Nebraska State Court Form REQUIRED ORDER APPOINTINGGUARDIAN ANDCONSERVATOR FOR A MINOR IN THE COUNTY COURT OF COUNTY, NEBRASKA IN THE MATTER OF Case ORDER APPOINTING Ward/Protected1. Petitioners are entitled to file the Petition pursuant to Neb. Rev. Stat. 247 30-2633 and 24730-2605through 2.Notice has been given or waived as required by law.3.Venue in this county is proper. 4.Upon clear and convincing evidence presented to the court, there is a sufficient basis for theappointment of the guardian for a minor, pursuant, parent of said minor, which Will was admitted to probate in this court; or a minor, pursuant to lawful proceedings of record in this court and there areUpon clear and convincing evidence presented to the court, there is a sufficient basis for theappointment of the conservator for and there are nolessrestrictive alternatives than the appointment of a conservator for the above-namedprotectedperson.Appointment of a guardian and conservator is necessary because 7.is entitled to appointment pursuant to Neb. Rev. Stat. 247 30- 2639 and 247 30-2608 and should be appointed as guardian and conservator. The above named person is authorized and ordered to obtain an Acknowledgment of Financial Institution Form completed by each financial institution holding any assets or accounts Page 1 of 3 CC 16:2.1.6 Revised 0 American LegalNet, Inc. www.FormsWorkFlow.com Page 2 of 3 8.If any funds are ordered restricted, the above named person is further authorized and ordered toopen an account at a financial institution with the restriction that no withdrawals can be madewithout a court order. To show the court that the guardian/conservator has complied with thisrestriction the guardian/conservator shall file with the court a Proof of Restricted account formwithin 10 days of this order.9.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 invalue; Is not required because the court finds good cause: ( all that apply) a. All assets are ordered into restricted accounts. b. Other: 10.Training:The guardian/conservator shall complete training within 90 days;For good cause shown training is waived; IT IS THEREFORE ORDERED that shall be appointed guardian and conservator of the estate of upon Letters of Guardianship and Conservatorship being issued to the guardian(s) and conservator(s) and upon the guardian(s) and 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. American LegalNet, Inc. www.FormsWorkFlow.com Page 3 of 3 Upon completion of the filing requirements above and sending the appropriate forms to all interested , Letters will be issued which will appoint you as guardian. The guardian and conservator shall deliver to each financial institution where the ward/protected person has accounts/assets a copy of the Letters of Guardianship and Conservatorship and file with the court an Acknowledgment from each Financial Institution that they received the Letters along with a printout of all assets and account numbers in each financial institution. The guardian and 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 guardian/conservator222s authority. As a guardian and conservator you are ordered to comply with the following restrictions: 1. That the guardian and conservator shall not pay himself/herself/themselves or his/her/theirattorney compensation from the assets or income of the protected person nor sell real propertyof the estate without first obtaining an order from the court. To obtain an order, you must firstfile an application, give notice to interested persons, then have a hearing date scheduled. ThisOrder may be entered without a hearing, if all interested have waived notice of hearingorhave executed their consent to such compensation or sale and or any other restrictions asdetermined to be appropriate by the court. 2.The Conservator shall not make any ATM withdrawals or receive cash back on debittransactions without a court order.3.If any funds have been restricted by the court, the Conservator shall not make any withdrawalsfrom the restricted account without a court order. 4.Other: DATED BY THE COURT: County Judge PREPARED AND SUBMITTED BY: American LegalNet, Inc. www.FormsWorkFlow.com