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Here is the text we could read:

COURT OF COMMON PLEAS
_____________ COUNTY, PENNSYLVANIA
ORPHANS' COURT DIVISION

REPORT OF GUARDIAN OF THE ESTATE

Estate of: _________________________________________________________, an Incapacitated Person

Name of Incapacitated Person

Case File No: _____________________

DATE COURT APPOINTED YOU AS GUARDIAN: _____________________________________________________

This is the Report for the period from _____________________________ to
_____________________________ (the "Report Period"); or

This is the Final Report for the period from _____________________________ to
_____________________________ (the "Report Period") and is filed for the following reason:

¨ The death of the Incapacitated Person.

Date of Death: __________________________________________

Name of Executor/Administrator: ______________________________________________________

¨ The Guardian was discharged by a court order dated: ____________________________
¨

Order for Adjudication of Capacity dated: ____________________________

Limited Duration Order Expired, dated: ____________________________

Transfer of Guardianship to: _________________________________________________________
Date of court order approving transfer: ________________________________________________

¨ ¨

PART I. INTRODUCTION

Name(s) of Guardian(s):

Is this a limited Guardianship?
Yes¨
¨ No

3. Report Period

Form G-02 (Effective January 1, 2023)

Page 1 of 10

PART II. INCOME

List all sources of income received during the Report Period:

Did the Incapacitated Person receive any of the following?

Amount During
Report Period

$ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $

Yes

No¨

Yes

No¨

Yes

No¨

Yes

No¨

Yes

No¨

Yes

No¨

Yes

No¨

Yes

No¨

Yes

No¨

Yes

No¨

Yes

No¨

Yes

No¨

Yes

No¨

TOTAL

Alimony or Support

Annuity Payments

Dividends

Interest Income

IRA Distributions

Public Assistance

Rental Property Income

Tax Refund

Trust Income

Wages

Other

Worker's Compensation Benefits

Long Term Care Insurance Benefits

Pension/Retirement Benefits (for example: 401(k), 403(b), etc.)

Yes

No¨

Royalties (including from mineral and land rights)

Yes

No¨

Social Security Benefits (Retirement, Disability, SSI)

Yes

No¨

Veterans Benefits (disability/pension/aid and attendance)

Yes

No¨

Form G-02 (Effective January 1, 2023)

Page 2 of 10

PART III. ANNUAL EXPENSES

1. List all payments made for the care and maintenance of the Incapacitated Person during the Report Period.

Expense

To Whom Was It Paid?

Total for
Report Period

$ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $

Auto Insurance

Cable/Satellite/Internet

Child/Spousal Support/Alimony

Clothing

Condo/Co-op Assessments

Debt (incurred prior to your appointment)

Entertainment

Fees/Costs Paid to Guardian

Food

Gifts - Personal or Charitable

Home Health Care/Personal Aide

Homeowners Insurance

Home/Property Maintenance & Repair

Income Taxes

Life Insurance Premiums

Medical Insurance Premiums

Medical Expenses

Medicine

Mortgage

Nursing Home/Assisted Living/Institutionalized
Care

Personal Expenses (including allowance)

Phone/Cell Phone

Real Estate Taxes

Rent

Utilities

Other

TOTAL

Form G-02 (Effective January 1, 2023)

Page 3 of 10

$ $ $ $

TOTAL $

No - Explain why court approval was not obtained:
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________

PART V. ASSETS

What was the value of the assets reported on the Inventory?

2. List any additional assets received during the Report Period? (for example: gifts, inheritance, burial account,
lawsuit recovery, etc.) Any currently held asset not previously reported must be reported regardless of when
the asset was obtained.

Description/Source

Value at the end of
Report Period

If yes, was a court order obtained?

Yes - Date of Court Order:

Yes

¨¨

¨ ¨

2. Does the Incapacitated Person have a credit card(s)?

If yes, has it been used during this report period?

What is the current balance on the credit card(s)?

PART IV. COMPARING INCOME AND EXPENSES

1. Total Income (Part II, Question 1 TOTAL):

Yes

2. Unspent Income from Previous Year (Part IV, Question 5 from Last Year's Report):

3. Add lines 1 and 2 together to calculate this year's TOTAL INCOME:

Total Expense (Part III, Question 1 TOTAL):

Subtract line 4 from line 3.
If amount is positive, enter it here to show UNSPENT INCOME, otherwise enter $0:

6. Subtract line 4 from line 3.

If amount is negative, enter it here to show PRINCIPAL SPENT, otherwise enter $0: $

Is line 6, PRINCIPAL SPENT, greater than $0?

Form G-02 (Effective January 1, 2023)

Page 4 of 10

$ $ $ $ $ $

TOTAL $

3. Where are all the assets deposited or held at the end of the Report Period?

List of Assets: Type and Location

Co-Owners

Value at the end of
Report Period

Does the incapacitated person own a house/condo/co-op?
(If yes, please make sure the property is listed under assets.)
¨
a. Address of property: ___________________________________________________________________

Yes - Answer Questions a - e

Does the Incapacitated Person live in the house/condo/co-op?

Yes

No - Explain why court approval was not obtained:
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________

$ $

If purchased during the Report Period, what was the purchase price?

If real property was sold during the Report Period, what was the sale price?

Was a court order obtained if property was purchased or sold?

Yes - Date of Court Order:

¨ ¨

5. List any assets transferred to a third party such as a spouse or child.

Asset

Transferred To

Amount

Explanation

Relationship
to IP

Order
Date

Form G-02 (Effective January 1, 2023)

Page 5 of 10

PART VI. GUARDIAN'S COMPENSATION

Did the Guardian receive compensation during the Report Period?

Yes - Complete the table below

No - Skip to Question 3

Amount

Guardian Name

Is Amount Based on
Hourly, Monthly or Annual Fee?

If Hourly,
# of Hours

Was the compensation approved by the court?

Yes - Date of Court Order:

Have you maintained a log of your activities as guardian?

Yes - Attach a copy

PART VII. ATTORNEY'S FEES

Were attorney's fees paid during the Report Period?

Yes - Complete the table below

No - Skip to Part VIII

Amount

Name of Counsel

Hourly Rate

# of Hours Order Date or Reason Not Approved

$ $ $

Form G-02 (Effective January 1, 2023)

Page 6 of 10

$ $ $ $ $ $ $ $ $

¨ ¨

$ $ $

The Guardian acts as the representative payee. If you were required to provide a report to the SSA during
this Report Period, please attach a copy.

The Guardian is not the representative payee for SSA benefits. The payee is _______________________.

1b.

Veterans Administration (VA) Benefits

The Incapacitated Person does not receive VA benefits.

The Guardian acts as the fiduciary. If you were required to provide a report to the VA during this Report
Period, please attach a copy.

The Guardian is not the fiduciary for VA benefits. The fiduciary is _______________________.

PART IX. SURETY INFORMATION

Was a surety bond required?

$
Yes - In what amount

- and then answer Questions a - b.

No - The court waived a surety bond, skip to Question 2.

a. Is the surety bond still in effect?

No - Provide an explanation as to why not.

__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________

Is the value of the estate at the end of the Report Period greater than the amount reported at the end of
the prior report period?

¨ ¨ ¨

¨ ¨

Yes

¨ ¨

Yes

¨ ¨

PART VIII. REPRESENTATIVE PAYEE

1a.

Social Security Administration (SSA) Benefits

The Incapacitated Person does not receive SSA benefits.

If yes, has the amount of the surety bond been increased?

Yes. To what amount:

¨ ¨

Form G-02 (Effective January 1, 2023)

Page 7 of 10

PART X. GUARDIAN INFORMATION

1. During this Report Period, did any guardian participate in guardianship training?

Provider

Training Description

If yes, provide the following information:

Guardian Name

Dates of Training

Starting

Ending

Yes

¨ ¨

2. If you are a professional guardian, agency or an attorney serving as guardian, do you have

professional/guardian liability insurance that covers theft?

a. Are the coverage limits greater than the assets (Part V, Question 3 TOTAL)?

b. Describe the deductible and any exclusions.

Yes

¨¨

Yes - Answer Question a and b.

No - Skip to Part X.

N/A¨

¨ ¨

During this Report Period, have any judgments been filed against any guardian, or has any guardian filed for
bankruptcy protection?

Yes - Please describe

Guardian Name
___________________ ________________________________________________________________
___________________ ________________________________________________________________

Description

3. During this Report Period, was any guardian charged with or convicted of a crime?

Yes - Please describe

Guardian Name
___________________ ________________________________________________________________
___________________ ________________________________________________________________

Description

Form G-02 (Effective January 1, 2023)

Page 8 of 10

4. Is there any reason any guardian cannot continue to serve as guardian?

Guardian Name Description
___________________ ________________________________________________________________
___________________ ________________________________________________________________

PART XI. SUMMARY

If this is the first annual report, state the value of the assets reported on the Inventory.
(Use amount from Part V, Question 1 of this Report.) (principal)

If this is not the first annual report, state the Total Assets (principal) from the prior Report.
(Use TOTAL amount from Part V, Question 3 of prior Report.)

What was the total income received during the Report Period?
(Use the amount from Part IV, Question 3 of this Report.)

What is the total amount of Expenses paid during the Report Period?
(Use the amount from Part III, Question 1 of this Report.)

What are the Total Assets remaining at the end of the Report Period?
(Use the amount from Part V, Question 3 of this Annual Report.)

What is the Unspent Income at the end of the Report Period?
(Use the amount from Part IV, Question 5 of this Report.)

Form G-02 (Effective January 1, 2023)

Page 9 of 10

I verify that the foregoing information is correct to the best of my knowledge, information and belief; and that
this verification is subject to the penalties of 18 Pa.C.S. §4904 relative to unsworn falsification to authorities.

I further acknowledge the Notice of Filing must be served within 10 days of the filing of this report pursuant

to Pa.R.O.C.P. 14.8(b). Service shall be in accordance with Pa.R.O.C.P. 4.3.

Date

Signature of Guardian of the Estate

Name of Guardian of the Estate (type or print)

Address

City, State, Zip

Home Phone Number

Office Phone Number

Cell Phone Number

Address

City, State, Zip

Home Phone Number

Office Phone Number

Cell Phone Number

Date

Signature of Co-Guardian of the Estate (if applicable)

Name of Co-Guardian of the Estate (type or print)

Form G-02 (Effective January 1, 2023)

Page 10 of 10

(Untitled)

This info page is part of the LIT Lab's Form Explorer project. It is not associated with the Pennsylvania state courts. To learn more about the project, check out our about page.

Downloads: You can download both the original form (last checked 2023-03) and the machine-processed form with normalized data fields.

About This Form:

Sourced from www.pacourts.us (2023-03)
Page(s): 10
Fields(s): 363
Average fields per page: 36
Reading Level: Grade 7
LIST Grouping(s): GO-00-00-00-00.

Use our Rate My PDF tool to learn more. Go beyond the above insights and learn more about this or any pdf form at RateMyPDF.com, includes: counts of difficult words used, passive voice decetion, and suggestions for how to make the form more usable.

Identified Data Fields:

We have done our best to automaticly identify and name form fields according to our naming conventions. When possible, we've used names tied to our question library. See e.g., user1_name. If we think we've found a match to a question in our library, it is highlighted in green. Novel names are auto generated. So, you will probably need to edit some of them if you're trying to stick to the convention.

Here are the fields we could identify.

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hourly_hours__3 was If Hourly of Hours_3 (0.30 conf)
pg_amount__4 was pg6Amount_4 (0.36 conf)
guardian_name__4 was Guardian Name_4 (0.43 conf)
hourly_monthly_annual_fee__4 was Is Amount Based on Hourly Monthly or Annual Fee_4 (0.29 conf)
hourly_hours__4 was If Hourly of Hours_4 (0.30 conf)
pg_amount__5 was pg6Amount_5 (0.36 conf)
guardian_name__5 was Guardian Name_5 (0.43 conf)
hourly_monthly_annual_fee__5 was Is Amount Based on Hourly Monthly or Annual Fee_5 (0.29 conf)
hourly_hours__5 was If Hourly of Hours_5 (0.30 conf)
pg_amount__6 was pg6Amount_6 (0.36 conf)
guardian_name__6 was Guardian Name_6 (0.43 conf)
hourly_monthly_annual_fee__6 was Is Amount Based on Hourly Monthly or Annual Fee_6 (0.29 conf)
hourly_hours__6 was If Hourly of Hours_6 (0.30 conf)
pg_amount__7 was pg6Amount_7 (0.36 conf)
guardian_name__7 was Guardian Name_7 (0.43 conf)
hourly_monthly_annual_fee__7 was Is Amount Based on Hourly Monthly or Annual Fee_7 (0.29 conf)
hourly_hours__7 was If Hourly of Hours_7 (0.30 conf)
pg_amount__8 was pg6Amount_8 (0.36 conf)
guardian_name__8 was Guardian Name_8 (0.43 conf)
hourly_monthly_annual_fee__8 was Is Amount Based on Hourly Monthly or Annual Fee_8 (0.29 conf)
hourly_hours__8 was If Hourly of Hours_8 (0.30 conf)
pg_amount__9 was pg6Amount_9 (0.36 conf)
guardian_name__9 was Guardian Name_9 (0.43 conf)
hourly_monthly_annual_fee__9 was Is Amount Based on Hourly Monthly or Annual Fee_9 (0.29 conf)
hourly_hours__9 was If Hourly of Hours_9 (0.30 conf)
pg_p_q__2 was Pg6P6Q2Y (0.39 conf)
pg_p_q_court_order was Pg6PQ2CourtOrder (0.47 conf)
pg_p_q_n__2 was Pg6P6Q2N (0.34 conf)
pg_q_nline__1 was Pg6Q2Nline1 (0.34 conf)
pg_q_nline__2 was Pg6Q2Nline2 (0.34 conf)
pg_q_nline__3 was Pg6Q2Nline3 (0.34 conf)
pg_p_q__3 was Pg6P6Q3Y (0.37 conf)
pg_p_q_n__3 was Pg6P6Q3N (0.37 conf)
pg_p_q__4 was Pg6P7Q1Y (0.39 conf)
pg_p_q_n__4 was Pg6P7Q1N (0.34 conf)
pg_part_amount_row__1 was Pg6Part7AmountRow1 (0.38 conf)
pg_part_name_counsel_row__1 was Pg6Part7Name of CounselRow1 (0.36 conf)
pg_part_hourly_rate_row__1 was Pg6Part7Hourly RateRow1 (0.31 conf)
pg_part_hours_row__1 was Pg6Part7 of HoursRow1 (0.36 conf)
order_date_reason_approved_row__1 was Pg6Part7Order Date or Reason Not ApprovedRow1 (0.36 conf)
pg_part_amount_row__2 was Pg6Part7AmountRow2 (0.38 conf)
pg_part_name_counsel_row__2 was Pg6Part7Name of CounselRow2 (0.36 conf)
pg_part_hourly_rate_row__2 was Pg6Part7Hourly RateRow2 (0.31 conf)
pg_part_hours_row__2 was Pg6Part7of HoursRow2 (0.38 conf)
order_date_reason_approved_row__2 was Pg6Part7Order Date or Reason Not ApprovedRow2 (0.36 conf)
pg_part_amount_row__3 was Pg6Part7AmountRow3 (0.38 conf)
pg_part_name_counsel_row__3 was Pg6Part7Name of CounselRow3 (0.36 conf)
pg_part_hourly_rate_row__3 was Pg6Part7Hourly RateRow3 (0.31 conf)
pg_part_hours_row__3 was Pg6Part7of HoursRow3 (0.38 conf)
order_date_reason_approved_row__3 was Pg6Part7Order Date or Reason Not ApprovedRow3 (0.36 conf)
pg_part__6 was Pg7Part81a1 (0.35 conf)
pg_part__7 was Pg7Part81a2 (0.35 conf)
pg_part__8 was Pg7Part81a3 (0.35 conf)
payee_name was PayeeName (0.39 conf)
pg_part_b__1 was Pg7Part81b1 (0.35 conf)
pg_part_b__2 was Pg7Part81b2 (0.35 conf)
pg_part_b__3 was Pg7Part81b3 (0.35 conf)
guardian_fiduciary_v_benefits_payee was The Guardian is not the fiduciary for VA benefits The payee is (0.35 conf)
pg_part__9 was Pg7Part91Y (0.36 conf)
pg_part_amount was Pg7Part91Amount (0.38 conf)
pg_part_n__1 was Pg7Part91N (0.43 conf)
pg_part__10 was Pg7Part91aY (0.36 conf)
pg_part_n__2 was Pg7Part91aN (0.43 conf)
undefined__1 was undefined_19 (0.39 conf)
1_2 was 1_2 (0.38 conf)
2_2 was 2_2 (0.38 conf)
pg_part_b__4 was Pg7Part91bY (0.36 conf)
pg_part_b_n__1 was Pg7Part91bN (0.43 conf)
pg_part_b__5 was Pg7Part91b2Y (0.36 conf)
undefined__2 was undefined_20 (0.39 conf)
pg_part_b_n__2 was Pg7Part91b2N (0.43 conf)
pg_part__11 was Pg8Part92Y (0.36 conf)
pg_part_n__3 was Pg8Part92N (0.43 conf)
pg_part_na was Pg8Part92NA (0.43 conf)
pg_part_n_aay was Pg8Part92NAay (0.41 conf)
pg_part_n_aa was Pg8Part92NAaN (0.46 conf)
pg_part_b_describe__1 was Pg8Part92bDescribe1 (0.35 conf)
pg_part_b_describe__2 was Pg8Part92bDescribe2 (0.35 conf)
pg_part_b_describe__3 was Pg8Part92bDescribe3 (0.35 conf)
pg_part_yes was Pg8Part101Yes (0.45 conf)
pg_part__12 was Pg8Part101No (0.45 conf)
x_guardian_name_row__1 was XGuardian NameRow1 (0.47 conf)
dates_training_starting_row__1 was Dates of Training Starting EndingRow1 (0.28 conf)
dates_training_starting_row__2 was Dates of Training Starting EndingRow1_2 (0.33 conf)
x_provider_row__1 was XProviderRow1 (0.37 conf)
x_training_description_row__1 was XTraining DescriptionRow1 (0.39 conf)
x_guardian_name_row__2 was XGuardian NameRow2 (0.47 conf)
dates_training_starting_row__3 was Dates of Training Starting EndingRow2 (0.28 conf)
dates_training_starting_row__4 was Dates of Training Starting EndingRow2_2 (0.33 conf)
x_provider_row__2 was XProviderRow2 (0.37 conf)
x_training_description_row__2 was XTraining DescriptionRow2 (0.39 conf)
x_guardian_name_row__3 was XGuardian NameRow3 (0.47 conf)
dates_training_starting_row__5 was Dates of Training Starting EndingRow3 (0.28 conf)
dates_training_starting_row__6 was Dates of Training Starting EndingRow3_2 (0.33 conf)
x_provider_row__3 was XProviderRow3 (0.37 conf)
x_training_description_row__3 was XTraining DescriptionRow3 (0.39 conf)
x_guardian_name_row__4 was XGuardian NameRow4 (0.47 conf)
dates_training_starting_row__7 was Dates of Training Starting EndingRow4 (0.28 conf)
dates_training_starting_row__8 was Dates of Training Starting EndingRow4_2 (0.33 conf)
x_provider_row__4 was XProviderRow4 (0.37 conf)
x_training_description_row__4 was XTraining DescriptionRow4 (0.39 conf)
pg_part_x_yes__1 was Pg8PartX2Yes (0.38 conf)
pg_part_x__1 was Pg8PartX2No (0.38 conf)
x_guardian_name__1 was X2Guardian Name 1 (0.44 conf)
x_description__1 was X2Description 1 (0.36 conf)
x_guardian_name__2 was X2Guardian Name 2 (0.44 conf)
x_description__2 was X2Description 2 (0.36 conf)
pg_part_x_yes__2 was Pg8PartX3Yes (0.38 conf)
pg_part_x__2 was Pg8PartX3No (0.38 conf)
x_guardian_name__3 was X3Guardian Name 1 (0.44 conf)
x_description__3 was X3Description 1 (0.36 conf)
x_guardian_name__4 was X3Guardian Name 2 (0.44 conf)
x_description__4 was X3Description 2 (0.36 conf)
pg_guardian_name__1 was Pg9Guardian Name 1 (0.43 conf)
pg_description__1 was Pg9Description 1 (0.45 conf)
pg_guardian_name__2 was Pg9 Guardian Name 2 (0.43 conf)
pg_description__2 was Pg9Description 2 (0.45 conf)
pg_part_q__3 was Pg9Part11Q1 (0.34 conf)
pg_part_q__4 was Pg9Part11Q2 (0.34 conf)
pg_part_q__5 was Pg9Part11Q3 (0.35 conf)
pg_part_q__6 was Pg9Part11Q4 (0.39 conf)
pg_part_q__7 was Pg9Part11Q5 (0.36 conf)
pg_part_q__8 was Pg9Part11Q6 (0.39 conf)
last_page_date__1 was LastPageDate1 (0.38 conf)
signature_guardian_estate was Signature of Guardian of the Estate1 (0.40 conf)
last_page_type_name_guardian was LastPageTypeOrPrintNameOfGuardianOftheEstate (0.44 conf)
last_page_city_state_zip__1 was LastPageCityStateZip (0.38 conf)
last_page_home_phone_number__1 was LastPageHomePhoneNumber (0.43 conf)
last_page_office_phone_number__1 was LastPageOfficePhoneNumber (0.35 conf)
last_page_cell_phone_number__1 was LastPageCellPhoneNumber (0.32 conf)
last_page_signature was LastPageSignatureCoGuardianofEstateifapplicable (0.40 conf)
last_page_name_guardian_estate was LastPageNameCoGuardianOfEstate (0.42 conf)
last_page_address__1 was LastPageAddress_2 (0.31 conf)
last_page_city_state_zip__2 was LastPageCity State Zip_2 (0.38 conf)
last_page_home_phone_number__2 was LastPageHome Phone Number_2 (0.47 conf)
last_page_office_phone_number__2 was LastPageOffice Phone Number_2 (0.35 conf)
last_page_cell_phone_number__2 was LastPageCell Phone Number_2 (0.36 conf)
last_page_email__1 was LastPageEmail_2 (0.37 conf)
last_page_address__2 was LastPageAddress (0.33 conf)
last_page_email__2 was LastPageEmail (0.33 conf)
last_page_date__2 was LastPageDate2 (0.38 conf)

We've done our best to group similar variables togther to avoid overwhelming the user.

Suggested Screen 0:

county
name_incapacited_person
case_file
date_court_appointed
names_guardians
c_b_pg_q__1
c_b_pg_q__2
check_box__1
pg_reportperiodfrom
pg_reportperiodto
check_box_b
pg_final_reportperiodfrom
pg_final_reportperiodto
check_box__2
dateof_death
name_executor_administrator
check_box__3
date_guardian_discharged
check_box__4
date_adjudication_capacity
check_box__5
limited_duration_order_exp
check_box__6
nameof_new_guardian
date_order_approving_transfer
cb_pg_line__1
cb_pg_line_n__1
amount_line__1
cb_pg_line__2
cb_pg_line_n__2
amount_line__2
cb_pg_line__3
cb_pg_line_n__3
amount_line__3
cb_pg_line__4
cb_pg_line_n__4
amount_line__4
cb_pg_line__5
cb_pg_line_n__5
amount_line__5
cb_pg_line__6
cb_pg_line_n__6
amount_line__6
cb_pg_line__7
cb_pg_line_n__7
amount_line__7
cb_pg_line__8
cb_pg_line_n__8
amount_line__8
cb_pg_line__9
cb_pg_line_n__9
amount_line__9
cb_pg_line__10
cb_pg_line_n__10
amount_line__10
cb_pg_line__11
cb_pg_line_n__11
amount_line__11
cb_pg_line__12
cb_pg_line_n__12
amount_line__12
cb_pg_line__13
cb_pg_line_n__13
amount_line__13
cb_pg_line__14
cb_pg_line_n__14
amount_line__14
cb_pg_line__15
cb_pg_line_n__15
amount_line__15
cb_pg_line__16
cb_pg_line_n__16
amount_line__16
cb_pg_line__17
cb_pg_line_n__17
amount_line__17
amount_report_period_total
p_line__1
p_line_total__1
p_line__2
p_line_total__2
p_line__3
p_line_total__3
p_line__4
p_line_total__4
p_line__5
p_line_total__5
p_line__6
p_line_total__6
p_line__7
p_line_total__7
p_line__8
p_line_total__8
p_line__9
p_line_total__9
p_line__10
p_line_total__10
p_line__11
p_line_total__11
p_line__12
p_line_total__12
p_line__13
p_line_total__13
p_line__14
p_line_total__14
p_line__15
p_line_total__15
p_line__16
p_line_total__16
p_line__17
p_line_total__17
p_line__18
p_line_total__18
p_line__19
p_line_total__19
p_line__20
p_line_total__20
p_line__21
p_line_total__21
p_line__22
p_line_total__22
p_line__23
p_line_total__23
p_line__24
p_line_total__24
p_line__25
p_line_total__25
p_line__26
p_line_total__26
p_total_lines
cb_pg_line__18
cb_pg_line_n__18
cb_pg_line__19
cb_pg_line_n__19
pg_cc_balance
pg_total_income
pg_part__1
pg_part__2
pg_part__3
pg_part__4
pg_part__5
pg_part_q__1
pg_part_q_n
pg_part_q_yco
yes_date_court_order
pg_part_q_nco
pg_part_q_line__1
pg_part_q_line__2
pg_part_q_line__3
pg_part_q__2
description_source_row__1
pg_part_val__1
description_source_row__2
pg_part_val__2
description_source_row__3
pg_part_val__3
description_source_row__4
pg_part_val__4
pg_part_total_value
list_assets_type_location_row__1
co_owners_row__1
pg_value__1
list_assets_type_location_row__2
co_owners_row__2
pg_value__2
list_assets_type_location_row__3
co_owners_row__3
pg_value__3
list_assets_type_location_row__4
co_owners_row__4
pg_value__4
list_assets_type_location_row__5
co_owners_row__5
page_value__1
list_assets_type_location_row__6
co_owners_row__6
page_value__2
total_values
pg_q__1
pg_q_n
pg_address
pg_q_b
pg_q_b_n
pg_q_c
pg_q__2
pg_q_e
pg_e_yes_date_court_order
pg_q_e_n
explain_approval_obtained
pg_e_n_explain__1
pg_e_n_explain__2
asset_row__1
transferred_row__1
relationship_ip_row__1
amount__1
order_date__1
explanation__1
asset_row__2
transferred_row__2
relationship_ip_row__2
amount__2
order_date__2
explanation__2
asset_row__3
transferred_row__3
relationship_ip_row__3
amount__3
order_date__3
explanation__3
pg_p_q__1
pg_p_q_n__1
pg_amount__1
guardian_name__1
hourly_monthly_annual_fee__1
hourly_hours__1
pg_amount__2
guardian_name__2
hourly_monthly_annual_fee__2
hourly_hours__2
pg_amount__3
guardian_name__3
hourly_monthly_annual_fee__3
hourly_hours__3
pg_amount__4
guardian_name__4
hourly_monthly_annual_fee__4
hourly_hours__4
pg_amount__5
guardian_name__5
hourly_monthly_annual_fee__5
hourly_hours__5
pg_amount__6
guardian_name__6
hourly_monthly_annual_fee__6
hourly_hours__6
pg_amount__7
guardian_name__7
hourly_monthly_annual_fee__7
hourly_hours__7
pg_amount__8
guardian_name__8
hourly_monthly_annual_fee__8
hourly_hours__8
pg_amount__9
guardian_name__9
hourly_monthly_annual_fee__9
hourly_hours__9
pg_p_q__2
pg_p_q_court_order
pg_p_q_n__2
pg_q_nline__1
pg_q_nline__2
pg_q_nline__3
pg_p_q__3
pg_p_q_n__3
pg_p_q__4
pg_p_q_n__4
pg_part_amount_row__1
pg_part_name_counsel_row__1
pg_part_hourly_rate_row__1
pg_part_hours_row__1
order_date_reason_approved_row__1
pg_part_amount_row__2
pg_part_name_counsel_row__2
pg_part_hourly_rate_row__2
pg_part_hours_row__2
order_date_reason_approved_row__2
pg_part_amount_row__3
pg_part_name_counsel_row__3
pg_part_hourly_rate_row__3
pg_part_hours_row__3
order_date_reason_approved_row__3
pg_part__6
pg_part__7
pg_part__8
payee_name
pg_part_b__1
pg_part_b__2
pg_part_b__3
guardian_fiduciary_v_benefits_payee
pg_part__9
pg_part_amount
pg_part_n__1
pg_part__10
pg_part_n__2
undefined__1
1_2
2_2
pg_part_b__4
pg_part_b_n__1
pg_part_b__5
undefined__2
pg_part_b_n__2
pg_part__11
pg_part_n__3
pg_part_na
pg_part_n_aay
pg_part_n_aa
pg_part_b_describe__1
pg_part_b_describe__2
pg_part_b_describe__3
pg_part_yes
pg_part__12
x_guardian_name_row__1
dates_training_starting_row__1
dates_training_starting_row__2
x_provider_row__1
x_training_description_row__1
x_guardian_name_row__2
dates_training_starting_row__3
dates_training_starting_row__4
x_provider_row__2
x_training_description_row__2
x_guardian_name_row__3
dates_training_starting_row__5
dates_training_starting_row__6
x_provider_row__3
x_training_description_row__3
x_guardian_name_row__4
dates_training_starting_row__7
dates_training_starting_row__8
x_provider_row__4
x_training_description_row__4
pg_part_x_yes__1
pg_part_x__1
x_guardian_name__1
x_description__1
x_guardian_name__2
x_description__2
pg_part_x_yes__2
pg_part_x__2
x_guardian_name__3
x_description__3
x_guardian_name__4
x_description__4
pg_guardian_name__1
pg_description__1
pg_guardian_name__2
pg_description__2
pg_part_q__3
pg_part_q__4
pg_part_q__5
pg_part_q__6
pg_part_q__7
pg_part_q__8
last_page_date__1
signature_guardian_estate
last_page_type_name_guardian
last_page_city_state_zip__1
last_page_home_phone_number__1
last_page_office_phone_number__1
last_page_cell_phone_number__1
last_page_signature
last_page_name_guardian_estate
last_page_address__1
last_page_city_state_zip__2
last_page_home_phone_number__2
last_page_office_phone_number__2
last_page_cell_phone_number__2
last_page_email__1
last_page_address__2
last_page_email__2
last_page_date__2

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The Legal Innovation & Technology Lab's Form Explorer ^Beta @ Suffolk Law School Last updated 2023-04-02