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Difference between revisions of "Adult Guardianship (15:V)"

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== A. Patients Property Act: Court-Ordered Committeeship ==
== A. Patients Property Act: Court-Ordered Committeeship ==
A court may appoint a committee to manage a patient’s affairs (the estate), their person or both.  A court-ordered committeeship and its application is a Supreme Court procedure: provincial courts do not have jurisdiction in this regard.
A court may declare a person incapable of managing their affairs, their person, or both.  Upon making the declaration, the appointment of a committee of estate and/or person is required to allow decisions to be made on behalf of the person.  A court-ordered committee and its application is a Supreme Court procedure: provincial courts do not have jurisdiction in this regard.


Section 1 of the PPA provides the following definitions:
Section 1 of the PPA provides the following definitions:
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A committee of the person can only be appointed by the court.  
A committee of the person can only be appointed by the court.  


A patient may have either a committee of the estate, a committee of the person, or both. Usually, but not always, a person who is incapable of managing their personal health care decisions is also incapable of handling financial and legal decisions.  Therefore, a committee of the person is frequently coupled with a committee of the estate.  It may be that the same individual is appointed to a committeeship comprising both estate and person, or it may be that separate individuals are appointed to each committeeship.  
A patient may have either a committee of the estate, a committee of the person, or both. It may be that the same individual is appointed to a committeeship comprising both estate and person, or it may be that separate individuals are appointed to each committeeship.  


=== 2. The Court Ordered Committeeship Process ===
=== 2. The Court Ordered Committee Process ===
There are two steps involved in appointing a committee for an individual who is incapable:
There are two steps involved in appointing a committee for an individual who is incapable:


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==== a) Declaration of Patient Incapability ====
==== a) Declaration of Patient Incapability ====
An individual must be declared incapable of managing their affairs (either financial, personal, or both) before the court can appoint a committee.  
An individual must be declared incapable of managing their affairs before a committee of estate can be appointed.  Similarly, a person must be declared incapable of managing themselves before a committee of person is appointed.  


1. Section 2 of the ''PPA'' provides that the Attorney General, a near relative or the subject, or any other person may file an application to the court for an order declaring incapability.  
1. Section 2 of the ''PPA'' provides that the Attorney General, a near relative or the subject, or any other person may file an application to the court for an order declaring incapability. Supreme Court Civil Rules (Rules) R. 2-1(2)(e) states that, unless R. 17-1 applies, guardianship proceedings must be commenced by way of petition.


2. The court will then consider the affidavits of two medical practitioners who provide their opinion on the incapacity of the subject. The medical practitioners must be members of the BC College of Physicians and Surgeons.
2. The court will then consider the affidavits of two medical practitioners who provide their opinion on the incapacity of the subject. The medical practitioners must be members of the BC College of Physicians and Surgeons.
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4. The court then may decide whether the subject is incapable based on the affidavit material before it on the application, or it may proceed:
4. The court then may decide whether the subject is incapable based on the affidavit material before it on the application, or it may proceed:


a) To direct the issue to be tried, following the Supreme Court Civil Rules
a) By converting the petition into an action. The test for determining whether a petition is to be tried was recently reviewed and amended in ''Cepuran v. Carlton'', 2022 BCCA 76. The court clarified that “a judge hearing a petition proceeding that raises triable issues is not required to refer the matter to trial. The judge has discretion to do so or to use hybrid procedures within the petition proceeding itself to assist in determining the issues, pursuant to R. 16-1(18) and R. 22-1(4)” (para 160). There are no determinative factors for referring a matter to trial; rather, the courts have discretion on a case-by-base basis to determine whether a proceeding is suitable for trial.


b) By order, to require the person to undergo an additional examination with either:
b) By order, to require the person to undergo an additional examination with either:
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ii) A board of 3 or more medical practitioners designated by the College of Physicians and Surgeons of British Columbia at the request of the court
ii) A board of 3 or more medical practitioners designated by the College of Physicians and Surgeons of British Columbia at the request of the court
This additional examination can be requested by the patient and cannot be refused by the court unless the court believes the patient is not mentally competent to form and express the request (''PPA'' s 5)
'''NOTE:'''  It is very rare for the issue to be tried, and the court will most commonly opt to order another assessment if the medical affidavit evidence is disputed.
5. Notice of the application to the courts must be personally served on the subject '''not less than 10 days prior''' to the date of the application hearing.  See s 2(2) of the ''PPA''.  This requirement may be waived if the court is satisfied that to serve notice of the application would injure the subject’s health, or would otherwise be inadvisable in the interests of the subject.  
5. Notice of the application to the courts must be personally served on the subject '''not less than 10 days prior''' to the date of the application hearing.  See s 2(2) of the ''PPA''.  This requirement may be waived if the court is satisfied that to serve notice of the application would injure the subject’s health, or would otherwise be inadvisable in the interests of the subject.  


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• Notice of Application to Appoint a Committee (''PPA Rules'', Rule 2(2))<br>
• Notice of Application to Appoint a Committee (''PPA Rules'', Rule 2(2))<br>


• Chamber Order to Appoint a Committee
• Chamber Order to Appoint a Draft Order


While it is not required to include consent of the next of kin, it is recommended. See below.
While it is not required to include consent of the next of kin, it is recommended. See below.


==== b) Resisting a Declaration of Incapability ====
==== b) Resisting a Declaration of Incapability ====
If the subject of the application wishes to oppose it, they are well advised to have a lawyer for the application hearing.
If the subject of the application wishes to oppose it, they are entitled to be represented at the hearing either in person or through counsel.


==== c) Challenging Affidavits ====
==== c) Challenging Affidavits ====
The affidavits of the medical practitioners may be challenged.  Under the ''PPA'', s 5(2), the judge may order that the subject be examined by one or more duly qualified medical practitioners other than those whose affidavits were before the court.  The judge may also order an examination by a board of three or more duly qualified medical practitioners designated by BC’s College of Physicians and Surgeons. The medical affidavits provided should not be older than 6 months, and should clearly lay out the diagnosis, clinical findings and prognosis of the patient.  
The medical affidavits provided should not be older than six months, and should clearly lay out the diagnosis, clinical findings, and prognosis of the patient.  Under the ''PPA'', s 5(2), the judge may order that the subject be examined by one or more duly qualified medical practitioners other than those whose affidavits were before the court.  The judge may also order an examination by a board of three or more duly qualified medical practitioners designated by BC’s College of Physicians and Surgeons.  


Section 5(3) of the ''PPA'' provides that the judge must order such an examination if the subject asks unless the court or judge is satisfied that the person is not mentally competent to form and express the request.  
Section 5(3) of the ''PPA'' provides that the judge must order such an examination if the subject asks unless the court or judge is satisfied that the person is not mentally competent to form and express the request. However, the person does not need to wait for the courts order to present other evidence of their capability or their own independent medical affidavit evidence.


==== d) Subsequent Applications ====
==== d) Subsequent Applications ====
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==== e) Appointment of a Committee ====
==== e) Appointment of a Committee ====
Once the patient has been declared incapable, the judge will appoint a committee.  This appointment is governed by the ''PPA''.  
Once the patient has been declared incapable, the judge will appoint a committee.  This appointment is governed by the ''PPA''. If the court does not appoint a committee, the role defaults to the PGT (''PPA'' s 6).


==== f) Private Committee ====
==== f) Private Committee ====
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Under s 9 of the ''PPA'', an individual has the power to nominate a committee of their choice.  However, the person nominated cannot serve as a committee until appointed by the court.  The nomination must be in writing and signed by the person when they were of full age and of sound and disposing mind (i.e. before the court declares them incapable).  A person may want to execute a nomination and have a lawyer hold it in reserve to be released if there is an application for the appointment of a committee.   
Under s 9 of the ''PPA'', an individual has the power to nominate a committee of their choice.  However, the person nominated cannot serve as a committee until appointed by the court.  The nomination must be in writing and signed by the person when they were of full age and of sound and disposing mind (i.e. before the court declares them incapable).  A person may want to execute a nomination and have a lawyer hold it in reserve to be released if there is an application for the appointment of a committee.   


The nomination must be executed in accordance with the requirements for the making of a will under the ''Wills, Estates and Succession Act'', which are that it must be in writing, signed by the nominator and properly witnessed (''WESA'' s 37).  
The nomination must be executed in accordance with the requirements for the making of a will under the ''Wills, Estates and Succession Act'' (''WESA''), which are that it must be in writing, signed by the nominator and properly witnessed (''WESA'' s 37).  


Note that members of military forces are exempt from some of the formal requirements; see the ''WESA'' s 38.  
Note that members of military forces are exempt from some of the formal requirements; see the ''WESA'' s 38.  
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The PGT is a corporation established under the ''Public Guardian and Trustee Act'' with a unique statutory role to protect the interests of British Columbians who lack legal capacity to protect their own interests.  This may include acting as committee of estate and/or person where a person needs assistance and there is no other family member or friend who can assume this role, or where there is conflict among family members and a neutral party is preferred.  
The PGT is a corporation established under the ''Public Guardian and Trustee Act'' with a unique statutory role to protect the interests of British Columbians who lack legal capacity to protect their own interests.  This may include acting as committee of estate and/or person where a person needs assistance and there is no other family member or friend who can assume this role, or where there is conflict among family members and a neutral party is preferred.  


The Public Guardian and Trustee (PGT) may take steps to become committee of estate if:
The Public Guardian and Trustee (PGT) may take steps to become committee of estate if:


• There is no valid enduring power of attorney<br>
• There is no valid enduring power of attorney, or the attorney is not fulfilling their role<br>


• The individual is incapable<br>
• The individual is incapable<br>
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1. The PGT may become committee of estate and/or person by Court Order.  The PGT may bring an application for the appointment or, in a proceeding to appoint a committee, where there is a conflict, one or more of the parties may seek an Order that the PGT be appointed.  The PGT will provide a response in the proceedings setting out whether they are prepared to take on this role.  Typically, the PGT will only agree to act as committee of estate.  A committee of person is required to make very personal decisions on behalf of the person and a family member or friend is usually more appropriate to act in this role if it is required.     
1. The PGT may become committee of estate and/or person by Court Order.  The PGT may bring an application for the appointment or, in a proceeding to appoint a committee, where there is a conflict, one or more of the parties may seek an Order that the PGT be appointed.  The PGT will provide a response in the proceedings setting out whether they are prepared to take on this role.  Typically, the PGT will only agree to act as committee of estate.  A committee of person is required to make very personal decisions on behalf of the person and a family member or friend is usually more appropriate to act in this role if it is required.     
   
   
2. As of December 1, 2014, the PGT may also become committee of estate by a legislative process set out in the Adult Guardianship Act.  See below.
2. As of December 1, 2014, the PGT may also become committee of estate by a legislative process set out in the ''AGA''.  See below.


For more information, please visit the PGT website: https://www.trustee.bc.ca/Pages/default.aspx.
For more information, please visit the PGT website: https://www.trustee.bc.ca/Pages/default.aspx.
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==== a) Assessment of Incapability ====
==== a) Assessment of Incapability ====
For an adult to be certified as incapable under the ''AGA'' there are a number of steps.  
Several steps are required before an adult may be certified as incapable under the ''AGA''.  


1.  Any individual can notify the PGT and the PGT can conduct an investigation to determine whether intervention is warranted. If it is found to be so, the PGT can request an assessment of incapability by a qualified health care provider.  
Any individual can notify the PGT and the PGT can conduct an investigation to determine whether intervention is warranted. If it is found to be so, the PGT can request an assessment of incapability by a qualified health care provider.  


a) A "qualified" health care provider is defined in s 3(2) of the ''Statutory Property Guardianship Regulations'' [''SPGR''].  It includes a health care provider as defined in the ''Health Professions Act'' and the ''Social Workers Act'', as well as registrants of the British Columbia College of Social Workers; BC College of Nursing Professionals; College of Occupational Therapists of British Columbia; and registrants of the College of Psychologists of British Columbia.  
1. A "qualified" health care provider is defined in s 3(2) of the ''Statutory Property Guardianship Regulations'' [''SPGR''].  It includes a health care provider as defined in the ''Health Professions Act'' and the ''Social Workers Act'', as well as registrants of the British Columbia College of Social Workers; BC College of Nursing Professionals; College of Occupational Therapists of British Columbia; and registrants of the College of Psychologists of British Columbia.  


2.  The qualified health care provider then assesses the adult according to the prescribed procedures and if satisfied, prepares a Report of Assessment of Incapability along with a Details of Assessment for review by a health authority designate.  
2.  The qualified health care provider then assesses the adult according to the prescribed procedures and if satisfied, prepares a Report of Assessment of Incapability along with a Details of Assessment for review by a health authority designate.  


a) The proper procedures of an incapability assessment are outlined in s 5 through 10 of the ''SPGR''.  These procedures are also required for any subsequent reassessment of the adult’s incapability such as a review requested by the adult or an ordered review.  
a) The procedure for an incapability assessment is outlined in s 5 through 10 of the ''SPGR''.  These procedures are also required for any subsequent reassessment of the adult’s incapability such as a review requested by the adult or an ordered review.  


i) The assessment is composed of two parts: a medical component and a functional component.   
i) The assessment is composed of two parts: a medical component and a functional component.   


ii) Prior to conducting the assessment, the adult must be given notice of the purpose of the assessment and their rights
ii) Prior to conducting the assessment, the adult must be given notice of the purpose of the assessment and their rights (see ''SPGR'' s 6(1)(a-f)


iii) Section 10 outlines that an assessment report must be completed by filling out a Form 1 and that details of the assessment must be attached.  The qualified health care provider must also inform the adult of the result and the determination and offer the adult a copy of Form 1 and the details attached.  
iii) Section 10 outlines that an assessment report must be completed by filling out a Form 1 and that details of the assessment must be attached.  The qualified health care provider must also inform the adult of the result and the determination and offer the adult a copy of Form 1 and the details attached.  


iv) The qualified health care provider does not need to inform the adult or offer a copy of the report if they have reason to believe that doing so may result in serious physical or mental harm to the adult or significant damage or loss to the adult's property.  
iv) The qualified health care provider does not need to inform the adult or offer a copy of the report if they have reason to believe that doing so may result in serious physical or mental harm to the adult or significant damage or loss to the adult's property. A health authority designate is defined by s 4 of the ''SPGR''.  
 
b) A health authority designate is defined by s 4 of the ''SPGR''.  


3.  Upon receiving Form 1, the health authority designate may issue a report of incapability if they are satisfied with the criteria. The designate must also have consulted with the PGT and notified the adult and, if possible, any spouse or near relative of the adult, of the intention to issue a certificate.  
3.  Upon receiving Form 1, the health authority designate may issue a Certificate of Incapability if they are satisfied the criteria has been met. The criteria should be set out here. The designate must also have consulted with the PGT and notified the adult and, if possible, any spouse or near relative of the adult, of the intention to issue a Certificate of Incapability.  


a) The criteria are provided by sections 32(3)(a) to (e) of the ''AGA''. It is important to note that the certificate cannot be signed if the adult has granted power over all of the adult's financial affairs to an attorney under an enduring power of attorney unless that attorney is not complying with the attorney's duties under the ''Power of Attorney Act'' or the enduring power of attorney, as applicable (''AGA'' s 32(3)(e)).  
a) The criteria are provided by sections 32(3)(a) to (e) of the ''AGA''. It is important to note that the Certificate of Incapability cannot be signed if the adult has granted power over all of the adult's financial affairs to an attorney under an enduring power of attorney unless that attorney is not complying with the attorney's duties under the ''Power of Attorney Act'' or the enduring power of attorney, as applicable (''AGA'' s 32(3)(e)).  


b) The notice required to the adult and a near relative is outlined in s 11 of the ''SPGR''.  Section 11(3) states that the adult or near relative be given at least 10 days to respond. The BC Government has created a form called the "Health Authority Designate Notice of Intention to Issue a Certificate of Incapability" for the purposes of this notification.
b) The notice required to the adult and a near relative is outlined in s 11 of the ''SPGR''.  Section 11(3) states that the adult or near relative be given at least 10 days to respond. Notice is given in writing of the intention to issue a Certificate of Incapability. Notification does not need to be provided to the adult or near relative if the designate has reason to believe that doing so may result in serious physical or mental harm to the adult or significant damage or loss to the adult's property.  


i) Notification does not need to be provided to the adult or near relative if the designate has reason to believe that doing so may result in serious physical or mental harm to the adult or significant damage or loss to the adult's property.  
c) The Certificate of Incapability is Form 2 (''SPGR'' s 12).  


c) The certificate of incapability is Form 2 (''SPGR'' s 12).
4.  Once the Certificate of Incapability is signed by the health authority designate, the certificate must be forwarded to the PGT.  The adult and a spouse or near relative must be informed that the Certificate of Incapability has been issued and provided with a copy.  
 
 
4.  Once the Certificate of Incapability is signed by the health authority designate, the certificate must be forwarded to the PGT.  The adult and a spouse or near relative must be informed of the certificate and provided with a copy.  


a) The BC Government has created a form called "Health Authority Designate Concluding Letter" for the purpose of providing notice to the adult.  
a) The BC Government has created a form called "Health Authority Designate Concluding Letter" for the purpose of providing notice to the adult.  


b) The PGT becomes the committee of the adult on the date that the certificate was signed by the health authority designate.  
b) The PGT becomes the statutory property guardian on the date that the certificate was signed by the health authority designate.  


i) The PGT must inform the adult and, a spouse or near relative that the PGT has the power to manage the adult’s financial affairs and that the adult has the right to request a second assessment and potentially a court review (''AGA'' s 33).  
i) The PGT must inform the adult and, if information is available, a spouse or near relative, that the PGT has the power to manage the adult’s financial affairs (AGA s 33(2)). Tand that the adult, or person acting on their behalf, may request a second assessment and potentially a court review (''AGA'' s 33(3)).


ii) The adult or someone on behalf of the adult may request a second assessment within 40 days of being notified (''AGA'' s 60(2))  
ii) The adult or someone on behalf of the adult may request a second assessment within 40 days of being notified (''AGA'' s 60(2))  


See  [http://www.trustee.bc.ca/reports-and-publications/Documents/A%20Guide%20to%20the%20Certificate%20of%20Incapability%20Process%20under%20the%20Adult%20Guardianship%20Act.pdf ''A Guide to the Certificate of Incapability Process Under the Adult Guardianship Act''].
See  [http://www.trustee.bc.ca/reports-and-publications/Documents/A%20Guide%20to%20the%20Certificate%20of%20Incapability%20Process%20under%20the%20Adult%20Guardianship%20Act.pdf ''A Guide to the Certificate of Incapability Process Under the Adult Guardianship Act''].
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=== 2. Ending Committeeship (Statutory Property Guardian Authority Under the ''AGA'') ===
=== 2. Ending Committeeship (Statutory Property Guardian Authority Under the ''AGA'') ===
A statutory process committeeship can be ended in one of four ways:  
A Statutory Property Guardianship can be ended in one of four ways:  


1.  The PGT is satisfied that the adult no longer needs a Statutory Property Guardian.  
1.  The PGT is satisfied that the adult no longer needs a Statutory Property Guardian.  
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2.  After a second assessment, the health authority designate accepts that the adult is no longer incapable.  
2.  After a second assessment, the health authority designate accepts that the adult is no longer incapable.  


a) The BC government has created a form for this purpose called ‘Health Authority Designate Acceptance of Determination of Capability’
a) The adult will be provided a form entitled 'Health Authority Designate Acceptance of Determination of Capability.'


b) Notice must be provided to the PGT  
b) Notice must be provided to the PGT  
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==== a) Duties ====
==== a) Duties ====
The committee’s general duty is to exercise their powers for the benefit of the patient, having regard to the nature and value of the patient’s property, and the patient’s circumstances and needs and those of their family (''PPA'' s 18).  '''The committee is not allowed to use or take any benefit from their position'''.  When the patient has assets, the PGT will often recommend that the committee post a bond to secure the proper performance of these duties or seek a restriction on accessing the patient’s funds.  The committee may use professional services to assist them in some duties.  However, professionals cannot be retained to do actions an ordinary person could perform.  The cost of professional services is paid for by the patient’s estate.  
The committee’s general duty is to exercise their powers for the benefit of the patient, having regard to the nature and value of the patient’s property, and the patient’s circumstances and needs and those of their family (''PPA'' s 18).  '''The committee is fiduciary and is not allowed to use or take any benefit from their position'''.  When the patient has assets, the PGT will often recommend that the committee post a bond to secure the proper performance of these duties or seek a restriction on accessing the patient’s funds.  The committee may use professional services to assist them in some duties.  However, professionals cannot be retained to do actions an ordinary person could perform.  The cost of professional services is paid for by the patient’s estate.  


Specific duties of the committee include:
Specific duties of the committee include:
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• Filing income tax returns and applying for pensions <br>
• Filing income tax returns and applying for pensions <br>
• If a person is appointed as committee for a person under disability, that person must be the litigation guardian of the patient in any proceeding unless the court otherwise orders as per Rule 20-2 of the ''Supreme Court Civil Rules''


==== b) Powers ====
==== b) Powers ====
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==== b) Discharge of a Committee ====
==== b) Discharge of a Committee ====
If a person regains their mental capability and ceases to be a ‘patient,’ that person, or the committee (other than the PGT), may apply to the court for the discharge of the committee (''PPA'' s 12).  Notice in writing of this application must be provided to the PGT 10 days prior to the application.  The judge who hears the application may, and shall if asked by the PGT, order the committee to pass accounts.  There will almost always be outstanding accounts.  The fees payable will be rescinded as of the date of the order and discharged on the passing of accounts.  
If a person regains their mental capability and ceases to be a ‘patient,’ that person, or the committee (other than the PGT), may apply to the court for the discharge of the committee (''PPA'' s 12).  Notice in writing of this application must be provided to the PGT 10 days prior to the application.  The judge who hears the application may, and shall if asked by the PGT, order the committee to pass accounts. The order declaring the person capable may also discharge the committee upon passing accounts or upon receipt of a waiver of that requirement from the adult.  There will almost always be outstanding accounts.  The fees payable will be rescinded as of the date of the order and discharged on the passing of accounts.  


An order of discharge or a discharge by the passing of accounts before the PGT is required before a security bond, if any, can be cancelled.  Once the committee is discharged, the committee has no further powers or duties with respect to the estate of the person who has ceased to be a patient (''PPA'' s 13(4)(a)).  
Once the committee is discharged, the committee has no further powers or duties with respect to the estate of the person who has ceased to be a patient (''PPA'' s 13(4)(a)).  


'''NOTE:''' At this time there is no section under the ''PPA'' governing the discharge of the PGT as committee.
'''NOTE:''' At this time there is no section under the ''PPA'' governing the discharge of the PGT as committee.


==== c) Release from Liability ====
==== c) Release from Liability ====
A discharged committee, whether it be a private committee or the PGT, is released from liability concerning the management of the estate except in respect of undisclosed acts, neglects, defaults, or accounts, or where the committee was dishonest or unlawful in their conduct (''PPA'' s 13(4)(b)).  A difference of opinion between the person and committee as to how the estate should have been handled is not by itself a reason to support a committee’s discharge.  
A discharged committee, is released from liability concerning the management of the estate except in respect of undisclosed acts, neglects, defaults, or accounts, or where the committee was dishonest or unlawful in their conduct (''PPA'' s 13(4)(b)).  Disagreements between the person and the committee regarding management of the estate does not warrant discharging the committee.  




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