IN THE CIRCUIT COURT FOR FLORIDA IN RE: GUARDIANSHIP OF COUNTY, PROBATE DIVISION File No. Division ORDER AUTHORIZING PERIODIC WITHDRAWALS FROM RESTRICTED DEPOSITORY FOR PAYMENTS TO GUARDIAN OF PERSON On the petition of the guardian of the person property of (the Ward) for an order authorizing periodic withdrawals from restricted depository for periodic payments to the guardian of the person of the Ward, the court finding that the material allegations of the petition are true and being otherwise fully advised, it is ADJUDGED as follows: 1. , as guardian of the property of the Ward, is , , authorized to withdraw each month commencing with the calendar month from restricted account number the sum of 2. at , until further order of this court. Receipts or cancelled checks evidencing such payments shall be a sufficient release of the guardian of the property for payments made pursuant to this order and the guardian of the property shall not be bound to see to the application of the payments made to the guardian of the person. ORDERED on , . Circuit Judge Bar Form No. G-4.126 © Florida Lawyers Support Services, Inc. January 1, 2017 American LegalNet, Inc. www.FormsWorkFlow.com