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STATE OF INDIANA ) IN THE BROWN CIRCUIT COURT ) SS: COUNTY OF BROWN ) CAUSE NO. IN RE GUARDIAN’S REPORT Accounting Period: , 20___ to Please describe the Minor Child’s/Protected Person’s progress/condition since your last report: 1. Minor Child’s/Protected Person’s assets at Beginning of Accounting Period: 2. Total income received by or on behalf of Minor Child/Protected Person: Source of Income: Social Disability Child Other 3. Total expenditures on behalf of Minor Child/Protected Person: Type of Expenses: Food Clothing Activities School Medical Other 4. Total assets at end of accounting period: I/we affirm under the penalties for perjury that the foregoing representations are true. Guardian or Co-Guardian Guardian or Co-Guardian