Nebraska State Court Form REQUIRED ORDER APPOINTING TEMPORARY GUARDIANAND TEMPARYCONSERVATOR Page 1 of 2 Order Appointing Temporary Guardian and Temporary Conservator CC 16:2.111 /15 IN THE COUNTY COURT OF COUNTY, NEBRASKA IN THE MATTER OF Ward/Incapacitated Person/Protected Person Case ORDER APPOINTING TEMPORARY GUARDIAN AND TEMPORARY CONSERVATOR The Petition for Appointment of 4. Appointment of a temporary guardian and temporary conservator is necessary because of thefollowing emergency: 5. is/are entitled to temporary appointment pursuantto Neb. Rev. Stat. 247 30-2626, 30-2627, 30-2630.016.BondIs required and set in the sum of $;Is not required7.Other: CC 16:2.111 : /15 Page 2 of 2 Order Appointing Temporary Guardian and Temporary Conservator IT IS THEREFORE ORDERED that shall be appointed temporary guardian(s) and temporary conservator(s) of the estate of and Letters of Temporary Guardianship and Temporary Conservatorship shall be issued to the temporary guardian(s) and temporary conservator(s) upon the filing of the following documents: 1.Acceptance; and2.Approved bond, if required. As a temporary guardian and temporary conservator you are ordered to comply with the following restrictions: The temporary guardian(s) and temporary conservator(s) shall not payhimself/herself/themselves or his/her/their attorney compensation from the assets or income ofthe protected person nor sell real property of the estate without first obtaining an order from thecourt. To obtain an order, you must first file an application, give notice to interested persons,then have a hearing date scheduled. This Order may be entered without a hearing, if allinterested persons have waived notice of hearing or have executed their consent to suchcompensation or sale and/or any other restrictions as determined to be appropriate by the ourt.The temporary guardian(s) and temporary conservator(s) shall not make any ATM withdrawalsor receive cash back on debit transactions without a court order.The Office of Public Guardian isprohibited from making ATM withdrawals or receiving cash back on debit transactions.If any funds have been restricted by the court, the temporary guardian(s) and temporaryconservator(s) shall not make any withdrawals from the restricted account without a court order.Other restrictions:DATED . BY THE COURT: County Judge PREPARED AND SUBMITTED BY: American LegalNet, Inc. www.FormsWorkFlow.com