COURT OUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ....... .. : Index No. : Calendar No. PROBATE COURT OF HAMILTON COUNTY, OHIO RALPH WINKLER, JUDGE : Plaintiff(s) JUDICIAL SUBPOENA GUARDIANSHIP OF CASE NO. -against- : : : , INCOMPETENT JUDGMENT ENTRY APPOINTING EMERGENCY GUARDIAN AND Defendant(s) : . . . . . . . . . . . . . . . . .SETTING . HEARING . ON. CONTINUATION OF EMERGENCY ............ ............. .... ... GUARDIANSHIP FOR INCOMPETENT PERSON This OF NEW YORK HE PEOPLE OF THE STATEmatter came on for hearing on the O day of , , on an application for appointment of an emergency guardianship. Based upon the medical testimony of the Court finds that the ward is an incompetent person in need of an emergency guardianship and that immediate action is required to prevent significant injury or REETINGS: harm to the that all business and excuses being laid aside, you WE COMMAND YOU,person (and estate) of the incompetent. and each of you attend before , , as e Honorable at the Court The Court hereby appoints located at ounty of the emergency of the estate) the room , on the day guardian of , 20 person (and o'clock inof the ward with the authority to make , at noon, and at any recessed adjourned date, decisions for the best interests of the action on the part ofmedical care and treatment. to testify and give evidence as a witness in this ward regarding the This order shall remain in effect for a period of seventy-two hours. The Court Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to e party on whose behalf day of this subpoena was issued for a maximum penalty of $50 and at damages sustained as a all o'clock , sult of your failure to comply. hereby sets this matter for hearing whether to extend the emergency order on the M. before It is Witness, Honorable further ordered that a copy of this order, be served upon thethe one of the Justices of ward and interested ourt in County, day , 20 parties forthwith. of This order has been granted ex parte for the reasons that a medical emergency exists, that the ward is unable to make hismust signown decisions below) (Attorney / her above and type name regarding medical care and treatment, and that immediate action is required at this time to prevent significant injury or harm to the ward. Attorney(s) for Notice was given to ward's next of kin by telephone, fax, or other means. Notice was not given to ward's next of kin because next of kin could not be reached. The next of kin were unknown Office andnot be ascertained prior to the hearing. or could P.O. Address Other: Telephone No.: Facsimile No.: E-Mail Address: Winkler, Probate Judge Ralph Mobile Tel. No.: H.C. FORM 17.04 - JUDGMENT ENTRY APPOINTING EMERGENCY GUARDIAN American LegalNet, Inc. www.USCourtForms.com 02/10/03