Nebraska State Court Form REQUIRED OBJECTION CC 16:2.17 Page 1 of 2 Objection CC 16:2.17 Rev IN THE COUNTY COURT OF COUNTY, NEBRASKA IN THE MATTER OF Ward/Incapacitated Person/Protected Person Case OBJECTION I object to list documents objecting to filed in the above case. My reason for objecting is: Please initial one of the following: A hearing has already been scheduled on for at .m. I acknowledge that if I do not appear at the hearing the Objection will be overruled.I further acknowledge that I must file this Objection with a Certificate of Mailing for this Objection with the court and mail a copy of this Objection and Certificate of Mailing to all interested . OR I request that a hearing be set in this matter and I acknowledge that if I do not appear at the hearing the Objection will be overruled. American LegalNet, Inc. www.FormsWorkFlow.com Page 2 of 2 Objection CC 16:2.17 Rev I, , swear or affirm, under the penalties of perjury, that I am Name of Objector the bjector herein; that I have read the above Objection, and to the best of my knowledge and belief thestatements contained therein are true, correct and complete. Date Signature(s) of Objector(s) Print or Type Name of Objector (s) Bar Number and Firm Name (attorneys only) Street Address/P.O. Box of Objector (s) City/State/ZIP Code of Objector (s) Phone of Objector (s) E-mail Address of Objector s) State of ) en) ss. County of ) The foregoing instrument was acknowledged before me by , this Name of Objector above day of , . Day Month Year Notary Public (signature of person taking acknowledgment) My commission expires: (title or rank) (serial number, if any) American LegalNet, Inc. www.FormsWorkFlow.com