Letters Of Guardianship

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 7                   SUPERIOR COURT OF THE STATE OF WASHINGTON
                              IN AND FOR CLARK COUNTY
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     In the Matter of the Guardianship of:              )   Case No. _______________________
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     _________________________________                  )   LETTERS OF GUARDIANSHIP or
11                                                      )   LIMITED GUARDIANSHIP
                                                        )   (LTRGDN)
12 An Incapacitated Person.
                                                            Date letters expire _________________
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     ________________________________________________________________________
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   THESE LETTERS OF GUARDIANSHIP PROVIDE OFFICIAL VERIFICATION OF
15 THE FOLLOWING:

16 On the _____ day of ___________________, 20___ the Court appointed ______________ to

17 serve as:

18      Guardian of the Person                   Full                   Limited

19      Guardian of the Estate                   Full                  Limited
     for ________________________________, the incapacitated person, in the above referenced
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     matter.
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        The Guardian has fulfilled all legal requirements to serve, including, but not limited to:
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     Taking and filing the oath; filing any bond consistent with the court’s order; filing any blocked
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     account agreement consistent with the court’s order; and appointing a resident agent for a
24 nonresident guardian.

25      The Court, having found the Guardian duly qualified, now makes it known
26 _____________________ is authorized as the Guardian for ___________________designated
     in the Court’s order as referenced above.

     Letters of Guardianship - 1
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3       The next filing and reporting deadline in this matter is _____day of _________, 20_____.
        THESE LETTERS ARE NO LONGER VALID ON ___________________________.
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        These letters can only be renewed by a new court order. If the court grants an extension,
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     new letters will be issued.
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            WITNESS, the Honorable _________________________ of the Superior Court of
7 Clark County, State of Washington, and the seal of said Court affixed ___________ day of

8 ______________________, 20_____.

9                                        SCOTT G. WEBER
                                         Clerk of the Superior Court
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11                                       By ______________________________ , Deputy Clerk
     STATE OF WASHINGTON )
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     County of Clark     )
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             I, _________________________, Clerk of the above-entitled court, do hereby certify
14   that the foregoing letters of guardianship have been by me duly recorded as required by law,
     and that these LETTERS OF GUARDIANSHIP are a true and correct copy of the original on
15   file and recorded in this office, AND THAT THE SAME ARE STILL IN FULL FORCE AND
16   EFFECT.
             In witness whereof, I HAVE HEREUNTO SET MY HAND AND OFFICIAL SEAL of
17   the above-entitled Court this _________ day of ________________, 20__.

18                                       __________________________
19                                       Clerk of the Superior Court

20                                       By _______________________________, Deputy Clerk

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     Letters of Guardianship - 2