COURT COUNTY . . . . . . . . . . . .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : Index No. PROBATE COURT OF LUCAS COUNTY, OHIO : Calendar No. JACK R. PUFFENBERGER, JUDGE Plaintiff(s) : JUDICIAL SUBPOENA IN THE MATTER OF THE GUARDIANSHIP OF __________________________________________ -against: CASE NO. _______________________ : APPOINTMENT OF LIMITED GUARDIAN :FOR INCOMPETENT PERSON Defendant(s) : . . . . . . . . Upon .hearing . the .application. for .appointment. . . . limited guardian herein the Court finds that . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . of . ____________________________________________________________________________________ is incompetent by reason of _____________________________________________________________ THE PEOPLE OF THE STATE OF NEW YORK _______________________________________________________ and therefore is incapable of taking TO proper care of ____self and ____ property, and that a limited guardianship is necessary. The Court further finds that all persons who were entitled to notice of the hearing thereon were GREETINGS: given or waived notice thereof; that the incompetent is a resident of this county or has legal settlement WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before herein; and , the Honorablethat this Court has jurisdiction. at the Court located at County of in room It is therefore orderedday ofa limited guardian ofat (person andin the benoon, and at any recessed , on the , 20 , the o'clock estate) that appointed. or adjourned date, to testify and give evidence as a witness in this action on the part of the If an appointment is not made on the same day a guardian is ordered appointed, stop here. And then when the appointment is subsequently made, insert a new heading. “This day this matter came on further to be heard” and follow with remaining part of entry. Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to the party The Court thereforesubpoena was issued for a maximum penalty of $50 and all damages sustained as a on whose behalf this appoints _____________________________________________________, result of your failure to comply. a suitable and competent person, limited guardian of the (person and estate) of ____________________ ___________________________________________, incompetent, with thethe Justices of the by law to Witness, Honorable , one of powers conferred Court in all the duties of a limited guardian. This 20 County, day of , appointment is in compliance with R.C. 2111.09 and perform approves the bond as filed. (Attorney must sign above and type name below) A. The length (time period) of the guardianship is: (1) _______ Indefinite (2) _______ Definite – from ______________________ to ______________________ Attorney(s) for B. The limited powers granted to the guardian are: Office and P.O. Address The Court orders Letters of Limited Guardianship issued to the appointed guardian. Telephone No.: Facsimile No.: Judge Jack R. E-Mail Address: Puffenberger Mobile Tel. No.: FORM 17.5A – JUDGMENT ENTRY APPOINTMENT OF LIMITED GUARDIAN FOR INCOMPETENT PERSON American LegalNet, Inc. www.USCourtForms.com