IN THE COURT OF CHANCERY OF THE STATE OF DELAWARE } IN THE MATTER OF _________________________________ A DISABLED PERSON PETITION TO INCREASE MONTHLY WITHDRAWAL C.M. ____________________ TO THE HONORABLE CHANCELLOR OF THE COURT OF CHANCERY: Petition of _____________________________________________________, (co) Guardian(s) of _________________________________, respectfully represents: 1. Petitioner was appointed Guardian by Order dated _____________________: Petition is duly qualified and is acting as such Guardian. 2. The net assets of the estate consist of cash on deposit in the sum of $_________________ in _________________________________. 3. Petitioner was granted permission to withdraw $____________ per month from the Guardianship account without further Order of this Court on ____________________________. 4. The monthly expenses of the disabled have increased beyond the amount previously authorized due to ______________________________________________________________________ as evidenced by copies of _______________________________________________________________. 5. Petitioner respectfully prays the Court to authorize the increase of the monthly withdrawal to to $______________without further Order of the Court. 6. The income from all sources is inadequate for such purpose and funds are not available from any other source. Guardian__________________________ Guardian__________________________ Address___________________________ Address___________________________ _________________________________ __________________________________ Phone____________________________ Phone_____________________________ The above named Guardian(s) having been duly sworn, deposes and says that the facts above recited are true and correct. Sworn to and subscribed before me _____________________________ Notary ____________________ Date American LegalNet, Inc. www.FormsWorkFlow.com IN THE COURT OF CHANCERY OF THE STATE OF DELAWARE ORDER IN THE MATTER OF C.M# A DISABLED PERSON The foregoing petition having been considered by the Court. IT IS ORDERED this ____day of ____________, ______, that _____________________, Guardian(s) of ________________________is hereby authorized to increase the monthly Withdrawal to $_________ without further Order of this Court, from the account of the said Disabled Person, on deposit with _______________________. This withdrawal amount shall be in effect until further Order of this Court. ______________________________ Master American LegalNet, Inc. www.FormsWorkFlow.com