ORDER APPOINTING COUNSEL [Probate Code 247247 1471, 2356.5] Form Adopted for Mandatory Use - Local Rules of the Superior Court of California, County of Tuolumne Page 1 of 1 TUO-PR-100 () TUO-PR-100 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 247 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 SUPERIOR COURT OF CALIFORNIA COUNTY OF TUOLUMNE PROBATE COURT 41 West Yaney Avenue Sonora, CA 95370 Phone: (209) 533-5555 CONSERVATORSHIP OF THE PERSON AND ESTATE OF: Proposed Conservatee Case Number: ORDER APPOINTING COUNSEL [Probate Code 247247 1471, 2356.5] Space below for use o f Court Clerk only American LegalNet, Inc. www.FormsWorkFlow.com