Washington > Local County > Spokane > Superior Court > Guardianship
Order Appointing Limited Or Full Guardian Of Person And-Or Estate GDN 04.0100 - Washington
| Order Appointing Limited Or Full Guardian Of Person And-Or Estate Form. This is a Washington form and can be used in Guardianship Superior Court Spokane Local County . |
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Superior Court of Washington County of In the Guardianship of: No. Order Appointing [ ] Limited Guardian of Person (ORAPLGP) [ ] Full Guardian of Person (ORAPGDP) and/or [ ] Limited Guardian of Estate (ORAPLGE) [ ] Full Guardian of Estate (ORAPGDE) [ ] Full Guardian of Person and Estate (ORAPGD) [ ] Clerk's Action Required, Para 3.3 _______________________________, Incapacitated Person Guardianship Summary Date Guardian Appointed: Due Date for Inventory (no later than 3 months from appointment): Due Date for Care Plan (no later than 3 months from appointment): The clerk shall notify the auditor of loss of voting rights: Due Date for Report and Accounting: Date of Next Review: Letters Expire On: Bond Amount: Restricted Account Agreements Required: Due Date for Receipt(s) of Funds in Blocked Account(s): [ ] Yes [ ] No $ [ ] yes [ ] No [ ] Certified Professional Guardian (CPG) [ ] Public Professional Guardian (PUG) [ ] Lay (Family) Guardian (LGD) [ ] Training Completed [ ] Training Required Incapacitated Person (IP) Name Address Phone* Facsimile Standby Guardian Name Address Phone* Relation to IP Or Appoint Gdn of Person/Estate (ORAPLGP, ORAPGDP, ORAPLGE, ORAPGDE, ORAPGD) - Page 1 of 9 WPF GDN 04.0100 (06/2012) RCW 11.88.020, 11.88.095 American LegalNet, Inc. www.FormsWorkFlow.com Guardian of: [ ] Estate [ ] Person Interested parties This Matter came on regularly for hearing on a Petition for Appointment of Guardian or Limited Guardian of _____________________________, the Alleged Incapacitated Person. [] [] [] The Alleged Incapacitated Person was present in Court; The hearing was conducted outside of the courtroom at the location of the Alleged Incapacitate Person; The Alleged Incapacitated Person's presence was waived for good cause shown other than mere inconvenience, as set forth in the file and reports in this matter; The Guardian ad Litem was present. The following other persons were also present at the hearing: _______________________________________________________________________________ _______________________________________________________________________________. The Court considered the written report of the Guardian ad Litem and the Medical/Psychological/ARNP Report, the testimony of witnesses, remarks of counsel, and the documents filed herein. Based on the above, the Court makes the following: I. Findings of Fact 1.1 Notices All notices required by law have been given and proof of service as required by statute is on file. Notice, if required, was provided to the Regional Administrator of DSHS pursuant to RCW 11.92.150, but DSHS neither appeared at this hearing nor responded to the Petition. 1.2 Jurisdiction The jurisdictional facts set forth in the petition are true and correct, and the Court has jurisdiction over the person and/or estate of the Alleged Incapacitated Person. 1.3 Guardian ad Litem The Guardian ad Litem appointed by the Court has filed a report with the Court. The report is complete and complies with all requirements of RCW 11.88.090. 1.4 Alternative Arrangements Made By the Alleged Incapacitated Person [] The Alleged Incapacitated Person did not make alternative arrangements for assistance, such as a power of attorney, prior to become incapacitated. The Alleged Incapacitated Person made alternative arrangements for assistance, but such arrangements are inadequate in the following respects: ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________. [] (Name)_________________________________ has been acting in a fiduciary capacity for the Alleged Incapacitated Person and should not continue to do so for the following reasons: _______________________________________________________________________ _______________________________________________________________________ Or Appoint Gdn of Person/Estate (ORAPLGP, ORAPGDP, ORAPLGE, ORAPGDE, ORAPGD) - Page 2 of 9 WPF GDN 04.0100 (06/2012) RCW 11.88.020, 11.88.095 American LegalNet, Inc. www.FormsWorkFlow.com [] _______________________________________________________________________ ______________________________________________________________________. 1.5 Capacity The Alleged Incapacitated Person, ____________________________, is: [] [] [] incapable of managing his or her personal affairs. incapable of managing his or her financial affairs. The Alleged Incapacitated Person is in need of a full Guardianship over the [ ] person [ ] estate. The Alleged Incapacitated Person is capable of managing some personal and/or financial affairs, but is in need of the protection and assistance of a limited Guardian of the [ ] person [ ] estate in the following areas: _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________. 1.6 Guardian The proposed Guardian is qualified to act as Guardian of the Person and/or Estate of the Incapacitated Person. Proposed Guardian's address, phone numbers and email address are as follows: Address: _______________________________________________________________ Phone No(s): Business____________________ Personal________________________ Email: ________________________________________________________________. 1.7 Guardian ad Litem Fees and Costs [] The Guardian ad Litem was appointed at [ ] county expense [ ] estate expense and shall submit a motion for payment of fees and costs pursuant to the local rules. The Guardian ad Litem has requested a fee of $______ for services rendered and reimbursement of $______ for costs incurred while acting as Guardian ad Litem. Fees in the amount of $______ and costs in the amount of $______ are reasonable and should be paid as follows: [] [] $___________ by the Guardian from the guardianship estate and/or $___________ by _____________________________________ for the following reason(s): ___________________________________________________________ ___________________________________________________________. 1.8 Bond The assets of the Alleged Incapacitated Person: [] [] [] are unknown, and Bond shall be reviewed at review of inventory. total less than three thousand dollars ($3,000) and no bond is required. exceed three thousand dollars ($3,000), and a bond is required. [] [] Or Appoin
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