1 Code: 2740 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 15 Case No. ________________________ Dept. No. ________________________ ORDER GRANTING TEMPORARY GUARDIANSHIP AND NOTICE OF EXTENSION HEARING (Form #2) 16 17 Upon review of the verified Petition for Guardianship of an Adult With Temporary 18 Guardianship Requested submitted by _________________________________________________ (Petitioner’s Name) 19 20 and ______________________________________________________ and there being good cause (Second Petitioner’s name, if applicable) 21 22 to believe that circumstances exist that a Temporary Guardianship issue, 23 IT IS HEREBY ORDERED AND DETERMINED by the Court that the proposed ward, 24 _______________________________________, whose date of birth is ______________________ (Name of proposed ward) 25 26 faces a substantial and immediate risk of financial loss or physical harm and/or needs immediate 27 medical attention or other necessities in life and will not be afforded such attention or necessities 28 unless this temporary guardianship is issued. Revised 2005 1 American LegalNet, Inc. www.FormsWorkflow.com 1 2 IT IS FURTHER DETERMINED that the above-named Court has the jurisdiction to enter this Order and the proposed ward is a resident of the State of Nevada. 3 That the Petitioner(s) have made a good-faith effort to contact the spouse and/or specified 4 living relatives of the proposed ward, any other person or agency having the care, custody and 5 control of the proposed ward, and/or if there is no spouse or living relatives, then the public 6 guardian of the county in which the ward resides, or, in the alternative, have presented to this Court 7 sufficient evidence that such contact would put the welfare of the adult in jeopardy. 8 That Petitioner(s) ________________________________________________________ and (Petitioner’s name) 9 10 ____________________________________________, be and is/are hereby appointed to act as the (Second Petitioner’s name, if applicable) 11 12 Temporary Guardian of _______the person, _______the estate, _______the person and the estate, 13 _______special guardian of _________________________________________________________ (Name of proposed ward) 14 15 after posting bond in the amount of $_______________________________, effective immediately. 16 17 NOTICE OF HEARING FOR THE EXTENSION OF THE TEMPORARY GUARDIANSHIP 18 19 NOTICE IS HEREBY GIVEN that this Order Granting Temporary Guardianship shall be 20 effective until the hearing to extend this guardianship is held on ____________________________ 21 at the hour of ________________________ in Department _______ of the Family Division of the 22 Second Judicial District Court of the State of Nevada, located on the third floor of the Courthouse at 23 One South Sierra Street, Reno, Nevada, 89501. 24 On the above date, should it be found by this Court that an extension of the Temporary 25 Guardianship is necessary for the ward, the hearing to determine the final disposition of this Petition 26 shall be held on ___________________________________ at the hour of ____________________. 27 IT IS ORDERED the Court determined that although advance notice was not required to 28 issue this temporary guardianship, the temporary guardian(s) shall notify the persons entitled to Revised 2005 2 American LegalNet, Inc. www.FormsWorkflow.com 1 notice of the guardianship petition within 48 hours after the Petitioner(s) discover the existence, 2 identity and location of the persons entitled to notice. 3 IT IS FURTHER ORDERED that a copy of this Order Granting Temporary Guardianship 4 and Notice of Extension Hearing with a copy of the Petition for Guardianship of an Adult shall be 5 served on the spouse and/or the specified living relatives and/or any other person or agency having 6 the care, custody and control of the ward. If there is no spouse of the ward and there are no known 7 relatives (parents, children, grandchildren, brothers, sisters, grandparents), service must be made 8 upon the Public Guardian of the County in which the ward resides. 9 Service shall be made either by personal service or by mailing a copy of the documents by 10 certified mail with return receipt requested to the last-known address of each party or pursuant to 11 further order of the Court, or by publication and/or posting if Petitioners have no knowledge of the 12 address of the parties. 13 DATED this _______ day of ________________________, 20______. 14 15 ____________________________________________ DISTRICT JUDGE 16 17 18 19 20 21 22 23 24 25 26 27 28 Revised 2005 3 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 1 Code: 3720 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 15 Case No. ________________________ Dept. No. ________________________ AFFIDAVIT OF SERVICE (Form #3) 16 STATE OF NEVADA 17 COUNTY OF WASHOE 18 __________________________________, being first duly sworn under penalties of perjury, (Name of person making service) states as follows: 19 20 1. ) ) ss. ) That I am: (check the appropriate blank) 21 _____ a party in this action and am appearing in proper person. 22 _____ a person not involved in this action and have no interest in this action and am over the age of 18 years. 23 24 2. That on the _______ day of ____________________, 20______, I served a true and (date) (month) (year) 25 26 correct copy of the document(s) entitled: (Clearly list the name of all documents you served on the 27 other party): _____________________________________________________________________ 28 ________________________________________________________________________________ Revised 2005 1 American LegalNet, Inc. www.FormsWorkflow.com 1 in the following way: (check the appropriate blank, and fill in the appropriate information) 2 IF THE DOCUMENTS WERE SERVED BY MAIL ON THE OTHER PARTY OR THE OTHER PARTY’S LAWYER, FILL IN THE FOLLOWING: 3 4 _____ by placing a copy enclosed in a sealed envelope upon which first class postage was fully prepaid _____ by placing a copy enclosed in a sealed envelope and mailing it certified, return receipt requested 5 6 7 The envelope was addressed to: 8 Name: _______________________________ Name: ___________________________________ 9 Address: _____________________________ Address: _________________________________ 10 City, State, Zip ________________________ City, State, Zip ____________________________ 11 that there is regular communication by mail between the place of mailing and the place addressed. 12 13 IF THE DOCUMENTS WERE PERSONALLY SERVED ON THE OTHER PARTY OR THE OTHER PARTY’S LAWYER, FILL IN THE FOLLOWING: 14 15 _____ by personally serving: 16 Name: _______________________________ Name: ___________________________________ 17 Address: _____________________________ Address: _________________________________ 18 City, State, Zip ________________________ City, State, Zip ____________________________ 19 20 DATED this _______ day of ________________________, 20______. 21 22 ____________________________________________ (Your Signature) 23 ____________________________________________ (Print Your Name) 24 25 SUBSCRIBED and SWORN to before me 26 this _______ day of ________________________, 20______. 27 28 __________________________________________________ NOTARY PUBLIC 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