IN THE CIRCUIT COURT FOR FLORIDA IN RE: GUARDIANSHIP OF COUNTY, PROBATE DIVISION File No. Division ORDER DIRECTING PAYMENT TO STATE On the petition of the state of Florida (the State) requesting payment of its claim for amounts paid to the examining committee and to the attorney appointed to represent (the Ward) in the proceedings on the Petition to Determine Incapacity of the Ward, the Court finds that the State filed its claim for reimbursement within ninety (90) days after entry of an order awarding attorney ad litem fees, that the fees paid are reasonable, and that the State is entitled to reimbursement, it is ADJUDGED as follows: 1. the State $ (the guardian of the property) shall pay to from the assets of the Ward to reimburse the State for fees paid by it to the examining committee and to the court-appointed attorney for the Ward. 2. , the designated depository for the assets of the Ward, is hereby directed, upon presentation of a certified copy of this order, to pay said amount to the State from the assets of the Ward held by the depository. ORDERED on , . Circuit Judge Bar Form No. G-2.087 � Florida Lawyers Support Services, Inc. January 1, 2017 American LegalNet, Inc. www.FormsWorkFlow.com