Fill and Sign the Notice of Hearing Onincompetencemotion in the Cause Form

Name Of Respondent(s) (See reverse side for Order Extending Interim Guardianship) 1997 Administrative Office of the Courts Assistant CSC Clerk Of Superior Court b. the person named below is appointed interim guardian of the a. Based on these specific findings of fact, the Court concludes that there is reasonable cause to believe that the respondent is incompetent, and that: The Court does not find that grounds exist for the appointment of an interim guardian. Upon qualifying, the interim guardian shall have the powers and duties specifically set forth below. These powers and duties shall extend only so long as is necessary to meet the condition necessitating this appointment. In any event, this interim guardianship shall terminate on the earliest of the following: the expiration date specified below, if any; 45 days from the date of this Order; when any guardian is appointed following an adjudication of incompetence; or when the petition in this case is dismissed by the Court. person estate for the respondent. 1. 2. 1. there is or reasonably appears to be an imminent or foreseeable risk of harm to the respondent's estate, and immediate intervention is required in order to protect the respondent's interest. STATE OF NORTH CAROLINA ORDER ON MOTION FOR APPOINTMENT OF INTERIM GUARDIAN It is ORDERED that: AOC-SP-900M, Rev. 4/97 In The General Court Of Justice Superior Court Division Before The Clerk County IN THE MATTER OF: G.S. 35A-1114 A hearing on the petitioner's Motion for the Appointment of an Interim Guardian was held before me on this day. From the evidence presented at the hearing, the Court makes the following specific findings of fact: (Set forth facts which support conclusion that grounds for immediate intervention exist.) File No. Signature the respondent is in a condition that constitutes or reasonably appears to constitute an imminent or foreseeable risk of harm to the respondent's physical well-being, and there is immediate need for a guardian to provide consent or take other steps to protect the respondent. the motion for the appointment of an interim guardian is denied. 2. Name And Address Of Interim Guardian Powers And Duties Of Interim Guardian Date Of Order Expiration Date Relationship To Respondent Telephone No. For good cause shown, it is further ORDERED that the period of interim guardianship set forth in the above Order is extended for as long as continues to be necessary to meet the conditions necessitating this appointment. In any event, this interim guardianship shall terminate on the earliest of the following: the expiration date specified below, if any; 45 days from the date of this Order; when any guardian is appointed following an adjudication of incompetence; or when the petition in this case is dismissed by the Court. Assistant CSC Clerk Of Superior Court ORDER EXTENDING INTERIM GUARDIANSHIP AOC-SP-900M, Side Two, Rev. 4/97 Signature Date Of Order Expiration Date 1997 Administrative Office of the Courts