an estimated value (i.e., 2004 Subaru legacy sedan in good condition,
Kelley Blue Book value $5,860).
The last subsection of Schedule BA: “Assets” is intended to capture any assets not included in the prior categories.
Examples might include a cash reserve not maintained in a bank (i.e., $200 emergency funds at house, or $50 emergency
cash kept in wallet).
After completing these sections, add together the values for real estate, personal property, and other assets, and insert the
total value in the bolded box. This figure should represent the gross value of all assets excluding cash in the bank, as of
the beginning of the reporting period.
The final part of Schedule BA requests a report of “Liabilities”. If any asset listed in the accounting has a secured
associated debt, such as a mortgage or a car loan, such debts should be set forth in this section. Any other liabilities, such
as credit card debt incurred by the incapacitated person prior to establishment of the guardianship, should also be reported
here. Total liabilities should be calculated and stated in the bold box.
Once you have determined the Total Assets and Total Liabilities, you will subtract the liabilities from the assets and report
the remainder in the bold box at the very bottom of Schedule BA. This figure will be restated in the Summary, in the first
field for Part II.
The final schedule to be completed is “Schedule G”, on page 6 of the form, which follows the same structure as Schedule
BA but reflects the balance or value of assets, other than cash in the bank, as of the end of the accounting period. For
purposes of valuation, it is not anticipated that you will obtain a formal appraisal of any real property as of the start date
and end date of the accounting period. However, it may be appropriate in certain situations to address a substantial
change in the value of real estate or other non-cash assets. For example, if funds were expended to renovate the
incapacitated person’s house by widening doorways and installing a chair lift, then you may wish to indicate the resulting
increase or decrease in value. Similarly, you are not expected to calculate annual depreciation of the vehicle used by the
incapacitated person, but if the car was totaled in an accident then this should be reflected in Schedule G (note that any
insurance proceeds arising from loss of a principal asset should also be reported). In most guardianships, a side-by-side
comparison of Schedule BA and Schedule G will show most if not all of the same assets (unless a house or car has been
sold during the accounting period), with the same or similar values, and most if not all of the same liabilities, presumably
reduced over the accounting period.
Although supporting documentation is not required as to liabilities, you may wish to submit records substantiating any
liabilities that may seem questionable to someone reviewing the accounting. For example, it is possible that prior to the
Revised 02/2017, CN 11801 (Instructions: Guardian Report - Comprehensive Accounting) Page 6
institution of the guardianship, the incapacitated person borrowed funds from his roommate at an assisted living facility,
gradually incurring a total debt of $1,000, all of which was spent for trips to Atlantic City. After you qualified as
guardian, you confirmed the existence of this debt and negotiated with the creditor to pay back the amount owed at the
rate of $50/month. In this situation, you might attach to the accounting a document reflecting this agreement and signed
by the creditor, along with records showing payments of $600 made during this accounting period, resulting in a
remaining debt of $400.
As with Schedule BA, you will subtract the Total Liabilities from the Total Assets and then input the remainder in the
bold box at the bottom of Schedule G. Then, restate this figure in the Summary, in the second field for Part II.
To conclude Part II, subtract the Ending Assets (from Schedule G) from the Beginning Assets (from Schedule BA), and
input the result in the third field for Increase (Decrease) in assets for accounting period.
As noted at the beginning of the Report of Guardian Cover Page, you must file the original report with the Surrogate.
Remember that there is a fee of $5/page for all documents filed with the Surrogate, including the Cover Page.
Note: Reporting Period
Most guardians are directed to report annually, at or before the anniversary date of the Judgment, so most reports will
cover a 12-month period. Strict adherence to this time period may be difficult depending on the timing of the
guardianship judgment and the nature of the guardianship reporting. For example, a guardian appointed on April 13th and
required to file the Comprehensive Accounting must submit bank statements showing balances at the beginning and
ending of the accounting period, but banks may issue statements as of the first day of the month, not the 13th. A guardian
in this situation might decide to file her first accounting for the period of April 13th - March 31st, and then start the next
accounting as of the following April 1st. Even though the first accounting covers less than 12 months, this is acceptable.
After the first accounting, the guardian will file reports for a full 12-month period, with bank account statements as of the
beginning (April 1st) and end (March 31st) of each yearly period.
Revised 02/2017, CN 11801 (Guardian Report - Comprehensive Accounting) Page 7
Notice to Interested Parties: Interested parties should act to protect the welfare and/or finances of an adult
incapacitated person under legal guardianship. Within the time and in the manner provided by law, interested
parties may file a motion to object to actions taken by the guardian or to seek review of the guardianship.
Although some guardianship reports are subject to review by authorized Judiciary and/or Surrogate personnel,
interested parties remain responsible for requesting court review as to any misstatements or misconduct by a
guardian.
If you are Guardian of the Estate, Complete the Following Questions
If the Court has granted powers regarding the control and management of the incapacitated person's estate,
please provide the following information, consistent with your
order of appointment, concerning your fulfillment
of your responsibilities to the incapacitated person.
Guardian’s Name:
Docket Number:
Incapacitated Person’s Name:
A. If a bond is required, is one filed that covers this period?
Yes
No
NA
B. Have you identified, traced and collected all of the incapacitated person’s assets
since your appointment? If No, please explain.
Yes
No
NA
C. Have all of the incapacitated person's past and current state and federal tax returns
been prepared and filed and all tax payments made? If No or N/A, please explain.
Yes
No
NA
Summary
PART I. Cash
Section 1
1. Schedule A: Income
$
Schedule B: Disbursements
2. Schedule B-1: Attorney Fees & Costs
($ )
3. Schedule B-2: Guardian Fees & Reimbursements
($ )
4. Schedule B-3: Other Court Ordered Disbursements
($ )
5. Schedule B-4: All Other Disbursements
($ )
6. Total Disbursements (Add lines 2, 3, 4, & 5)
($ )
Schedule C: Principal Assets
7. Schedule C-1: Sales Proceeds
($ )
8. Schedule C-2: Purchases
($ )
9. Increase (Decrease) in cash for accounting period
(Add Lines 1 & 7 and subtract lines 6 & 8)
$
Section 2
Cash at the beginning of the period from Schedule BC
Increase (Decrease) in cash (from line 9)
Cash at the end of period (should agree with your amount listed on Schedule D)
Note: Part 1 excludes Cash on Hand listed on Schedule G (Cash on Hand listed in Part II)
Save
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Clear Form
0.00
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0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
Revised 02/2017, CN 11801 (Guardian Report - Comprehensive Accounting) Page 8
PART II. Assets, Other than Cash in Bank
Beginning assets, from Schedule BA
Ending assets, from Schedule G
Increase (Decrease) in assets for accounting period
Schedule BC: Cash at the Beginning of the Period
(Attach copies of each statement from each depository of the incapacitated person’s cash and cash equivalent
assets from the beginning of the accounting period.)
# Institution Name
Institution Address
(Street, City, State, Zip)
Bank
Account #
Amount
1
2
3
4
5
Total Cash Beginning of Period (Section 2)
Schedule BA: Beginning Assets Other than Cash in Bank
ASSETS
Real Estate
Description
Address (Street, City, State, Zip)
Beginning Balance/Value
Personal Property
Description
Beginning Balance/Value
Other Assets: (cash on hand not in bank accounts, stocks, etc.)
Description
Beginning Balance/Value
Total Assets (Real Estate, Personal Property, and Other Assets)
LIABILITIES
Description
Amount
Total Liabilities
Beginning Assets, other than cash in the bank (Assets minus Liabilities)
0.00
0.00
0.00
0.00
0.00
0.00
0.00
Revised 02/2017, CN 11801 (Guardian Report - Comprehensive Accounting) Page 9
Schedule A: Income (Do not include receipts for the sale or disposition of principal assets. Such
transactions are shown on Schedule C-1.)
Income During Period: .
#
Source of Income
(e.g. employment, social security)
Description
(e.g. number of months times dollar amount)
Deposited into
Bank Account #
Total Income
Amount
1
2
3
4
5
6
7
8
9
10
Total Income Received (Schedule A. Total on Summary, Line 1)
Schedule B-1: Attorney Fees & Costs
Bank Account # Check #
Period Covered
Payee
Court
Order Date
Amount
To
From
Total Attorney Fees & Costs (Schedule B-1. Total on Summary, Line 2)
Schedule B-2: Guardian Fees & Reimbursement
Bank Account # Check #
Period Covered
Payee
Court
Order Date
Amount
To
From
Total Guardian Fees & Reimbursements (Schedule B-2. Total on Summary, Line 3)
Schedule B-3: Other Court Ordered Disbursements
Bank Account # Check #
Period Covered
Payee
Court
Order Date
Amount
To
From
Total Other Court Ordered Disbursements (Schedule B-3. Total on Summary, Line 4)
0.00
0.00
0.00
0.00
Revised 02/2017, CN 11801 (Guardian Report - Comprehensive Accounting) Page 10
Schedule B-4: All Other Disbursements
# Category Bank Account # Check #
Payment
Date
Payee Amount
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
All Other Disbursements (Schedule B-4. Total on Summary, Line 5)
Schedule C-1: Sales Proceeds
# Full Description
Date of
Transaction
Deposited into
Account #
Sales Proceeds
1
2
3
4
5
6
7
8
9
10
Total Sales Proceeds (Schedule C-1. Total on Summary, Line 7)
0.00
0.00
Revised 02/2017, CN 11801 (Guardian Report - Comprehensive Accounting) Page 11
# Full Description
Date of
Transaction
From Account #
Purchase
Price
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
Total Purchases (Schedule C-2. Total on Summary, Line 8)
Schedule D: Cash at the End of the Period
(Attach copies of each statement from each depository of the incapacitated person’s cash and cash equivalent
# Institution Name
Institution Address
(Street, City, State, Zip)
Bank
Account #
Amount
1
2
3
4
5
6
7
8
9
10
Total Cash End of Period (Section 2)
Bank Account #
Transfer In
Transfer Out
Date
Amount
Date
Amount
Total Transfer In
Total Transfer Out
0.00
0.00
0.00
0.00
Revised 02/2017, CN 11801 (Guardian Report - Comprehensive Accounting) Page 12
Account 1
Account 2
Account 3
Totals
Bank Account Number
Beginning Balance
Plus Transfers In (Schedule E)
+
+
+
Plus Income& Sales Proceeds (total
of lines 1 and 7 on the Summary)
+
+
+
Minus Disbursements & Purchases
(total of lines 6 and 8 on the
Summary)
-
-
-
Minus Transfers Out (Schedule E)
-
-
-
Ending Balance
Bank Account Number .
Ending Balance per Bank Statement
Plus Deposits in Transit (Deposits not yet credited by date of statement)
+
Minus Outstanding Checks (Checks not yet cleared by date of statement):
Check # .
Amount $ .
Check # .
Amount $ .
Total: Outstanding Checks
-
Ending Cash Balance
ASSETS
Real Estate
Description
Address (Street, City, State, Zip)
Beginning Balance/Value
Personal Property
Description
Beginning Balance/Value
Other Assets: (cash on hand not in bank accounts, stocks, etc.)
Description
Beginning Balance/Value
Total Assets (Real Estate, Personal Property, and Other Assets)
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
Revised 02/2017, CN 11801 (Guardian Report - Comprehensive Accounting) Page 13
LIABILITIES
Description
Amount
Total Liabilities
Total Schedule G, other than cash in the bank (Assets minus Liabilities)
NOTE: The Judiciary’s Guardian Support/Guardianship Monitoring Program webpage, found at
www.njcourts.gov/guardianship, features general court information, forms, frequently asked
questions, and helpful links.
Is information of assistance, whether from the court or a community agency,
required? If Yes, please describe:
Yes No
In addition to the information provided above, the court should be aware of the following issues related
CERTIFICATION
complete and true statement of my/our activities as Guardian(s). I/we will supplement this form as may be
necessary should additional information become available. I/We am/are aware that if any of the foregoing
Date
Signature of Guardian
Print Name
If applicable: Date
Signature of Co-Guardian
Print Name
If applicable: Date
Signature of Co-Guardian
Print Name
0.00
0.00
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Instructions: Guardian Report Comprehensive Accounting Guardians of the (Cape May County)

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Completed 5 August 2020

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