Rules of the Court of Chancery of the State of Delaware

IN THE COURT OF CHANCERY OF THE STATE OF DELAWARE
IN AND FOR

In the Matter of:

C.M.#

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; and

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.)

NOW THEREFORE, IT IS ORDERED that:

1. is hereby appointed: (Check ALL that apply.)

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.

3. as Guardian, shall open one or more bank

accounts at and/or its successors AND shall

deposit 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.

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.