PROBATE COURT OF MONTGOMERY COUNTY, OHIO ALICE O. McCOLLUM, JUDGE GUARDIANSHIP OF: CASE NO.: NOTICE OF EMERGENCY GUARDIANSHIP 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 are limited to The emergency guardianship is limited to seventy-two (72) hours beginning , 20 , unless extended by the Court. ALICE O. McCOLLUM, PROBATE JUDGE By: Deputy Clerk RETURN The above notice was served on on the day of and , 20 . American LegalNet, Inc. www.FormsWorkFlow.com M.C. FORM 17.06 ­ NOTICE OF EMERGENCY GUARDIANSHIP 6/1/16