COURT COUNTY OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .:::::::Index No.Calendar No.PROBATE COURT OF COUNTY, OHIOERIEJUDICIAL SUBPOENAPlaintiff(s) -against-Defendant(s)IN THE MATTER OF THE GUARDIANSHIP OF Case No.CONSENT BY PROSPECTIVE WARD. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .THE PEOPLE OF THE STATE OF NEW YORK TO(Consent of the prospective ward is necessary in all cases where incompetency is alleged due to physical disability or infirmity.) I, the undersigned, being unable to take care of myself or my property because of physical disabilityand infirmity, hereby consent to the appointment of a guardian for me and select , a resident of County, Ohio, as guardian of my (person and estate), and respectfully ask the Court to appoint the selected person as guardian.GREETINGS:WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before Court at the the Honorable,located at County ofo'clock in the day of, on the, 20, at or adjourned date, to testify and give evidence as a witness in this action on the part of thenoon, and at any recessed in roomSigned in presence ofYour failure to comply with this subpoena is punishable as a contempt of court and will make you liable to the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a result of your failure to comply., one of the Justices of theSignatureCourt in Witness, Honorableday of, 20 County,(Attorney must sign above and type name below)Attorney(s) forOffice and P.O. AddressTelephone No.: Facsimile No.: E-Mail Address:17.2 CONSENT BY PROSPECTIVE WARDMobile Tel. No.:American LegalNet, Inc. www.USCourtForms.com