Nebraska State Court Form REQUIRED ORDER APPOINTING CONSERVATOR CC 16:2.1.3 Page 1 Order Appointing Conservator CC 16:2.1.3 Rev IN THE COUNTY COURT OF COUNTY, NEBRASKA IN THE MATTER OF Protected Person Case ORDER APPOINTING CONSERVATOR The Petition for Appointment of Conservator having come before the court, the court finds as follows: Petitioner(s) is/are entitled to file the Petition pursuant to Neb. Rev. Stat. 247 30-2633.Notice has been given or waived as American LegalNet, Inc. www.FormsWorkFlow.com Order Appointing Conservator CC 16:2.1.3 Rev 8.Bond: Is required and set in the sum of $;Is not required because the assets of the ward/protected person are less than $10,000 in value;Is not required because the court finds good cause: ( all that apply) All assets are ordered into restricted accounts.Other: 9.Training:The conservator shall complete training within 90 days;For good cause shown training is waived; IT IS THEREFORE ORDERED that shall be appointed conservator(s) of the estate of upon Letters of Conservatorship being issued to the conservator(s) and upon the conservator(s) filing the following documents: 1.Acceptance of Appointment;2.General Information form;3.Address Information Sheet; 4. Acknowledgment of Financial Institution with a printout of all assets in each financial institution; 5.Proof of restricted funds form for any assets the court has ordered to be held in a restrictedaccount;6.Inventory and Affidavit of Due Diligence;7.Personal and Financial Information for Guardianships and Conservatorships form;8.Approved bond, if required. Upon completion of the filing requirements above and sending the appropriate forms to all interested , Letters will be issued which will appoint you as conservator. The conservator shall deliver to each financial institution where the protected person has accounts/assets a copy of the American LegalNet, Inc. www.FormsWorkFlow.com Page 3 of 3 Order Appointing Conservator CC 16:2.1.3 Rev of Conservatorship and file with the court an Acknowledgment from the Financial Institution that they received the letters along with a printout of all assets and account numbers in each financial institution. The conservator shall thereafter be entitled to deal with such assets. This form shall be filed within 10 days. Failure to file this form will result in a suspension of the conservator222s authority. As a conservator you are ordered to comply with the following restrictions: The conservator shall not pay himself/herself/themselves or his/her/their attorney compensationfrom the assets or income of the protected person nor sell real property of the estate without firstobtaining an Order from the court. To obtain an order, you must first file an application, givenotice to interested persons, then have a hearing date scheduled. This Order may be enteredwithout a hearing if all interested have waived notice of hearing or have executed theirconsent to such compensation or sale or any other restrictions as determined to be appropriateby the court.The conservator shall not make any ATM withdrawals or receive cash back on debit transactionswithout a court order.If any funds have been restricted by the court, the conservator shall not make any withdrawalsfrom the restricted account without a court order.Other: BY THE COURT: County Judge PREPARED AND SUBMITTED BY: DATED American LegalNet, Inc. www.FormsWorkFlow.com