IN THE CIRCUIT COURT OF THE SIXTEENTH JUDICIAL CIRCUIT KANE COUNTY, ILLINOIS Case No. IN THE MATTER OF THE ESTATE OF (Alleged Disabled Person): Name: Address: City,State, Zip: Date of Birth: File Stamp ORDER APPOINTING GUARDIAN AD LITEM FOR ALLEGED DISABLED PERSON Pursuant to 755 ILCS 5/11a-10, (Name and Telephone Number) is appointed Guardian Ad Litem for the above named respondent. The Guardian Ad Litem is directed to personally interview the respondent and inform the respondent orally and in writing of the contents of the petition and of the respondents rights under 755 ILCS 5/11a-10. The Guardian Ad Litem is further directed to file a written report with the Court and to be present in Room , of the Kane County Courthouse, 100 South Third Street, Geneva, Illinois, on at m. Further: Date Entered: Judge Prepared By: Attorney/Pro Se: Attorney Registration No.: Address: City, State, Zip: Telephone No.: Attorney E-mail: P1-PR-030 (11/13) American LegalNet, Inc. www.FormsWorkFlow.com