PROBATE COURT OF WOOD COUNTY, OHIO David E. Woessner, Judge In the Matter of the EMERGENCY GUARDIANSHIP of: Case No. LETTERS OF EMERGENCY GUARDIANSHIP (R.C. 2111.02) is appointed Emergency Guardian of , an Incompetent, a Minor. Emergency Guardian's powers are: All powers conferred by the laws of Ohio and rules of this Court over the Ward's: Person and Estate Person Only Estate Only Limited to Those emergency guardianship powers, until revoked, are for a/an: Indefinite time period Definite time period to The above-named Emergency Guardian has the power conferred by law to do and perform all the duties of Emergency Guardian as described. No expenditures shall be made without prior Court authorization. Emergency guardians of the estate must file a final account or statement in lieu 30 days from the expiration of the emergency guardianship. Date Journalized David E. Woessner, Judge NOTICE TO FINANCIAL INSTITUTIONS Funds being held in the name of the within-named Ward shall not be released to Emergency Guardian without a Court order directing release of a specific fund and amounts thereof. CERTIFICATE OF APPOINTMENT AND INCUMBENCY The above document is a true copy of the original kept by me as custodian of the records of this Court. It constitutes the appointment and letters of authority of the named Emergency Guardian, who is qualified and acting in such capacity. Prepared by: (Seal) A ttorney Name A ddress David E. Woessner, Probate Judge Phone # By: Registration # Deputy Clerk Date FORM 15.4 - LETTERS OF EMERGENCY GUARDIANSHIP 2/2019 American LegalNet, Inc. www.FormsWorkFlow.com