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Fill and Sign the Gn 3670 Petition for Review of Conduct of Guardian Form

Fill and Sign the Gn 3670 Petition for Review of Conduct of Guardian Form

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GN -3680 , 04/08 Order on Petition for Review of Conduct of Guardian §54.68 , W isconsin Statutes This form shall not be modified. It may be supplemented with additional material. Page 1 of 2 STATE OF WISCONSIN, CIRCUIT COURT, COUNTY IN THE MATTER OF Amended Order on Petition for Review of Conduct of Guardian Date of Birth Case No. This matter is before the court on a Petition for Review of Conduct of Guardian and a hearing has been held. The court has considered the testimony and other evidence presented. THE COURT FINDS : 1. The allegations in the petition have not been proven . 2. Guardian [Name] has failed to file timely an inventory or account that is accurate or complete. committed fraud, waste, or mismanagem ent. abused or neglected the ward or knowingly permitted others to do so. engaged in self -dealing. failed to provide adequately for the personal needs of the ward from the ward’s available assets and income, including any available public benefits. fail ed to exercise due diligence and reasonable care ensuring that the ward’s personal needs are being met in the least restrictive environment consistent with the ward’s needs and in capacities. failed to act in the best interest of the ward. fai led to disclose conviction for a crime that would have prevented appointment of the person as guardian. failed to disclose that the guardian is listed in the Caregiver Misconduct Registry under §146.40(4g)(a )2, W is. Stats . failed to perform any du ties of a guardian or performed acts prohibited to a guardian as specified in §§54.18, 54.19, 54.20, 54.22, 54.25, and 54.62 , Wis. Stat s. 3. Changed circumstances indicate that a previously unavailable volunteer guardian is available to serve as guardian and that the change is in the best interests of the ward. 4. Other: THE COURT ORDERS : 1. The petition is denied. 2. The petition is granted and the guardian shall file an inventory other report [Specify] account required of the guardian by [Date] the guardian shall reimburse the ward or, if deceased, the ward’s estate for losses incurred as the result of the guardian ’s breach of a duty to the ward by [Date] . a forfeiture of $ is imposed on the guardian to be paid by [Date] . compensation for the guardian is denied : the guardian, [Name] is removed. Other : 3. Fees and costs as follows: . Order on Petition for Review of Conduct of Guardian Page 2 of 2 Case No. GN -3680 , 04/08 Order on Petition for Review of Conduct of Guardian §54.68 , W isconsin Statutes This form shall not be modified. It may be supplemented with additional material. Page 2 of 2 THIS IS A FINAL ORDER FOR PURPOSES OF APPEAL. Name of Attorney BY THE COURT: Address Circuit Court Judge/Circuit Court Commissioner Print or Type Name if not eSigned Date Telephone Number Bar Number

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