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Nebraska State Court Form REQUIRED CC 16:3.25 Rev. 07/2019 ORDER TERMINATING GUARDIANSHIP, APPROVING FINAL INVENTORY AND ACCOUNTING, ADMINISTRATION EXPENSES, ATTORNEY FEES, DISCHARGE OF GUARDIAN, AND RELEASE OF BOND Page 1 of 2 Or der to Terminate Guardianship CC 16:3.25 Rev. 07/2019 IN THE COUNTY COURT OF COUNTY, NEBRASKA IN THE MATTER OF Ward/Minor W ard/Protected Person Case No. ORDER TERMINATING GUARDIANSHIP, APPROVING FINAL INVENTORY AND ACCOUNTING, ADMINISTRATION EXPENSES, ATTORNEY FEES, DISCHARGE OF GUARDIAN, AND RELEASE OF BOND The Petition to terminate the guardianship for the above- named ward, having come before the court for consideration, the court finds as follows: 1. All interested parties have been provided notice as required by law. 2. No objections to the final inventory, accounting, administration expenses, attorney fees, guardian fees or release of bond have been filed and/or Waiver of Final Accounting form by ward is signed and on file. 3. The guardian’s authority and responsibility should be terminated and the guardian discharged by reason of the following facts: Th e ward died on ________________________; or Th e ward’s condition and/or s ituation has improved and the ward no longer requires a guardian; or The ward has r eached the age of majority; or A successor guardian has been appointed; or The guardian has died; or ___________________________________________________________________. 4. Final administration expenses should be satisfied from guardianship as sets. 5. All remaining assets of the Ward should be transferred to:The ward; or The successor guardian; or The Personal Representative of t he deceased ward; or The person(s) in the small estate affidavit; or Nebraska Department of Health and Human Services Medicaid Estate Recovery to reimburse the State of Nebraska for Medicaid expenses paid out pursuant to Nebraska statute. Other: ______________________________________________________________ ___________________________________________________________________. Page 2 of 2 Order to Terminate Guardianship CC 16:3.25 Rev. 07/2019 IT IS THEREF ORE ORDERED that: A. The authority and responsibility of the guardian is hereby terminated. B. All assets of the ward remaining after payment of final fees and costs shall be transferred to: The ward; or The successor guardian; or The pe rsonal re presentative of the es tate of the deceased ward; or The person(s) in the small estate affidavit; or Nebraska Department of Health and Human Services Medicaid Estate Recovery to r eimburse the State of N ebraska for Medicaid ex penses paid out pursuant to Nebraska s tatute. Other: _______________________________________________________________ ____________________________________________________________________. C. The Final Accounting and Inventory filed by the guardians:I s hereby approved. was waived by the ward. D. Final fees and costs are approved as fair, reasonable and were necessary in the administration oft he ward’s guardianship estate and should be paid from the assets of the ward within thirty (30) days from the date of entry of this order and prior to final distribution as follows: Guardian’s fees and costs in the amount o f _ ___________ Attorney fees and costs for ____________________ in the amount of ____________ Court costs in the sum of ______________ E . A ny bond previously required of the guar dians is released. F. _________________________ will be discharged as guardian for the above-nam ed ward upon the payment of the court costs, if any, and the filing of the following receipts: Guardian’s fees and costs Attorney fees and costs Medicaid Estate Recovery Recipient(s) of remaining estate assets ________________________________________________________________ ________________________________________________________________ DATED : __________________________________ __________________________________ County Court Judge