251 2018 Nevada Supreme Court Page 1 of 4 226 Petition to Release Funds from Blocked Account COURT CODE: Your Name: Address: City, State, Zip: Telephone: Email Address: Self-Represented DISTRICT COURT COUNTY, NEVADA PETITION TO RELEASE FUNDS FROM BLOCKED ACCOUNT Guardian(s) (name of first guardian) and (name of second guardian or 223n/a224the Court as follows: 1.This Court appointed Petitioner(s) as Guardian(s) of the above-named Protected Personand issued Letters of Guardianship, which are still in full effect. 2.The Protected Personborn on (date of birth), currently age . 3.The current address for the Protected Person is: Address City, State, Zip Code In the Matter of the Guardianship of the: EstatePerson and Estate of: CASE NO.: DEPT: ( name of person who has a guardian ) A Protected Person. American LegalNet, Inc. www.FormsWorkFlow.com 251 2018 Nevada Supreme Court Page 2 of 4 226 Petition to Release Funds from Blocked Account 4.The Monthly Budget was filed on (month) (day) , 20 . According to the Monthly Budget, the Protected Person222s total monthly income is $ and the total monthly expenses are $ . 5.Inventory, Appraisal, and Record of Value. ( check one)The Inventory, Appraisal, and Record of Value has not been filed.The Inventory, Appraisal, and Record of Value was filed on (month) (day) , 20 . According to the Inventory, the value of the Protected Person222s estate is (estate value) $ . 6.Accounting. ( check one)An Annual Accounting has not yet been filed. An Annual Accounting was filed on (month) (day) , 20 . According to the Annual Accounting, the total value of the Protected Person222s estate is (estate value) $ . 7.The Protected Person222s money is in a blocked account. The account is held at (name ofthe bank / financial institution where the blocked account is held) under Court Blocked Account No. (provide last 4 digits of account number) . The current balance in the account is $ . 8.Guardian(s) need to access money in the blocked account because: ( check one)Guardian(s) need to pay the regular monthly expenses for the Protected Personaccording to the Monthly Budget.Other: (explain why you need to access the blocked account, and attach anydocuments that show the costs related to the amount you are requesting): American LegalNet, Inc. www.FormsWorkFlow.com 251 2018 Nevada Supreme Court Page 3 of 4 226 Petition to Release Funds from Blocked Account 9. Guardian(s) must apply the estate of the Protected Person for the proper care and maintenance of the Protected Person. The Guardian(s) cannot pay the necessary expenses above since the money is in a blocked account. 10. Amount Requested. Guardian(s) request the court order the release of funds from the above blocked account as follows: ( check one) Monthly amount of (monthly amount) $ per month to pay the Protected Person222s regular monthly expenses. Funds should be released on the (day) of every month. One-time amount of $ to pay the expense detailed above. 11. If granted, the funds should be released as followed: ( check one) Directly to the guardians. Transferred to an unblocked account held at (name of financial institution where the unblocked account is held) under Account No. (provide last 4 digits of account number) , which is owned by (name of account owner) . Based on the above, Guardian(s) request that the Court approve the release of funds as described above. Date: Date: (First Guardian222s signature) (Second Guardian222s signature) (First Guardian222s printed name) (Second Guardian222s printed name) American LegalNet, Inc. www.FormsWorkFlow.com 251 2018 Nevada Supreme Court Page 4 of 4 226 Petition to Release Funds from Blocked Account VERIFICATION OF FIRST GUARDIAN I, (name of first guardian) , declare that I am the petitioner in the within action; that I have read the foregoing Petition for Release of Funds from Blocked Account and know the contents thereof; that the same is true of my knowledge except as to those matters therein stated upon information and belief and as to those matters, I believe them to be true. I declare under penalty of perjury under the law of the State of Nevada that the foregoing is true and correct. FIRST GUARDIAN VERIFICATION OF SECOND GUARDIAN I, (name of second guardian) declare that I am the petitioner in the within action; that I have read the foregoing Petition for Release of Funds from Blocked Account and know the contents thereof; that the same is true of my knowledge except as to those matters therein stated upon information and belief and as to those matters, I believe them to be true. I declare under penalty of perjury under the law of the State of Nevada that the foregoing is true and correct. SECOND GUARDIAN American LegalNet, Inc. www.FormsWorkFlow.com