PROBATE COURT OF WOOD COUNTY, OHIO David E. Woessner, Judge In the Matter of the GUARDIANSHIP of:___________________________________________________ Case No. _____________________________ Date:_______________________ EX PARTE JUDGMENT ENTRY APPOINTMENT OF EMERGENCY GUARDIAN FOR INCOMPETENT PERSON (R.C. 2111.02(B)(3)) Upon hearing the application for appointment of an emergency guardian herein the Court finds that _______________________________________________________________________________ is incompetent by reason of ____________________________________________________________ and further there exists emergency circumstances and that it is reasonably certain that immediate action is required to prevent significant injury to the person and/or estate of the proposed ward, that the proposed ward is incapable of taking care of _____self and _____ property, and that an emergency guardianship is necessary. The Court further finds that notice of the hearing thereon cannot be given because of the emergency existing; that the incompetent is a resident of this county or has legal settlement herein; and that this Court has jurisdiction. The Court therefore appoints ___________________________________________ a suitable and competent person, emergency guardian of the person and estate of _________________________ incompetent, limited to the following______________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ The Court orders notice of the appointment of the emergency guardian be issued to the ward. The Court orders Letters of Emergency Guardianship be issued to ________________________ as provided by law, for the limited period from_____________________ to ______________________. Date Journalized: ___________________ _________________________________ David E. Woessner, Probate Judge FORM 30.5E - EXPARTE JUDGMENT ENTRY APPOINTMENT OF EMERGENCY GUARDIAN FOR INCOMPETENT PERSON Crensch$\forms\30.5E.doc American LegalNet, Inc. 10/4/00 www.USCourtForms.com