IN THE CIRCUIT COURT FOR THE SIXTEENTH JUDICIAL CIRCUIT DEKALB COUNTY, ILLINOIS Case No. ____________________ ESTATE OF: (Alleged Disabled Person) ORDER FOR APPOINTMENT OF: Name [ ] Temporary Guardian Address [ ] Limited Guardian City State Zip [ ] Plenary Guardian ORDER On the verified petition of ______________________________________________________________ for an adjudication of disability and the appointment of a [ ] Temporary Guardian; [ ] Limited or Plenary Guardian of the Estate; [ ] Limited or Plenary Guardian of the Person; [ ] Limited or Plenary Guardian of the Estate and Person of the above named disabled person, and the Court having heard the evidence presented, finds: 1. That the respondent is a disabled person and [ ] is totally without [ ] lacks some but not all of the understanding or capacity to make or communicate responsible decisions concerning the care of his/her person and/or [ ] is totally unable to manage [ ] lacks some but not all of the ability to manage his/her estate or financial affairs. 2. The factual basis for the finding of the Court is as follows: (Not required for appointment of Temporary Guardian). 3. And the Court having found that the appointment of a Guardian is necessary for the welfare and protection of the alleged disabled person or his/her estate; IT IS THEREFORE ORDERED THAT: 1. ___________________________________________________ is appointed [ ] Temporary [ ] Limited [ ] Plenary Guardian of the [ ] estate [ ] person [ ] estate and person of the said disabled person. 2. The limits of the duties and powers of the Guardian herein appointed shall be: 3. The duration and term of the Guardianship established hereby shall be: 4. The legal disabilities to which the alleged disabled person is subject are as follows: 5. Appropriate Letters of Guardianship shall issue in accordance with the provisions of this Order. Dated______________________________, 20_____ Enter:_______________________________ Judge Probate09 9/8/05 American LegalNet, Inc. www.FormsWorkflow.com