Your Name: Your Address: Your City, State, Zip Code: Your Telephone Number: Attorney Bar Number (if applicable): Representing Self or Attorney for FOR CLERK’S USE ONLY SUPERIOR COURT OF ARIZONA IN MARICOPA COUNTY In the Matter of the (check one or both) Guardianship Conservatorship of Case Number: PB ORDER REGARDING PETITION FOR TERMINATION AND/OR DISCHARGE and/or RELEASE OF FUNDS IN THE MATTER OF A PROTECTED ADULT the Ward, an Incapacitated or Protected Adult THE COURT FINDS: A sworn petition has been filed by 1. for: TERMINATION OF Guardianship and/or DISCHARGE OF Guardian RELEASE OF RESTRICTED FUNDS (or property) 2. 3. Conservatorship Conservator Notice of the Petition was given as required by law or waived by all interested parties. The Guardianship and/or Conservatorship has ended because: The Ward died on this date: The Ward moved out of state (date) to The Ward is now capable of conducting his or her own affairs as evidenced by the physician’s report, and/or: 4. The current Guardian Conservator should be discharged because: The Guardianship and/or Conservatorship has ended by operation of law as indicated above, and the case should be terminated (closed). The current Guardian and/or Conservator is no longer willing or able to serve, or should not be allowed to continue to serve, and should be discharged from his or her duties because: 5. The Guardian and/or Conservator ©Superior Court of Arizona in Maricopa County April 1, 2009 ALL RIGHTS RESERVED ORD HAS HAS NOT fulfilled all obligations. PBGCAD81f Page 1 of 3 Use only most current version American LegalNet, Inc. www.FormsWorkFlow.com Case No.___________________ Numbers 6, 7, and 8, apply to Conservatorships only. If no Conservatorship, skip to #9. 6. In the case of a Conservatorship: a. The Conservator HAS b. A Final Account HAS HAS NOT FILED a Final Account. HAS NOT BEEN APPROVED by the Court. 7. The former protected person is entitled to custody and control of the restricted funds or property held for his or her benefit by the Conservator. 8. There are no restricted assets in the Conservatorship and the Final Accounting for this Conservatorship is filed with this Petition or has been filed separately. THE COURT ORDERS: 9. A. Discharge from all claims and liabilities of the person currently serving as: guardian and conservator guardian (only) conservator (only) If filing receipt of restricted funds is ordered below, discharge is effective upon filing. B. The case terminated (closed) because there is no longer a need for a guardian or a conservator. C. Relating to Conservatorships only: 1. Release of restricted funds to the former ward as follows: Acct No. * Name and Address of financial institution holding restricted funds Amount * $ * $ * $ Information about additional restricted accounts is listed on attached page.* * List only last 4 digits of account number above or on any attached page. 2. The Conservator to file with this Court within 30 days of this Order a receipt signed by the former ward acknowledging receipt of all funds. 3. APPROVAL of the Final Accounting, or if all funds were restricted and there have been no withdrawals without approval of the Court, 4. WAIVER of the Final Accounting. 5. Release of restricted real property at: Property Address: Tax Assessor’s Parcel ID # ©Superior Court of Arizona in Maricopa County April 1, 2009 ALL RIGHTS RESERVED ORD PBGCAD81f Page 2 of 3 Use only most current version American LegalNet, Inc. www.FormsWorkFlow.com Case No.___________________ THE COURT ORDERS - continued Setting the matter for review by the Court on to determine that this Order has been followed by the Conservator having filed the receipt for release of funds. D. OTHER ORDERS: : DONE IN OPEN COURT: JUDGE/COMMISSIONER ©Superior Court of Arizona in Maricopa County April 1, 2009 ALL RIGHTS RESERVED ORD PBGCAD81f Page 3 of 3 Use only most current version American LegalNet, Inc. www.FormsWorkFlow.com