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Nebraska State Court Form REQUIRED PETITION FOR INSTRUCTIONS AND/OR DIRECTIONS CC 16:3.24 Page 1 of 2 Petition for Instructions and/or Directions IN THE COUNTY COURT OF COUNTY, NEBRASKA IN THE MATTER OF GUARDIANSHIP/CONSERVATORSHIP OF: Ward/Incapacitated Person/Protected Person Case PETITION FOR INSTRUCTIONS AND/OR COMES NOW, , as the petitioner and hereby requests instructions and directions from the court regarding the issues set forth below, to-wit: The petitioner is the duly appointed guardian and/or conservator for. I acknowledge that I will receive a Notice of Hearing when I file my petition. After I receive the Notice of Hearing from the county court, it is my responsibility to send a copy of this Petition for Instructions and/or Directions, the Notice of Hearing, and the Notice of Right to Object (CC 16:2.16) I further acknowledge that I must file a Certificate of Mailing (CC 16:2.49) for both this Petition for Instructions and/or Directions and the Notice of Hearing with the county court proving that I have given notice of the hearing date to all interested persons*. I, the undersigned guardian/conservator, swear or affirm, Signature(s) of Petitioner(s) Print or Type Name of Petitioner (s) Bar Number and Firm Name (attorneys only)Date Street Address/P.O. Box of Petitioners) City/State/ZIP Code of Petitioner (s) Phone of Petitioner(s) E-mail Address of Petitioner(s) American LegalNet, Inc. www.FormsWorkFlow.com Page 2 of 2 *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;if there are no individuals defined as 223interested persons224 above, include any person ororganization named as a 223devisee224 in the ward222s/incapacitated person222s/protected person222smost recent will;after death of the ward/incapacitated person/protected person, interested person also includesthe personal representative of a deceased ward222s/incapacitated person222s/protected person222sestate, the deceased ward222s/incapacitated person222s/protected person222s heirs in an intestateestate, and the deceased ward222s/incapacitated person222s/protected person222s devisees in atestate estate;any governmental agency paying benefits on behalf of the ward/incapacitatedperson/protected person; 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