(Rev. 11/09/04) CCP 0207 Order Appointing Limited Guardian of Disabled Person IN THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS COUNTY DEPARTMENT-PROBATE DIVISION ESTATE OF _____________________________________________ A Disabled Person } No. _____________________________________ ORDER APPOINTING LIMITED GUARDIAN OF DISABLED PERSON On the petition of ___________________________________________ for an adjudication of disability and the appointment of a guardian of the _______________________________________________________________ of the above named disabled person, the Court, having heard the (estate) (person) (estate & person) evidence presented, finds: 1. The respondent is a disabled person and *a. lacks some but not all understanding or capacity to make or communicate responsible decisions concerning the care of the respondent’s person; *b. lacks some but not all of the ability to manage the respondent’s estate or financial affairs. * 2. The appointment of a guardian ad litem is not necessary for the protection of the disabled person or a reasonably informed decision on the petition. * 3. No suitable and willing person other than the State Guardian, could be found to accept the guardianship appointment. 4. The factual basis for the above findings of the Court is as follows (continue on reverse side if additional space is needed): _____________________________________________________________________________________________________________ IT IS HEREBY ORDERED that: * A. The appointment of a guardian ad litem is waived. * B. The disabled person's presence at the hearing is excused for the reason that the record shows that the disabled person: *refuses to be present OR *will suffer harm if required to attend. * C. ___________________________ is appointed as limited guardian of the __________________________________ of the disabled person. (estate) (estate & person) * D. ___________________________ is appointed as limited guardian of the person of the disabled person. E. Letters of limited guardianship shall issue in accordance with the provisions of this Order. F. *i. In the case of the limited guardian of the estate, the authority specifically reserved to the disabled person is as follows: __________________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ * ii. In the case of the limited guardian of the person, the authority specifically conferred on the guardian is as follows: G. *i. __________________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ The bond of the limited guardian of the ______________________________, and the surety thereon, are approved. (estate) (estate & person) * ii. The bond of the limited guardian of the person is approved. *H. The limited guardian of the estate shall present to the Court: i. an inventory as required by section 14-1 within 60 days from the date of this Order, or shall appear before the Court on _________________________________, __________ at _______________ m. (not more than 60 days after the date of this Order). ii. a verified account as required by section 24-11 (a) within 30 days after the expiration of one year from the date of this Order, and annually thereafter, or shall appear before the Court on _________________________________, __________ at ________________m. (not more than 13 months after the date of this Order). *I. The limited guardian of the person shall file a report as required by section 11a-17(b) within 30 days after the expiration of one year from the date of this Order, and annually thereafter, or shall appear before the Court on _________________________________, __________ at _______________ m. (not more than 13 months after the date of this Order). * J. The Clerk of the Circuit Court of Cook County shall mail to the disabled person at the residence address set forth in the Petition filed herein a written statement informing the disabled person of the person’s right under section 11a-20 to petition for termination of adjudication of disability, revocation of the letters of limited guardianship of the estate or person, or both or modification of the duties of the limited guardian, and of the procedures for petitioning the court. *Strike if not applicable. Atty. No.: _______________________ ____________________________________________________ Firm Name: __________________________________________________ Attorney for Petitioner: _______________________________________ Address: __________________________________________________ City/State/Zip: _____________________________________________ Telephone: __________________________________________________ ENTERED: Name: DATE: _________________________________, __________ __________________________________________________ Judge DOROTHY BROWN, CLERK OF THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS Judge's