TUO-PR-100 SUPERIOR COURT OF CALIFORNIA COUNTY OF TUOLUMNE PROBATE COURT 41 West Yaney Avenue Sonora, CA 95370 Phone: (209) 533-5555 Space below for use of Court Clerk only CONSERVATORSHIP OF THE PERSON AND ESTATE OF: Proposed Conservatee ORDER APPOINTING COUNSEL Case Number: [Probate Code §§ 1471, 2356.5] The Petition for Appointment of Conservator of the Person and Estate of: __________________________________________________, proposed Conservatee, requests orders relating to dementia placement or treatment, indicating that the proposed Conservatee has been diagnosed with dementia. Pursuant to Probate Code § 2356.5(f)(1), the proposed Conservatee shall be represented by an attorney. IT IS THEREFORE ORDERED that: Name of Attorney: _____________________________________________ Address: ____________________________________________________ Phone: ______________________________________________________ is appointed to represent the above-named proposed Conservatee. A copy of the pleadings and other documents on file in this matter shall be served on the attorney for the Petitioner appointed herein. DATED: _____________________ __________________________________________ JUDGE OF THE SUPERIOR COURT ORDER APPOINTING COUNSEL [Probate Code §§ 1471, 2356.5] _________________________________________________________________________________________________ Page 1 of 1 Form Adopted for Mandatory Use - Local Rules of the Superior Court of California, County of Tuolumne TUO-PR-100 (New February, 2014) American LegalNet, Inc. www.FormsWorkFlow.com