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GN-3210, 05/17 Letters of Guardianship of the Estate Due to Incom petency §§54.18, 54.19, 54.20, 54.46(5), 54.52 and Chapter 5 4, W isconsin Statutes This form shall not be modified. It may be supplemented with additional mater ial. Page 1 of 1 STATE OF WISCONSIN, CIRCUIT COURT, COUNTY IN THE MATTER OF Name Amended Letters of Guardianship of the Estate Due to Incompetency Date of Birth Case No. To: Address: 1. You are appointed guardian co -guardian of the estate. successor guardian. 2. You are appointed standby guardian and your authority to act commences on [Date] and continues through [Date] . 3. Durable financial power of attorney is revoked or limited as follows: 4. You are issued Letters of Guardianship of the Estate with the following powers or limitation s: Co -guardians must agree with each other when making decisions on behalf of the individual su bject to guardianship. Co -guardians may act independently when making decisions on behalf of the individual. Co -guardians may act independently when making decisions on behalf of the individual o nly in these limited circumstances: . 5. GUARDIAN OF THE ESTATE You are authorized to A. perform duties and exercise powers under §54.19, Wis. Stats., and exercise the powers that do no t require court approval under §54.20(3), W is. Stats., except as retained by individual as follo ws: (Choose one) (1) The individual retains all rights, except for the following right(s) which is /are transferred to the guardian: (2) All rights are transferred to the guardian, except for the following right(s): (3) All rights are transferred to guardian. B. perform the following additional powers (other than to make gifts) that require court approval under §54.20(2), Wis. Stats. : See attached C. deposit the individual’s funds of $100,000 or less in an insured account of a bank, credit union, savings bank or savings and loan association in the name of the guardian and the ward, payable only upon further order of the court. 6. The guardianship of the estate terminates when the individual dies, when terminated by t he court or when provided by law. These Letters of Guardianship of the Estate supersede any previously issued Letters of Guardianship of the Estat e. BY THE COURT: Circuit Court Judge/Circuit Court Commissioner Print or Type Name if not eSigned Date