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Fill and Sign the Rules of the Court of Chancery of the State of Delaware I Form

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Page 1 IN THE COURT OF CHANCERY OF THE STATE OF DELAWARE IN AND FOR Please select a county In the Matter of: C.M.# AN ALLEGED DISABLED PERSON FINAL ORDER FOR APPOINTMENT OF GUARDIAN OF THE PERSON AND/OR PROPERTY WHEREAS, a Hearing on the matter above (hereinafter called "the Hearing") was held on this date ,WHEREAS, Petitioner is the of ++++ + (hereinafter called "the disabled person"), and the disabled person's next of kin has/have waived notice and consented (agreed) to or has/have received notice through certified mail on the appointment of +++++ as Guardian of the Person and/or Property of the disabled person; and WHEREAS, , Esquire, the previously appointed attorney ad litem for the disabled person has been personally served at least ten (10) days before the date of the Hearing and has rendered his/her report; andPetitioner's namerelationship to alleged disabled persondisabled person's namePetitioner's nameleave blank Page 2 WHEREAS, the Court having reviewed the Petition and affidavits, considered the medical report, and considered the statements made and evidence presented at the Hearing, finds that +++++ is a disabled person because he/she is aged, mentally infirmed, and/or physically incapacitated. By reason thereof such disabled person:(Check ALL that apply.) is in unable to properly manage and/or care for his/her Person and consequently, such disabled person without a Guardian is in danger of substantially endangering his/her health or becoming subject to abuse by other persons or becoming the victim of designing persons.is unable to properly manage and/or care for his/her Property and consequently, such disabled person without a Guardian is in danger of dissipating or losing such property by becoming the victim of designing persons. NOW THEREFORE, IT IS ORDERED that:1. +++++ is hereby appointed: (Check ALL that apply.) Guardian of the Person of +++++ . Guardian of the Property of +++++. 2.Before entering upon his/her duties as Guardian pursuant to this Order,+++++ shall execute a bond to be taken in the name of the State of Delaware in the amount of $ with without surety as a condition for the faithful performance of his/her duties as Guardian.disabled person's namePetitioner's nameleave blankPetitioner's namedisabled person's namedisabled person's name Page 3 3. +++++ , as Guardian, shall open one or more bank accounts at and/or its successors AND shalldeposit ALL monies of the disabled person in such account(s). The account(s) shall be entitled "COURT OF CHANCERY, GUARDIANSHIP ACCOUNT FOR+++++ , +++++ , GUARDIAN, WITHDRAWALS ONLY BY ORDER OF THE COURT."4.The Guardian may withdraw up to $ total per month without further notice of the Court. Otherwise, the Guardian may NOT make ANY withdraws from the account WITHOUT first having a Court Order to do so.5.A first inventory is due within 30 days of today's date.6.The Guardian shall file an accounting of the Guardianship accounts at least once every year on the anniversary date of the appointment of the Guardian (the date of this Order) and at any other time the Court shall direct as required by the Rules of this Court. 7.The Guardian shall file a status report with the Register In Chancery every year on the anniversary date of the appointment of Guardian (the date of this Order) as required by the Rules of this Court and at any other time the Court shall direct. The status report shall include the current mailing address of both the disabled person and the Guardian, and the current medical statement from the attending physician setting forth the current medical status of the ward and addressing the need for a continued Guardianship.Petitioner's namebank/institutiondisabled person's nameGuardian’s nameleave blank Page 4 8. The Guardian shall, within days submit proof to the Register in Chancery that the terms of this Order have been complied with and the bank account(s) provided for in this Order has/have been opened in accordance with the provisions of this Order.9.The Guardian is authorized to pay the following costs of these proceedings: A.$ to the Register in Chancery.B.$ to , Esquire, for his/her services as the attorney ad litem for the disabled person.10.The Register in Chancery of this Court is appointed agent of the Guardian to accept service of process on behalf of the Guardian as to any claim arising out of the Guardianship if, by reason of the Guardian's absence from this State, he/she cannot be served. Date(Vice) Chancellor or Master leave blankleave blankleave blankleave blank

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