1 Code: 2870 2 Name: ___________________________________ Address: _________________________________ _________________________________ Telephone No. ____________________________ Appearing in Proper Person 3 4 5 6 IN THE FAMILY DIVISION 7 OF THE SECOND JUDICIAL DISTRICT COURT OF THE STATE OF NEVADA 8 IN AND FOR THE COUNTY OF WASHOE 9 10 11 In the Matter of the Guardianship of the Person, the Estate, or the Person and Estate of: 12 ________________________________________ 13 ________________________________________ An Adult. _____________________________________________/ 14 Case No. ________________________ Dept. No. ________________________ 15 16 ORDER EXTENDING TEMPORARY GUARDIANSHIP AND AFFIRMING PERMANENT GUARDIANSHIP HEARING DATE (Form #4) 17 18 19 This matter came before the Court upon the verified Petition for Guardianship of an Adult With Emergency Temporary Guardianship Requested. 20 A temporary guardianship was granted. The hearing for the extension of the temporary 21 guardianship pending the final hearing on the permanent guardianship was held, as scheduled, on 22 ______________________________________________. 23 24 25 The Court, having considered the Petition and support documents and testimony, finds as follows: __________________________________ faces a substantial and immediate risk of physical (Ward’s name) 26 27 28 harm and/or financial loss if (he/she) _________ does not continue in the care of the Petitioner(s). The Ward (does or does not) ______________ have an estate to be considered in this matter. Revised 2005 1 American LegalNet, Inc. www.FormsWorkflow.com 1 The estate of the Ward, as described in the Petition, consists of: 2 __________ Financial Benefits __________ Veteran’s Benefits 3 __________ Checking Accounts __________ Savings Accounts 4 __________ Investments __________ Motor Vehicles 5 __________ Real Estate __________ Other Real Property 6 It is necessary and in the best interests of the Ward that the appointment of Petitioner(s) as 7 temporary guardian(s) of _______the person, _______the estate, _______the person and the estate, 8 _______special guardian previously made by this Court, to be continued in full force and effect 9 pending the hearing on the appointment of a permanent guardian of the above-named ward. 10 The Petitioner(s) have made a good-faith effort to contact the spouse and/or living relatives, 11 or the public guardian, if necessary, and/or any other person or agency having the care, custody and 12 control of the adult ward to advise them of this application for guardianship. 13 THEREFORE, IT IS ORDERED: 14 That ________________________________ and __________________________________ (Petitioner’s name) (Second Petitioner’s name, if applicable) 15 16 are to continue as the temporary guardian(s) of the above-named adult pending the hearing on the 17 permanent guardianship in this matter which is scheduled for _______________________________ 18 at the hour of __________________, said hearing date and time hereby being affirmed. 19 IT IS FURTHER ORDERED that the Clerk of the Court shall issue Letters of Temporary 20 Guardianship to the Petitioner(s) appointing (him, her, them) _________________ as the temporary 21 guardian(s) of _____the person, _____the estate, _____the person and the estate, _____special 22 guardian of the above-named adult. 23 That said Letters of Temporary Guardianship are in full force and effect pending the hearing 24 on the permanent Petition for Appointment of Guardian of the above-named adult, but not to exceed 25 thirty (30) days from the date hereof, without an additional Order of this Court. 26 DATED this _______ day of ________________________, 20______. 27 ____________________________________________ DISTRICT JUDGE 28 Revised 2005 2 American LegalNet, Inc. www.FormsWorkflow.com 1 SECOND JUDICIAL DISTRICT COURT COUNTY OF WASHOE, STATE OF NEVADA 2 3 AFFIRMATION Pursuant to NRS 239B.030 4 The undersigned does hereby affirm that the preceding document, 5 6 7 (Title of Document) 8 9 filed in case number: 10 Document does not contain the social security number of any person 11 -OR- 12 Document contains the social security number of a person as required by: 13 A specific state or federal law, to wit: 14 ______________________________________________________ (State specific state or federal law) 15 16 -or- 17 For the administration of a public program 18 -or- 19 For an application for a federal or state grant 20 -or- 21 Confidential Family Court Information Sheet (NRS 125.130, NRS 125.230 and NRS 125B.055) 22 23 24 Date: (Signature) 25 26 (Print Name) 27 28 (Attorney for) Affirmation Revised December 15, 2006 American LegalNet, Inc. www.FormsWorkflow.com