HCMH /

Summary of the Case

1. MIP (a)
(b)
(c)

(d)

Name:
Age:
Residing at:
Medical condition:

2. Committee (a) Name:

(b) Relationship with MIP:
3. Order of Appointment
4. Steps to be taken
under the Order
with specific
deadlines

(a) Date:
(b) The Judge:
(a)

(b)
(c)

(d)

Para. ____: To file the 1st annual account on or

before ___________.
To sell property for $_____________________ .
To report on sale of property by _______________.___.
Para. ______ : To _____________________ on or
.Before __________________________.

5. Financial Position of the MIP estate as on the date of appointment

Total net value: $_______________
(a) Assets
$

1. Bank accounts
(1)
(2)
2. Shares/Equity/Bonds/Funds
(1)
(2)

_______________

3. Land Properties
(1)
(2)

_______________

4. Items in Safe Deposit Box(es)

(1)
(2)

_______________

__________________________________

Summary of the Case

(b) Liabilities

1. Bank(s)
2. Family member(s) and friends
3.

Others

(c) Monthly income $ __________________________, comprising mainly of

_______________________________________________________.

(d) Monthly expenditure $ ________________________, comprising mainly of

________________________________________________________.