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Fill and Sign the 27 Rev Form

Fill and Sign the 27 Rev Form

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Nebraska State Court Form REQUIRED CC 16:2.27 Rev. 12/16 Neb. Rev. Stat. § 30-2601(10) Neb. Ct. R. § 6-1433(B)(2) CERTIFICATE OF MAILING APPLICATION FOR WITHDRAWAL OF FUNDS IN THE COUNTY COURT OF ________________COUNTY, NEBRASKA Case No. ____________________ IN THE MATTER OF CERTIFICATE OF MAILING APPLICATION FOR WITHDRAWAL OF FUNDS _____________________________________ Ward/Incapacitated Person/Protected Person I, , swear or affirm, under the penalties of perjury, that on , I mailed copies of the forms marked below to all interested persons* and bonding company, if any, at the addresses set forth below: Application for Withdrawal of Funds (CC 16.2.19) Notice of Hearing (received from the court after filing the Application) Notice of Right to Object form; and Certificate of Mailing. NAME(S) OF INTERESTED PERSON(S) ADDRESS(ES) See attached (more names and addresses than above) Signature(s) of Guardian(s) and/or Conservator(s) or Their Attorney Print or Type Name of Guardian(s) and/or Conservator(s) or Their Attorney Bar Number and Firm Name (attorneys only) Street Address/P.O. Box of Guardian(s) and/or Conservator(s) or Their Attorney City/State/ZIP Code of Guardian(s) and/or Conservator(s) or Their Attorney Phone Page 1 of 2 Certificate of Mailing Application for Withdrawal of Funds CC 16:2.27 Rev 12/16 E-mail Address Date *Interested persons are defined as: • children and spouses; • future heirs if the ward/incapacitated person/protected person would die without leaving a valid will (brothers and sisters who are adults, grandparents, etc.); • a trustee of any trust executed by the ward/incapacitated person/protected person; • if there are no individuals defined as “interested persons” above, include any person or organization named as a “devisee” in the ward’s/incapacitated person’s/protected person’s most recent will; • after death of the ward/incapacitated person/protected person, interested person also includes the personal representative of a deceased ward’s/incapacitated person’s/protected person’s estate, the deceased ward’s/incapacitated person’s/protected person’s heirs in an intestate estate, and the deceased ward’s/incapacitated person’s/protected person’s devisees in a testate estate; • any governmental agency paying benefits on behalf of the ward/incapacitated person/protected person; and • any person designated by order of the court to be an interested person. If there are no interested persons identified for a ward/incapacitated person/protected person, the court shall appoint a guardian ad litem (Nebraska Supreme Court Rule § 6-1449(B)). The cost of the guardian ad litem may be taken from the assets of the ward/incapacitated person/protected person. Page 2 of 2 Certificate of Mailing Application for Withdrawal of Funds CC 16:2.27 Rev 12/16

Useful advice on preparing your ‘27 Rev’ online

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Adhere to this comprehensive guide:

  1. Log into your account or register for a complimentary trial with our service.
  2. Click +Create to upload a file from your device, cloud, or our form library.
  3. Access your ‘27 Rev’ in the editor.
  4. Click Me (Fill Out Now) to ready the document on your end.
  5. Add and designate fillable fields for others (if necessary).
  6. Advance with the Send Invite settings to solicit eSignatures from others.
  7. Download, print your copy, or convert it into a reusable template.

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