Nebraska State Court Form CC 16:2.224 New 11/15 REQUIRED ACCEPTANCE OF APPOINTMENT OF TEMPORARY GUARDIAN FOR A MINOR Neb. Rev. Stat. §§ 30-2626(a), 30-2611(c), Neb. Ct. R. § 6-1443(A) IN THE COUNTY COURT OF COUNTY, NEBRASKA IN THE MATTER OF Case # Ward ACCEPTANCE OF APPOINTMENT OF TEMPORARY GUARDIAN FOR A MINOR I, ( name of guardian(s)) , accept appointment as temporary guardian of , a minor, and swear that I will perform, according to law, (name of ward) all duties for the ward as temporary guardian. Date Signature(s) of Guardian(s) 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) Page 1 of 1 Acceptance of Appointment of Temporary Guardian for a Minor CC 16:2.224 New 11/15 American LegalNet, Inc. www.FormsWorkFlow.com