File No. STATE OF NORTH CAROLINA Film No. County In The General Court Of Justice Superior Court Division Before The Clerk IN THE MATTER OF: Name Of Minor ORDER ON PETITION FOR APPOINTMENT OF STANDBY GUARDIAN Date Of Application FOR MINOR G.S. 35A-1373Name And Address Of Standby Guardian(s) Name And Address Of Alternate Standby Guardian(s) Of The Person General Guardian Of The Person General Guardian This matter is before the Court on a petition for the appointment of a standby guardian for the minor named above. This Court has subject matter jurisdiction over this proceeding and personal jurisdiction over the minor, and this county is a proper venue. Upon due notice and hearing, or upon waiver of notice and hearing by all parties entitled thereto and upon their consent, the Court finds from the evidence presented that: 1. The petitioner is the biological or adoptive parent, or the guardian of the person or general guardian, of the minor named above. 2. The petitioner does does not suffer from a progressive chronic illness or an irreversible fatal illness. 3 The best interests of the minor child will will not be promoted by the appointment of a standby guardian. 4. Each person named above is fit to serve as standby guardian or alternate standby guardian of the minor. It is ORDERED that: 1. a. each person named above is appointed as standby guardian or alternate standby guardian of the minor named above to serve in the capacity designated; letters of appointment shall be issued to each person named as standby guardian when that person properly qualifies to serve; and letters of appointment shall be issued to each person named as alternate standby guardian when that person properly qualifies to serve after showing that all persons named as standby guardians are unwilling or unable to serve. b. the authority of the standby guardian(s) or the alternate standby guardian(s) will commence upon that persons receipt of any of the following: proof of the death of the petitioner, written determination of the incapacity of the petitioner, written determination of the debilitation of the petitioner and the petitioners written consent, or written consent of the petitioner. c. the standby guardian(s) shall: serve without bond. furnish a bond immediately upon the occurrence of one of the events specified in Paragraph 2 of this Order. d. the alternate standby guardian(s) shall: serve without bond. furnish a bond immediately upon the occurrence of one of the events specified in Paragraph 2 of this Order. 2. the petition is denied. Date Signature Assistant CSC Clerk Of Superior Court AOC-E-409, New 2/96 1997 Administrative Office of the Courts