JDF 878 SC R 9/18 ORDER APPOINTING CONSE RVATOR FOR ADULT Page 1 of 3 District Court Denver Probate Court County, Colorado Court Address: In the Interest of: Protected Person COURT USE ONLY Case Number: Division Courtroom ORDER APPOINTING CONSERVATOR FOR ADULT Upon consi deration of the Petition for Appointment of Conservator for the above p erson and hearing on (date) , T he c ourt finds that : 1. Venue is proper and required notices have been given or waived . 2. A n interested person seeks the appointment of a conservator . 3. The best interest will be served by appointment of a conservator . T he c ourt finds by clear and convincing evidence that a basis exists for a conservatorship because : The protected person is unable to manage property and business affairs because of an inability to effectively receive or evaluate information or both or to make or communicate decisions, even with the use of appropriate and reasonably available technologi cal assistance. or The protected person is missing, detained, or unable to return to the United States ; T he c ourt further finds by a preponderance of evidence that : The protected person has pro perty that will be wasted or dissipated unless proper management is provided . and/ o r The protected person , or persons entitled to the support, require money for support, care, education, health, and welfare; and protection is necessary or desirable to obtain or provide money. The c ourt has considered any expressed wishes of the p rotected p erson concerning the selection of the conservator . The c ourt has considered the powers and duties of the conservator , the scope of the conservatorship , and the priority and qualifications of the nomin ee . American LegalNet, Inc. www.FormsWorkFlow.com JDF 878 SC R 9/18 ORDER APPOINTING CONSE RVATOR FOR ADULT Page 2 of 3 The c ourt appoints the following person as conservator of the protected person : Name: Street a ddress : City: State: Zip Code: Mailing address , if different: C ity: State: Zip Code: Primary Phone: Alternate Phone: Email address : The c ourt directs the issuance of Letters of Conservator ship as follows: The c onservator may exercise all the po wers granted in . 247 15 - 14 - 425, C.R.S., subject to the exclusions in 247 15 - 14 - 411 , C.R.S . The powers and duties of the c onservator are otherwise unrestricted. The powers and duties of the c onservator are limited by the following restrictions, if any: The c onservator must not , without prior c ourt order, convey or encumber any real estate owned by the protected person . To insure notice of this prohibition, the c onservator must record the l etters evidencing appointment with the Clerk & Recorder of the County in which such real estate is located . The conservator must provide proof of the recording to the c ourt. The c ourt orders the following: 1. The conservator must notify the c ourt within 30 days if his or her home address, email address, or phone number changes and /or of any change of address for the protected person . 2. W ithin 30 days of appointment, the conservator must provide a copy of this Order Appointing Conservator for Adult to the protected person and persons given notice of the Petition and must advise those persons using Notice of Appointment of Guardian and/or Conservator (JDF 812) that they have the right to request termination or modification of the conservatorship . 3. The conse rvator must file for approval with the c ourt a Financial Plan with Inventory (JDF 882) on or before (date within 9 0 days from appointment). The value of the assets must be reported as of the date of this o rder. 4. The conservator must c ourt each year on or before (date). The time period covered in the report will begin on (date) and end on (date) . The conservator is required to maintain all supporting documentation , inc luding receipts and disbursements . 5. All financial powers of attorney, whether executed prior to or following the entry of this o rder, are terminated, except as follows: American LegalNet, Inc. www.FormsWorkFlow.com JDF 878 SC R 9/18 ORDER APPOINTING CONSE RVATOR FOR ADULT Page 3 of 3 6. The conservator will serve without bond for the following reason(s): serve with bond in the amount of $ . The b ond must be posted with the c ourt by (date). If bond is posted by a surety, notice of any proceeding must be provided to the surety . 7. Copies of all future c ourt filings must be provided to the following : Name of Interested Person Relationship to the Protected Person The p rotected p ers o n Spouse or p artner in a civil union Adult Children Parents Conservator 8. If the protected person is an - - risk adult with an intellectual and developmental and if conservator has reasonable cause to believe that the protected person has been abused or exploited or is at imminent risk of abuse or exploitation, conservator is required to make a report to law enforcement within 24 hours after the observation or discovery pursuant to C.R.S. 247 18 - 6.5 - 108(1)(b)(XII). 9. The c ourt further orders : Date: Judge Magistrate American LegalNet, Inc. www.FormsWorkFlow.com