Fill and Sign the Notice to Interested Persons of Request to Transfer Form

GN -3260, 05/14 Letters of Temporary Guardianship of the Person §54.50, W isconsin Statutes This form sh all not be modified. It may be supplemented with additional material. STATE OF WISCONSIN, CIRCUIT COURT, COUNTY IN THE MATTER OF Amended Letters of Temporary Guardianship of the Person Date of Birth Case No. To: A. You are appointed temporary guardian of the person of the above named individual . B. Co -guardians must agree with each other when making decisions on behalf of the individual subject to guardianship, except as follows: 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 only in these limited circumstances: . C. You are issued Letters of Temporary Guardianship of the Person with the following powers: See a ttached 1. This temporary g uardianship of the p erson expire s at the end of 60 days on . 2. This t emporary guardianship of the person has been extended for an additional 60 days to . 3. These Letters of Tempor ary Guardianship of the Person are issued after conversion of this proceeding from Chapter 51 to Chapter 54/55 and are in effect pending the hearing for a permanent guardianship and protective placement or services but not more than 30 days ending on . BY THE COURT: Name of Attorney/Petitioner Circuit Court Judge/Circuit Court Commissioner Print or Type Name if not eSigned Date Address Telephone Number Bar Number