IN THE CIRCUIT COURT FOR FLORIDA IN RE: COUNTY, PROBATE DIVISION File No. Division ORDER DETERMINING TOTAL INCAPACITY On the Petition to Determine Incapacity filed herein with respect to (the Ward), the Court having taken testimony, having considered the reports of the Examining Committee, having considered all alternatives to guardianship, and being fully advised in the premises, finds, based on the clear and convincing evidence presented, as follows: 1. The nature and scope of the Ward's incapacities are: 2. The following facts demonstrate that the Ward is totally without capacity to care for the Ward's person or property: 3. The Ward totally lacks capacity to make informed decisions about care and treatment or to meet the essential requirements for the Ward's physical or mental health or safety; is subject to total legal disability; is incapable of exercising any rights; and a guardian must exercise all delegable rights of the Ward and have full powers and duties with respect to the Ward and the Ward's person and property. 4. After consideration of reasonable alternatives to guardianship, the Court finds that no alternative will sufficiently address the problems and needs of the Ward. Bar Form No. G-2.060 - 1 of 2 � Florida Lawyers Support Services, Inc. January 1, 2017 American LegalNet, Inc. www.FormsWorkFlow.com 5. Other than those rights set forth in Florida Statutes Section 744.3215(1), which are expressly reserved to the Ward, the Ward is not capable of exercising any other rights and all delegable rights of the Ward should be delegated to a plenary guardian. Accordingly, it is ADJUDGED as follows: is hereby determined to be totally incapacitated. A copy of this Order shall be served on the petitioner, the Ward and the Ward's attorney by the clerk and a certificate attesting to such service promptly filed in this proceeding. ORDERED on , . Circuit Judge Bar Form No. G-2.060 - 2 of 2 � Florida Lawyers Support Services, Inc. January 1, 2017 American LegalNet, Inc. www.FormsWorkFlow.com