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APPLICATION/APPOINTMENT OF TEMPORARY GUARDIAN PC-504 REV. 10/09 STATE OF CONNECTICUT COURT OF PROBATE Type or print in black ink. RECORDED(CONFIDENTIAL VOLUME): TO: COURT OF PROBATE, DISTRICT OF IN

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What is form pc-504ar applicationappointment of?

Form PC-504AR Application/Appointment is a form used to apply for or appoint a representative payee to manage Social Security or Supplemental Security Income (SSI) benefits on behalf of a minor or an adult incapable of managing their own funds.

Who is required to file form pc-504ar applicationappointment of?

The form must be filed by individuals who want to apply for or appoint a representative payee for someone who is receiving Social Security or SSI benefits and is unable to manage their own funds.

How to fill out form pc-504ar applicationappointment of?

To fill out Form PC-504AR Application/Appointment, you need to provide information about the person receiving benefits, the representative payee being appointed, relationships, and reasons for the appointment. The form should be completed accurately and signed by all relevant parties.

What is the purpose of form pc-504ar applicationappointment of?

The purpose of the form is to establish and document the appointment of a representative payee who will act as a fiduciary and manage Social Security or SSI benefits for an individual who is unable to do so themselves.

What information must be reported on form pc-504ar applicationappointment of?

The form requires reporting of personal information about the person receiving benefits, their relationship to the representative payee, details about the representative payee, and reasons for the appointment.

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