Superior Court of Washington County of ________________ In re the Guardianship of: No. _____________________ Final Order Accepting Transfer to Washington (ORGDNOW) RCW 11.90.410 ___________________________, An Incapacitated Person Findings 1. The guardian or conservator has filed a Petition for Washington State to Accept a Guardianship or Conservatorship from a Transferring State and this court entered an order provisionally granting the transfer. 2. This court received a certified copy of the final order confirming transfer to Washington State and terminating the guardianship or conservatorship under a provision similar to RCW 11.90.410 in (State). 3. Notice has been provided to all necessary parties. The court orders: 4. Transfer This court grants the Motion for a Final Order Accepting Transfer to Washington. This court accepts transfer of the guardianship to this court's jurisdiction under RCW 11.90.410. 5. Appointment of guardian (Name) is appointed guardian by separate Order Appointing Guardian that the court entered on this date. Dated _______________________ __________________________________ Judge/Court Commissioner Final Order Accepting Tranfer to WA (ORGDNOW) Page 1 of 2 WPF GDN 02.0160 (07/2015) RCW 11.90.410 American LegalNet, Inc. www.FormsWorkFlow.com Presented by: ___________________________________ ____________________________________________ Signature of Guardian/Attorney ___________________________________ Printed Name of Guardian/Attorney, WSBA/CPG # _____________________________________________ Address ___________________________________ City, State Zip Code _____________________________________________ *Telephone/Fax Number Email Address * Privacy notice: If you do not want your personal phone number on this public form, you may list your telephone number on a separate form which may be available to parties and the court, as well as its staff and volunteers, but will not be made available to the public. Use Form WPF GDN 03.0100, Guardianship Confidential Information form (Telephone Numbers), for this purpose. Final Order Accepting Tranfer to WA (ORGDNOW) Page 2 of 2 WPF GDN 02.0160 (07/2015) RCW 11.90.410 American LegalNet, Inc. www.FormsWorkFlow.com