STATE OF ILLINOIS IN THE CIRCUIT COURT OF THE FOURTH JUDICIAL CIRCUIT CLINTON COUNTY, ILLINOIS In the Matter of: ) ) ) Case No: ) A Disabled Person ) ORDER OF ADJUDICATION OF DISABILITY AND APPOINTING GUARDIAN On the verified petition of , a reputable citizen of this state, for the appointment of a guardian of the (Estate, Person, or Estate and Person) , whose place of residence is (for Non-Resident of Illinois, Insert: owning real estate in this country or owning no real estate in Illinois but owning personal estate in this county). The court finds: 1. summons has been served upon the alleged disabled person at least 14 days before the return day designated therein by leaving a copy thereof with her/him personally and informing him of its contents, 2. no party has demanded a jury, 3. and qualified and willing to act, has presented (Insert: his bond in the penal sum of $ or its acceptance of office). Having considered the evidence, the court adjudges that is a disabled person as defined in Section 11a-2 of the Probate Act, and that a guardian should be appointed for her/his (Estate, Person or Estate and Person) American LegalNet, Inc. www.FormsWorkFlow.com It is ordered that is appointed guardian of the (Estate, Person, Estate and Person) of a disabled person, that the (acceptance or bond) is approved and that letters of guardianship issue upon filing of the oath. Entered: Judge Prepared by: Address: Telephone: Email: American LegalNet, Inc. www.FormsWorkFlow.com