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Nebraska State Court Form REQUIRED CHANGE OF ADDRESS IN GUARDIANSHIPS AND/OR CONSERVATORSHIPS AND CERTIFICATE OF MAILING CC 16:2.46 Neb. Ct. R. 6-1433(D)(4) Page 1 of 3 Change of Address for Guardianships And Conservatorships and Certificate Or Mailing CC 16:2.46 IN THE COUNTY COURT OF COUNTY, NEBRASKA IN THE MATTER OF Ward/Incapacitated Case CHANGE OF ADDRESS IN GUARDIANSHIPS AND/OR CONSERVATORSHIPS AND CERTIFICATE OF MAILINGThis is a change of address for: Ward/Incapacitated Person/Protected Person * Guardian and/or Conservator * Pursuant to Neb. Ct. R. 2476-1433(D)(4), it shall be the duty of the guardian or conservator to notify the court of the change of address of the ward or protected person and send notice to all interested persons asPREVIOUS ADDRESS: Street Address/P.O. Box: City/State/Z Code: Phone: NEW ADDRESS: Street Address/P.O. Box: City/State/Z Code: Phone: Signature(s) of Guardian(s) and/or Conservator(s) Date Print or Type Name of Guardian(s) and/or Conservator(s) Street Address/P.O. Box of Guardian(s) Bar Number and Firm Name (attorneys only) City/State/ZIP Code of Guardian(s) and/or Conservator(s) Phone(s) E-mail Address(es) American LegalNet, Inc. www.FormsWorkFlow.com Page 2 of 3 Change of Address for Guardianships And Conservatorships and Certificate Or Mailing CC 16:2.46 NAME(S) OF INTERESTED PERSON(S) ADDRESS(ES) Date Signature(s) of Guardian(s) and/or Conservator(s) Print or Type Name of Guardian(s) and/or Conservator(s) Bar Number and Firm Name (attorneys only) Street Address/P.O. Box of Guardian(s) and/or Conservator(s)City/State/ZIP Code of Guardian(s) and/or Conservator(s) Phone E-mail Address American LegalNet, Inc. www.FormsWorkFlow.com Page 3 of 3 Change of Address for Guardianships And Conservatorships and Certificate Or Mailing CC 16:2.46 *Pursuant to Neb. Rev. Stat. 247 30-2601, interested persons are defined as:children and spouses;future heirs if the ward/incapacitated person/protected person would die without leaving avalid will (brothers and sisters who are adults, grandparents, etc.);a trustee of any trust executed by the ward/incapacitated person/protected person;if there are no individuals defined as 223interested persons224 above, include any person ororganization named as a 223devisee224 in the ward222s/incapacitated person222s/protected person222smost recent will;after death of the ward/incapacitated person/protected person, interested person alsoincludes the personal representative of a deceased ward222s/incapacitated person222s/protectedperson222s estate, the deceased ward222s/incapacitated person222s/protected person222s heirs in anintestate estate, and the deceased ward222s/incapacitated person222s/protected person222s deviseesin a testate estate;any governmental agency paying benefits on behalf of the ward/incapacitatedperson/protected person; andany person designated by order of the court to be an interested person. If there are no interested persons identified for a ward/incapacitated person/protected person, the court shall appoint a guardian ad litem (Nebraska Supreme Court Rule 247 6-1449(B)). The cost of the guardian ad litem may be taken from the assets of the ward/incapacitated person/protected person. American LegalNet, Inc. www.FormsWorkFlow.com