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Rev. 4/25 GUARDIAN AD LITEM REPORT REGARDING AN INCAPACITATED PERSON LR29-PR00-714.10 FORM PR00-9 STATE OF INDIANA ) IN THE HAMILTON SUPERIOR COURT NO. ) SS: COUNTY OF HAMILTON ) CAUSE NO. IN THE MATTER OF THE GUARDIANSHIP OF , An incapacitated person. GUARDIAN AD LITEM REPORT submits the following report on , a proposed protected person, based on an assessment of the respondent on the day of , 20 , at . 1. Describe the nature and type of the respondent’s disability: 2. Describe the respondent’s mental and physical condition and, when it is appropriate, describe educational condition, adaptive behavior, and social skills: 3. State whether, in your opinion, the respondent is either totally incapable, or is partially capable, of making personal and financial decisions. If partially capable, state the kinds of decisions which the respondent can and cannot make. Include the reasons for this: 4. Describe the respondent’s feelings about the proposed guardianship as well as the respondent’s relationship with the potential guardian: 5. Describe the respondent’s assets and estimate the value: ---PAGE BREAK--- Rev. 4/25 6. In your opinion, is a guardianship currently necessary for the respondent? Give specific reasons for this opinion: 7. Give your opinion as to the most appropriate living arrangement for the respondent, and, if applicable describe the most appropriate treatment or habilitation plan. Give specific reasons for your opinion: 8. Additional comments: Date: Signed: Printed: Address: City/State/Zip: Phone: Email: