IN THE CIRCUIT COURT FOR FLORIDA IN RE: GUARDIANSHIP OF COUNTY, PROBATE DIVISION File No. Division LETTERS OF PLENARY GUARDIANSHIP OF THE PERSON AND PROPERTY (Total Incapacity ­ Advance Directive) TO ALL WHOM IT MAY CONCERN: WHEREAS the person and property of has been appointed plenary guardian of (the Ward), and has taken the prescribed oath and performed all other acts prerequisite to issuance of plenary letters of guardianship of the person and property of the Ward, NOW THEREFORE, I, the undersigned circuit judge, declare duly qualified under the laws of the State of Florida to act as plenary guardian of the person and property of , with full power to have the care, custody and control of the Ward, to exercise all delegable legal rights and powers of the Ward, to administer the property of the Ward according to law, and to take possession of and to hold, for the benefit of the Ward, all the property and income of the Ward. The Ward, prior to incapacity, appointed a health care surrogate pursuant to Florida Statutes Chapter 765. Such advance directive: (___) is superseded and the guardian shall exercise all delegable rights otherwise assigned to the health care surrogate. (___) shall remain in effect until further order of this court. (___) shall remain in effect to the following extent: . ORDERED on , . Circuit Judge Bar Form No. G-3.101 © Florida Lawyers Support Services, Inc. January 1, 2017 American LegalNet, Inc. www.FormsWorkFlow.com