PROBATE COURT OF MONTGOMERY COUNTY, OHIO ALICE O. McCOLLUM, JUDGE GUARDIANSHIP OF: CASE NO.: NOTICE OF EMERGENCY GUARDIANSHIP [30 DAY EXTENSION] TO: _________________________________________ Name _________________________________________ Address _________________________________________ City State Zip _________________________________________ Phone Number On the day of , 20 , the Court appointed as emergency guardian of the above-named ward. The emergency guardian's powers were limited to a period of seventy-two (72) hours, which began , 20 . The Court finds that the ward is still in need of an emergency guardian. Therefore, the Court continues the emergency guardianship for a period of thirty (30) days. . ALICE O. McCOLLUM, PROBATE JUDGE By: Deputy Clerk RETURN The above notice was served on on the day of and , 20 . M.C. FORM 17.07 ­ NOTICE OF EMERGENCY GUARDIANSHIP [30 DAY EXTENSION] American LegalNet, Inc. www.FormsWorkFlow.com 6/1/16