Maryland Guardianship Form 3Maryland Guardianship Form 3Maryland Guardianship Form 3
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Circuit Court for

Case No.
City or County

In the Matter of
Name of person for whom guardianship is sought

Petitioner:
Street Address

Apt #

(
City

State

Zip Code

PO Box

)
Area
Code

Telephone

ANNUAL REPORT OF GUARDIAN OF THE PERSON
I,

, make this annual report for the period from
to
Date

.
Date

1.

The permanent residence of the disabled person:

2.

The disabled person currently resides or is physically present in:
own home
nursing home
foster/boarding home
other

guardian's home
hospital or medical facility
relative's home:
Name
Relationship

State the name of facility (if applicable):
(If other than disabled person's permanent home, state the name and address of the place where the
disabled person lives
)
3.

The disabled person/minor child has been in the current location since
If the person has moved within the past year, the reasons for the change are:

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CC-DR 93
(7/2009)

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