COURT COUNTY OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .:::::::Index No.Name of Attorney: Attorney at Law Address:Street, City, Zip Code: Telephone Number:Calendar No.JUDICIAL SUBPOENAPlaintiff(s) -against-Defendant(s)SUPERIOR COURT OF ARIZONA, PIMA COUNTYIn the Matter of the Guardianship and Conservatorship of:NO.GENERAL ORDER TO GUARDIAN OF AND CONSERVATOR FOR AN INCAPACITATED AND PROTECTED PERSON, AND ACKNOWLEDGMENT. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .THE PEOPLE OF THE STATE OF NEW YORK TODate of Birth: An Adult or A MinorGREETINGS:WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before Court at the the Honorable,located at County ofo'clock in the day of, on the, 20, at or adjourned date, to testify and give evidence as a witness in this action on the part of thenoon, and at any recessed in roomThe welfare and best interest of the ward are matters of great concern to this Court. By accepting appointment as guardian and conservator you have subjected yourself to the power and supervision of the Court. Therefore, to help avoid problems and to assist you in the performance of your duties, this Order is entered. You are required to be guided by it and comply with its provisions as it relates to your duties as guardian of and conservator for the person named above, as follows: GUARDIANS AND CONSERVATORS: Address changes: pursuant to Pima County Local Rule 9.1(e)(2), during the term of your appointment, you must immediately notify the Court in writing of any change of address. GUARDIANS:1.Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a result of your failure to comply.You have powers and responsibilities similar to those of a parent of a minor child, except that you are not legally obligated to contribute to the support of your ward from your own funds. 2., one of the Justices of theCourt in Witness, Honorableday of, 20 County,Unless the order appointing you provides otherwise, your duties and responsibilities include (but are not limited to) making appropriate arrangements to see that your ward's personal needs (such as food, clothing, and shelter) are met. 3.(Attorney must sign above and type name below)You are responsible for making decisions concerning your ward's educational, social, and religious activities. If your ward is 14 years of age or older, you must take into account the ward's preferences to the extent they are known to you or can be discovered with a reasonable amount of effort. 4.Attorney(s) forYou are responsible for making decisions concerning your ward's medical needs. Such decisions include (but are not limited to) the decision to place your ward in a nursing home or other health care facility and the employment of doctors, nurses, or other professionals to provide for your ward's health care needs. However, you are to use the least restrictive means and environment available which meets your ward's needs. 5.Office and P.O. AddressYou may arrange for medical care to be provided even if your ward does not wish to have it. This includes outpatient mental health care and treatment. 6.You may handle small amounts of money or property belonging to your ward without being appointed conservator. As a general rule, small amount means that the ward does not receive income (from all sources) exceeding $5000.00 per year, does not accumulate excess funds exceeding that amount, and does not own real property. If moreTelephone No.: Facsimile No.: E-Mail Address:Last Revised: January 2, 2003Mobile Tel. No.:American LegalNet, Inc. www.USCourtForms.comCOURT COUNTY OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .:::::::Index No.Calendar No.than these amounts come into your possession, or are accumulated by you, you are required to petition for the appointment of a conservator. 7.JUDICIAL SUBPOENAPlaintiff(s) -against-Defendant(s)If you handle any money or property belonging to your ward, you have a duty to do each of the following: a.Care for and protect your ward's personal effects; b.Apply any monies you receive for your ward's current support, care, and educational needs; c.Conserve any excess funds not so spent for your ward's future needs; d.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Maintain your ward's funds in a separate account, distinct from your own and identified as belonging to the ward; e.THE PEOPLE OF THE STATE OF NEW YORK TOMaintain records of all the ward's property received and expended during the period of the guardianship; f.Account to your ward or your ward's successors at the termination of the guardianship, if requested; and, g.You are not to purchase, lease, borrow, or use your ward's property or money for your benefit or anyone else's without prior Court approval.8.GREETINGS:WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before Court at the the Honorable,You shall not accept any remuneration of any kind for placing your ward in a particular nursing home or other care facility, using a certain doctor, or using a certain lawyer. Remuneration includes, but is not necessarily limited to, direct or indirect payments of money, kickbacks, gifts, favors, and other kinds of personal benefits. 9.located at County ofo'clock in the day of, on the, 20, at or adjourned date, to testify and give evidence as a witness in this action on the part of thenoon, and at any recessed in roomYou will need to obtain a certified copy of the Letters which are issued to you by the Clerk of the Superior Court. Your certified copy is proof of your authority to act as guardian of your ward, and you should have it available when acting on behalf of your ward. You may need to obtain additional (or updated) copies from time to time for delivery to, or inspection by, the people with whom you are dealing. 10.Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a result of your failure to comply.If your war