IN THE CIRCUIT COURT OF THE NINETEENTH JUDICIAL CIRCUIT LAKE COUNTY, ILLINOIS ESTATE OF ) ) ) ) ) ) a minor ) Gen No.: ORDER APPOINTING GUARDIAN FOR A MINOR On the verified petition of (Name of Petitioner) , a reputable citizen of the state of Illinois , a minor, whose (Name of Minor) for the appointment of a guardian of date of birth is , and whose current residence is (Minor's Address) , the Court finds that Petitioner is qualified and willing to act as guardian and has herewith presented to the Court his/her acceptance and oath of office. Additional findings of court: A. B. C. The Court has reviewed the minor's birth certificate and confirmed the minor's date of birth is (Minor's Birth Date) ; the minor's mother's name is name is . ; and the minor's father's The Court has reviewed and accepted the Affidavit of Petitioning Guardian of the Person for a Minor Child and the related reports on the criminal background check and Department of Children and Family Services Register for the Petitioner. IT IS HEREBY ORDERED THAT (Name of Petitioner) is appointed. Temporary Guardianship: Temporary guardian of the person of the minor; temporary guardian of the estate of the minor; and that Letters of Office as Temporary Guardian [ Co-Guardians] of the Person [ and Estate] shall issue, subject to termination on C, 20 and this cause is continued to said date at 9:00 a.m. in courtroom for presentation of: proof of publication notice of proof of service by mail return of background check consent of parent or guardian birth certificate death certificate nomination by minor, and entry of plenary guardianship order. Plenary Guardianship: Plenary guardian of the person of the minor; plenary guardian of the estate of the minor; and that Letters of Office as Plenary Guardian [ Co-Guardians] of the Person [ and Estate] shall issue, subject to termination on the Minor's 18th birth date on , 20 . 171P-32 (R 01/11) American LegalNet, Inc. www.FormsWorkFlow.com  Other: Dated at Waukegan, Illinois this of , 20 . day Enter: Judge Prepared by: Name: Attorney for: Address: City/State/Zip: Telephone: ARDC: 171P-32 (R 01/11) American LegalNet, Inc. www.FormsWorkFlow.com