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 FOR ALLEGED DISABLED PERSON On the verified petition of for an adjudication of disability and the appointment of a Temporary Limited Plenary guardian of the estate; Temporary Limited or Plenary guardian of Limited or Plenary guardian of the person and estate of the above named disabled person, and the Court having the person; heard the evidence presented, finds: 1. That the respondent is a disabled person 18 years or older who: is totally without capacity as specified in 755 ILCS 5/11a-3; lacks some but not all of the capacity as specified in 755 ILCS 5/11a-3; 2. The factual basis for the finding of the Court is as follows: 3. And the Court having found that the appointment of a guardian is necessary for the protection of the disabled person, his/her estate, or both; IT IS THEREFORE ORDERED THAT: Address: is appointed Temporary Limited Plenary guardian of the estate; Temporary Limited or Plenary guardian of the person; Limited or Plenary guardian of the person and estate of said disabled person. 2. The limits of the duties and powers of the guardian herein appointed are: 1. Name: 3. Appropriate Letters of Guardianship be issued in accordance with the provisions of this Order. 4. A verified inventory shall be filed within sixty (60) days. 5. A Corporate Bond Bond with Sureties Waived Individuals as Surety required of guardian is ordered in the amount of . 6. This matter is continued to at m. for filing of inventory or current report and account. This can be done by mail two (2) weeks prior to due date. Prepared by: Attorney/Pro Se: Address: City, State, Zip: Telephone No.: Attorney Registration No.: Attorney E-mail: P1-PR-029 (11/12) American LegalNet, Inc. www.FormsWorkFlow.com Date Entered: Judge