PP-206 (Rev. 5/1/12) STATE OF MAINE County Probate Court Location of Court In Re: Docket No. Incapacitated Person/Protected Person Adjudication of Incapacity and Appointment of Guardian and Conservator of Incapacitated Person/Protected Person Upon hearing at which the above-named incapacitated person WAS/WAS NOT present, or after legal opportunity for hearing, the Court finds that a qualified person has been presented to this Court to be appointed guardian of the named person; that venue is proper; that the required notices have been given or waived; that the named person is incapacitated; and if the named person did not attend the hearing, inquiry was made as to whether he/she wished to do so; that this appointment is necessary or desirable as a means of providing continuing care and supervision of the person of the incapacitated person, and that this appointment is necessitated by the named person222s actual mental and adaptive limitations or other conditions, all as required by 18-A M.R.S. 2475-304. The Court hereby appoints , whose address is as FULL/LIMITED guardian of said , (Name and Address of Incapacitated Person) incapacitated person, and directs issuance of Letters of Guardianship to said guardian. If this is a LIMITED GUARDIANSHIP, the following limitations apply.1 The Court finds that these specific powers or limitations are necessitated by the incapacitated person222s actual mental and adaptive limitations or other conditions for the following reasons: American LegalNet, Inc. www.FormsWorkFlow.com PP-206 (Rev. 5/1/12) Page 2 of 2 The Court further finds that a qualified person has petitioned for the appointment of a conservator for the above-named protected person; that venue is proper; that the required notices have been given or waived; that the named person has assets requiring protective proceedings; that the named person is a person for whom appointment of a conservator is proper; that the person hereby appointed has priority pursuant to 18-A M.R.S. 2475-410 over any other person known to desire appointment; and that the appointment of a conservator will be in the best interests of the protected person. The Court hereby appoints whose address is as conservator of the estate and affairs of said , (Name and Address of Protected Person) protected person, and directs issuance of Letters of Conservatorship to said conservator. The statutory powers of the conservator are EXPANDED/LIMITED as follows:2 A PERSONAL/CORPORATE surety bond in the amount of $shall be filed and /or other security as follows:3 The conservator shall file an inventory within 90 days according to law.4 The conservator shall file annual accounts according to law.5 Dated: Judge of Probate 1 See 18-A M.R.S. 247 5-105 2 See 18-A M.R.S. 247247 5-424, 5-425 and 5-426 3 Strike personal or corporate unless either will satisfy the court. If no security other than a bond is required enter 223None224 after the word 223follows224. See 18-A M.R.S. 247247 5-411 and 5-412 4 See 18-A M.R.S. 247 5-418 and note that under paragraph (c) of this section, the potential payment of a minimum of $100 may be due to the protected person222s estate for failure to file inventory. 5 See 18-A M.R.S. 247 5-419(d) for the obligation of a conservator to account to the Court and the potential payment that may be due to the protected person222s estate for failure to file an accounting. American LegalNet, Inc. www.FormsWorkFlow.com