JDF 788SC R6/19 PROVISIONAL ORDER RE: PETITION TO TRANSFER TO RECEIVING STATE Page 1 of 2 District Court Denver Probate Court County, Colorado Court Address: In the Interest of: Ward/Protected Person COURT USE ONLY Case Number: Division : Courtroom : PROVI S IONAL ORDER RE: PETITION TO TRANSFER FROM COLORADO TO RECEIVING STATE GUARDIANSHIP CONSERVATORSHIP PURSUANT TO 24715-14.5-301, C.R.S. UNIFORM ADULT GUARDIANSHIP AND PROTECTIVE PROCEEDINGS JURISDICTION ACT Upon consideration of the Petition to Transfer, any objections filed and evidentiary hearing or hearing without appearance; The court finds that: 1. The statements in the petition are true and notice has been properly given or waived. 2. The transfer is not contrary to the interests of the ward /protected person. 3. The ward /protected person is physically present in or is reasonably expected to move permanently to the receiving state or the protected person has significant connections to the receiving state pursuant to 247 15-14.5-201, C.R.S. 4. The plan for care and services for the ward in the receiving state is reasonable and sufficient and/or adequate arrangements will be made for the management of the protected person222s property. 5. The court is satisfied that the guardianship and/or conservatorship will be accepted in the receiving state. The court orders the following: 1. Provisionally grants the Petition to Transfer to (county) in (state). 2. The Guardian Conservator must file a Petition to Accept in the receiving state requesting a Provisional Order to Accept. 3. The Guardian Conservator must file a final report (JDF 850 and/or JDF 885) for Colorado to terminate this Guardianship and/or Conservatorship pursuant to 247 15-14.5-301(6)(b), C.R.S. and the following documents as otherwise ordered by the court for good cause pursuant to 247 15-14-318, C.R.S. and 247 15-14-431, C.R.S.: Date: Judge Magistrate CERTIFICATION Certification Stamp or Certified to be a true copy of the original in my custody and to be in full force and effect as of: Date: Probate Registrar/(Deputy)Clerk of Court American LegalNet, Inc. www.FormsWorkFlow.com JDF 788SC R6/19 PROVISIONAL ORDER RE: PETITION TO TRANSFER TO RECEIVING STATE Page 2 of 2 Note: The Colorado court must not issue a Final Order Confirming Transfer until a provisional order from the receiving state is filed pursuant to 247 15-14.5-301(6)(a), C.R.S. In addition, the required documents to terminate this guardianship and/or conservatorship must be filed with the Colorado court unless as otherwise directed by the Colorado court pursuant to 247 15-14-431, C.R.S. American LegalNet, Inc. www.FormsWorkFlow.com