When completing the Disclosure Affidavit an explanation needs to be given to anything you mark "FALSE" in an attached document.

The following are examples of information required:

1. As to each felony that you have been convicted, you must say:
   1. Nature of the offense
   2. Name and address of the sentencing court
   3. Case number
   4. Date of conviction
   5. Terms of the sentence
   6. Name and telephone number of any current probation or parole officer
   7. Reasons why the conviction should not disqualify you from appointment
2. If you have acted as guardian or conservator within 3 years before filing this petition, you must say:
   1. Names of individuals for whom you are currently serving, and court case numbers
   2. Names of individuals for whom your appointment has been terminated within the 3-year period, and the court case number
3. If you do not have the required information or do not understand the powers and duties of a guardian, explain how you intend to obtain and/or understand this information
4. State the total number of persons for whom you have had power of attorney in the last 3 years.  If you have had power of attorney for the person you are trying to get guardianship of, explain:
   1. The date the power of attorney was signed
   2. Place it was signed
   3. Actions you have taken pursuant to the power of attorney
   4. Whether the power of attorney is currently in effect
5. State the reason you are listed in the Elder Abuse Registry
6. List the names and reasoning any business you one is listed in the Elder Abuse Registry
7. If you have been a guardian before and not filed an annual report/accounting on time or neglected to file:
   1. List the name and location of the court
   2. Name and case number of the files in which you were delinquent
8. If you have been removed by the Court as a guardian list:
   1. Name and location of the court
   2. Name and case number
   3. Why you were removed
9. If you or your business has received a gift(s) with a value over $100, you must state:
   1. Number of times you received a gift(s)
   2. What was the gift(s)
   3. Date of the gift(s)
   4. Value of the gift(s)
10. If you or your personal business has been named as a personal representative, trustee, or beneficiary explain the number of occasions
11. If you currently own or are involved in any business that provides housing, health care, nursing care, assisted living, etc... list the name(s) and address(es) and the extent and type of work/association with them