Nebraska State Court Form REQUIRED MOTION TO MOVE WARD/INCAPACITATED PERSON/PROTECTED PERSON OUT OF THE STATE OF NEBRASKA CC 16:2.61 Neb. Rev. Stat. 24730-2601(10) Page 1 of 2 Motion to Move Ward/Incapacitated Person/Protected Person out of the State of Nebraska CC 16:2.61 Rev. 02/15 IN THE COUNTY COURT OF COUNTY, NEBRASKA IN THE MATTER OF Case MOTION TO MOVE WARD/INCAPACITATED PERSON/PROTECTED PERSON OUT OF THE STATE OF NEBRASKA 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(s) American LegalNet, Inc. www.FormsWorkFlow.com Page 2 of 2 Motion to Move Ward/Incapacitated Person/Protected Person out of the State of Nebraska CC 16:2.61 Rev. 02/15 *Interested persons are defined as:children and spouses;future heirs if the ward/incapacitated person/protected person would die without leaving a validwill (brothers and sisters who are adults, grandparents, etc.);a trustee of any trust executed by the ward/incapacitated person/protected person;most recent will;after death of the ward/incapacitated person/protected person, interested person also includesestatetestate estate;any governmental agency paying benefits on behalf of the ward/incapacitated person/protectedperson; 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