Nebraska State Court Form REQUIRED ACCEPTANCE OF APPOINTMENT OF TEMPORARY GUARDIAN AND TEMPORARY CONSERVATOR FOR A MINOR CC 16:2.226 New 11/15 Neb. Rev. Stat. §§ 30-2626(a), 30-2611(c), 30-2630(1) and 30-2630.01(a); Neb. Ct. R. § 6-1443(A) IN THE COUNTY COURT OF COUNTY, NEBRASKA IN THE MATTER OF Case # Ward/ Protected Person ACCEPTANCE OF APPOINTMENT OF TEMPORARY GUARDIAN AND TEMPORARY CONSERVATOR FOR A MINOR I, , accept appointment as temporary guardian and temporary ( Name of guardian(s) and conservator(s)) conservator of the assets of , a minor, and swear that I will ( Name of ward /protected person) perform according to law, all duties for the ward/protected person as temporary guardian and temporary conservator. Signature(s) of Guardian(s) and Conservator(s) Date Print or Type Name of Guardian(s) and Conservator(s) Bar Number and Firm Name (attorneys only) Street Address/P.O. Box of Guardian(s) and Conservator(s) City/State/ZIP Code of Guardian(s) and Conservator(s) Phone(s) E-mail Address(es) Page 1 of 1 Acceptance of Appointment of Temporary Guardian and Temporary Conservator For a Minor CC 16:2.226 New 11/15 American LegalNet, Inc. www.FormsWorkFlow.com