Nebraska State Court Form REQUIRED CERTIFICATE OF MAILING ANNUAL BUDGET REPORTING FORM(S) CC 16:2.48 Page 1 of 2 Certificate of Mailing Form(s) CC 16:2.48 Rev. TO THE GUARDIAN: You need to complete and file this form with the courtshowing that you mailed the required documents marked below to all the interested youlist below.IN THE MATTER OF Ward/Incapacitated Person Case CERTIFICATE OF MAILING ANNUAL BUDGET REPORTING FORM(S) I, Annual Budget Report;Updated Inventory;Annual Report of Guardian on Condition of Ward; Copy of the last Notice of Right to Object form; andCertificate of Mailing. NAME ADDRESS See attached (more names and addresses than above) Date Signature(s) of Guardian(s) Print or Type Name of Guardian(s) Bar Number and Firm Name (attorneys only) Street Address/P.O. Box of Guardian(s) City/State/ZIP Code of Guardian(s) Phone(s) E-mail Address(es) American LegalNet, Inc. www.FormsWorkFlow.com Page 2 of 2 Certificate of Mailing Annual Budget Reporting Form(s) CC 16:2.48 Rev. *Interested persons are defined as:children and spouses;future heirs if the ward/incapacitated person would die without leaving a valid will (brothers andsisters who are adults, grandparents, etc.);a trustee of any trust executed by the ward/incapacitated person;t recent will;after death of the ward/incapacitated person, interested person also includes the personalceased;any governmental agency paying benefits on behalf of the ward/incapacitated 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, 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. American LegalNet, Inc. www.FormsWorkFlow.com