PROBATE COURT OF SHELBY COUNTY, OHIO WILLIAM R. ZIMMERMAN, JUDGE GUARDIANSHIP OF CASE NO. NOTICE TO PROSPECTIVE WARD OF APPLICATION AND HEARING To Address An application for appointment of (limited) guardian for your (person and estate) has been filed with the Probate Court. as A hearing on that application will be held on o'clock , at .M. at the Shelby County Probate Court, Shelby County courthouse, Sidney, Ohio 45365. At that hearing, the Applicant must prove by clear and convincing evidence that, because of mental impairment, you are unable to handle your own affairs. 1. You have the right to be present at the hearing to contest the application, and to be represented by an attorney of your choice; 2. The right to have a friend or family member of your choice present at the hearing; 3. The right to have evidence of an independent expert evaluation introduced at the hearing; 4. If you are indigent, upon your request, an attorney and an independent expert evaluator will be appointed at court expense; 5. If you are indigent, and you appeal the guardianship decision, you have the right to have an attorney appointed and necessary transcripts prepared at court expense. Witness my signature and the seal of the Court, this day of , William R. Zimmerman, Probate Judge (Seal) by: Deputy Clerk Page 1 of 2 FORM 17.3 - NOTICE TO PROSPECTIVE WARD OF APPLICATION AND HEARING 09/01/91 American LegalNet, Inc. www.FormsWorkflow.com . CASE NO. RETURN County, Ohio Received this notice on the and on the day of day of , , , I served the same by delivering a true copy thereof personally to . I communicated with him/her in a language or method of communication understandable to the alleged incompetent. Investigator Page 2 of 2 FORM 17.3 - NOTICE TO PROSPECTIVE WARD OF APPLICATION AND HEARING American LegalNet, Inc. www.FormsWorkflow.com