FORM #527GC (01/2019) 62-5-108 STATE OF SOUTH CAROLINA ) ) COUNTY OF ) ) IN THE MATTER OF: ) , ) an alleged incapacitated individual. ) PROBATE COURT USE ONLY ) ) IN THE PROBATE COURT , ) CASE NUMBER - GC - - Petitioner(s), ) vs. ) MOTION AND ORDER FOR APPOINTMENT , ) OF GUARDIAN AD LITEM FOR Respondent(s). ) ) EMERGENCY OR TEMPORARY PROCEEDINGS MOTION I request appointment of a Guardian ad Litem for , an alleged incapacitated individual (A.I.I.), for emergency or temporary proceedings pending before the Court. I understand that I am responsible for the fees and costs of the Guardian ad Litem unless otherwise ordered by the Court. Executed this day of , 20. Petitioner/Movant CONSENT I consent to appointment as Guardian ad Litem for the A.I.I. in the above action and agree to serve in that capacity. Executed this day of , 20. Signature: Print Name: Address: Preferred Telephone: Secondary Telephone: Email: ORDER APPOINTING GUARDIAN AD LITEM On consideration of the above motion, it is ordered that is appointed Guardian ad Litem for the A.I.I. , Judge of Probate day of , 20 , South Carolina American LegalNet, Inc. www.FormsWorkFlow.com