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HEAR IN G D ATED EPT. TIME                                      N um ber o f p ages a tta ch ed:    D E-3 51/G C-1 01ATTO RNEY O R P AR TY W IT H O UT A TTO RNEY ( N am e, S ta te B ar n um ber, a nd a ddre ss):T E LE PH O NE N O .:F A X N O . ( O ptio nal) :E -M AIL A D DR ESS ( O ptio nal) :A TTO RNEY F O R ( N am e):S U PER IO R C O UR T O F C ALIF O RN IA , C O UNTY O FSTR EET A D DR ESSM AIL IN G A D D RESSC IT Y A N D Z IP C O DEBR AN CH N AM EE STA TE O F ( N am e):D EC ED EN TCO NSER VATE EM IN O RCASE NUMBERORDER APPOINTING GUARDIAN AD LITEM-PROBATEEX P A RTE1. T he p etit io n f o r t h e a ppoin tm ent o f a g uard ia n a d lit e m f o r ( n am e):a .a m in or ( d ate o f b ir th ):b .a n in ca p acit a te d p e rs o nC.an u nborn p ers o nd.a n u nasc e rta in ed p ers o ne.f.a p e rs o n w hose id entit y o r a ddre ss is u nkn ow n a d e sig nate d c la ss o f p ers o ns w ho a re n ot a sce rta in ed o r a re n ot in b e in g ca m e o n r e gu la rly f o r h earin g a s f o llo w s: g. J u dge ( n am e): h. H earin g d ate : T im e:D ept.:R oom :I. The following persons were present at the hearing:(1 )(2 )(3 )(4 )(5 )P etit io ner ( n am e): Atto rn ey f o r p etit io n er ( n am e): Gu ard ia n a d lit e m n am ed in it e m 4 . Atto rn ey f o r g uard ia n a d lit e m ( n am e): Pe rs o n n a m ed in it e m 1 .(6 )O th er ( n a m e):T H E C O URT F IN DS2. a.b.A ll n o tic e s r e quir e d b y la w h ave b ee n g iv e n. Notic e is d is p ense d w it h .3. I t is r e aso nable a nd n ece ssa ry t o a ppoin t a g uard ia n a d lit e m f o r t h e p ers o n n am ed in it e m 1 .T H E C O URT O RDER S4. ( N am e):is h ere by a ppoin te d g uard ia n a d lit e m o f ( n am e): fo r t h e p urp ose s s e t f o rth in it e m s 5 a nd 6 o f t h e p etit io n.5. T he g uard ia n a d lit e misis NOT authorized to waive or disclaim any substantive rights of the representedp arty w it h out f u rth er o rd er o f t h is c o urt.6 .O th er ( s p ecif y . C ontin ue o n A tta ch m ent 6 if n ece ssa ry ):7 .D ate : JU DG E O F T H E S U PER IO R C O URT SIG NATU RE F O LLO W S L A ST A TTA C HM EN T Page 1 o f 1F orm A do pte d fo r M and ato ry U se Ju dic ia l C ouncil o f C alif o rn ia DE -3 51 /G C-1 01 [N ew J a nuary 1 , 2 004]ORDER APPOINTING GUARDIAN AD LITEM-PROBATEP ro bate C ode, § 1 003ele ctr o nic f o rm  2 004 WWW.LawCA.com La w P ublis h ers