Nebraska State Court Form REQUIRED ACCEPTANCE OF APPOINTMENT OF GUARDIAN 226 NO AUTHORITY OVER THE ESTATE OF THE WARD CC 16:2.2.8 Rev IN THE MATTER OF Case Ward/Incapacitated Person ACCEPTANCE OF APPOINTMENT OF GUARDIAN 226 NO AUTHORITY OVER THE ESTATE OF THE WARD I, acceptName of guardian(s) , an incapacitated person, and swear that I will Name of ward/incapacitated person perform, according to law, all duties as guardian. I acknowledge my responsibilities as guardian by initialingAcknowledgments before Letters are issued to establish my authority to serve as guardian: I shall file with the court the Guardian/Conservator General Information Form (CC 16:2.4) and an Address Information Form (CC 16:2.5). Within 30 days of my If the court requires a bond, I shall file proof of that bond with the court. Acknowledgments after Letters are issued: Within 90 days of my appointment I I shall file my etters of Guardianship with the Register of Deeds in any county where the ward/incapacitated person has real property or an interest in real property. One year after my1.Annual Report of Guardian on Condition of Ward (CC 16:2.14).2.Updated Inventory (CC 16:2.45). Page 1 of 3 Acceptance of Appointment of Guardian 226 No Authority American LegalNet, Inc. www.FormsWorkFlow.com Page 2 of 3 Acceptance of Appointment of Guardian 226 No Authority Over the Estate of the Ward CC 16:2.2.8 Rev I acknowledge all of the documents, except the confidential Personal and Financial Information for Guardianships and Conservatorships form, shall be sent to all interested along with Notice of Right to Object Form (CC 16:2.16). I acknowledge that I shall file with the court a Certificate of Mailing (CC 16:2.24) showing I mailed all of the documents to all interested by first class mail, postage pre-paid. I acknowledge that if I become the representative payee for the ward/incapacitated person or have control over other assets of the ward/incapacitated person, I shall file an accounting with the court. I acknowledge that if I obtain possession of the ward222s/incapacitated person222s assets then I will need to file the following: a.Certificate of Proof of Possession (CC 16:2.13). If any funds are restricted, the bank ordepository must indicate a restriction to the account on the certificate: 223No withdrawalswithout court order.224 b. Copies of all bank statements and/or brokerage statements for the dates covered bythe accounting. If full account numbers, social security numbers, dates of birth or otherpersonal information appear on the bank statements and/or brokerage statements, Ishall black out all but the last four digits before sending them to the interested . c. Personal and Financial Information for Guardianships and Conservatorships form (CC16:2.23) showing complete account numbers of accounts, etc. listed on inventory andCertificate of Proof of Possession. This form contains confidential information andisnot shared with the parties except by court order. I shall notify the court and interested within 7 days of becoming the representative payee for the ward/incapacitated person. I shall notify the court of the change of address of the incapacitated personwithin 3 days of the change. I shall not move change a ward222s/incapacitated person222s place of abode to a location outside of the State of Nebraska without court permission. I shall notify the court of the ward222s/incapacitated person222s death within 3 days. I shall file with the court a Notice of Newly Discovered Asset form (CC 16:2.18) within 30 days after I become aware of any additional assets, gifts, awards, settlements or inheritances over American LegalNet, Inc. www.FormsWorkFlow.com Page 3 of 3 Acceptance of Appointment of Guardian 226 No Authority Over the Estate of the Ward CC 16:2.2.8 Rev $500.00 not disclosed in the most current inventory. I shall not make any ATM withdrawals and/or get cash back from a debit transaction without a court order. I have received the forms needed to comply with the above requirements. (If you do not have an attorney, you may get the forms from the clerk222s office or on the Nebraska Supreme Court website, .) Signature(s) of Guardian(s) Date Print or Type Name of Guardian(s) Bar Number and Firm Name (attorneys only) Street Address/P.O. Box of Guardian(s) City/State/ZIP Code of Guardian(s) Phone of Guardian(s) E-mail Address of Guardian(s) American LegalNet, Inc. www.FormsWorkFlow.com