In the matter of First, middle, and last name 1. � Date of hearing: Judge: Bar no. THE COURT FINDS: � 2. � Notice of hearing was given to or waived by all interested persons. � 3. � � a. � A petition to � � modify � the guardianship was filed with this court and should be � granted. � denied. � � b. � On the court222s own motion, the guardianship should be � terminated. � modified. 4. � The guardian � � should be removed and a successor appointed. � should be permitted to resign and a successor appointed. � has died or become disabled and a successor must be appointed. 5. � The individual � continues to require a guardian based on the same criteria found by the court on the original petition. � � is no longer in need of a guardian. � is in need of a standby guardian. � 6. � There is no qualified, suitable individual willing to act as guardian and the appointment of a professional guardian is in the � best interest of the individual. A bond must be filed. IT IS ORDERED: � 7. � Name of guardian is � removed � permitted � to resign as Type (plenary, partial, standby) . � � S/he shall file with this court and serve on the interested persons a final account no later than Date . � � The Type (plenary, partial, standby) guardian is discharged. The matter is � closed. � not closed. � 8. Name Address � City State Zip Telephone no. is appointed successor � plenary � partial � temporary � guardian of the � individual � estate and qualifies by filing � an acceptance of appointment. � Bond at $ must be filed. � The guardian is not permitted to act until letters of guardianship are issued. After qualification, the guardian shall � comply with all relevant requirements under the law. � � The temporary guardian shall serve until Date with the following powers: � � � (SEE SECOND PAGE) American LegalNet, Inc. www.FormsWorkFlow.com File No. � 9. � Name Address � City State Zip Telephone no. is appointed � � standby guardian. � successor standby guardian. � In case of death, incapacity, or resignation of the initially appointed guardian or an emergency situation during the absence � and unavailability of the initially appointed guardian, the standby guardian shall file � � an acceptance of appointment � � bond in the amount of $ � and shall assume the powers and duties of the initially appointed guardian. After qualification, the standby guardian shall � comply with all relevant requirements under the law. � 10. � The guardianship is modified as follows: � � � � � � � 11. � The guardian is authorized to execute an application to admit the individual named above to � Name of facility . � 12. � The petition is � granted. � denied on the merits. � dismissed/withdrawn. � 13. � Other: Date � Judge Attorney name (type or print) Bar no. Address City State Zip Telephone no. American LegalNet, Inc. www.FormsWorkFlow.com