COURT COUNTY OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .:::::::Index No.Calendar No.Your Name: Your Address: Your City, State, Zip Code: Your Telephone Number: Attorney Bar Number (if applicable): RepresentingJUDICIAL SUBPOENAPlaintiff(s) -against-Defendant(s)Self orAttorney forSUPERIOR COURT OF ARIZONA MARICOPA COUNTY. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .In the Matter of theCase Number PB: Guardianship and Conservatorship ofORDER OF APPOINTMENT OF A PERMANENT GUARDIAN AND CONSERVATOR OF AN ADULTTHE PEOPLE OF THE STATE OF NEW YORK TO(Incapacitated Person and Protected Person) The Court has read the sworn Petition for Appointment of Guardianship and Conservatorship and held a hearing to determine whether the court should enter the Order requested in the Petition. THE COURT FINDS: A.GREETINGS:WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before Court at the the Honorable,Petitioner is entitled to file the Petition under Arizona law, A.R.S. 14-5303(A) and 14-5404(A); B.located at County ofo'clock in the day of, on the, 20, at or adjourned date, to testify and give evidence as a witness in this action on the part of thenoon, and at any recessed in roomPetitioner has given Notice of Hearing as required by law or Notice of Hearing was waived by all interested parties; C.Venue in this county is proper; D.Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a result of your failure to comply.The reports of the physician and the court investigator have been considered by the Court. E.GUARDIANSHIP: The above-captioned person is an incapacitated person and in need of the continuing care and supervision of a Guardian and the person appointed below is competent to serve as Guardian of the incapacitated person and has priority for appointment under A.R.S. § 14-5311. F., one of the Justices of theCourt in Witness, Honorableday of, 20 County,CONSERVATORSHIP: Appointment of a Conservator is necessary because the proposed ward is unable to manage his or her property and affairs effectively due to mental illness, mental deficiency, mental disorder, physical illness or disability, chronic use of drugs, chronic intoxication, confinement, detention by a foreign power, or disappearance and the person appointed below is entitled to appointment as Conservator under A.R.S. § 14-5410. IT IS ORDERED: 1.(Attorney must sign above and type name below)APPOINTMENT OF GUARDIAN AND CONSERVATOR: The Court appoints: NAME:as Guardian and Conservator for the Adult as described in the caption above.Attorney(s) for2.BOND:The Guardian and Conservator must file a bond in the amount of $ with the Clerk of the Court, Probate Registrar before issuance of the letters. Bond is not required and is waived.Office and P.O. Address3.ISSUANCE OF LETTERS: Upon filing the bond, Letters of Guardianship and Conservatorship of an Adult shall be issued by the Clerk of the Court, Probate Registrar, SUBJECT TO THE FOLLOWING RESTRICTIONS:Telephone No.: Facsimile No.: E-Mail Address:© Superior Court of Arizona in Maricopa CountyPBGCA81f June 10, 2002Use only most current version ALL RIGHTS RESERVEDMobile Tel. No.:Page 1 of 4American LegalNet, Inc. www.USCourtForms.comCOURT COUNTY OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .:::::::Index No.Calendar No.JUDICIAL SUBPOENAPlaintiff(s) -against-Defendant(s)The following real property shall not be sold, transferred or encumbered without prior court approval:. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .The following financial accounts shall be restricted with no withdrawal of principal or interest without prior court order:THE PEOPLE OF THE STATE OF NEW YORK TOGREETINGS:WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before Court at the the Honorable,The following additional restrictions apply:located at County ofo'clock in the day of, on the, 20, at or adjourned date, to testify and give evidence as a witness in this action on the part of thenoon, and at any recessed in roomYour failure to comply with this subpoena is punishable as a contempt of court and will make you liable to the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a result of your failure to comply.4., one of the Justices of theCourt in Witness, Honorableday of, 20 County,ACCEPTANCE OF LETTERS: The Guardian and Conservator shall sign the Acceptance of the Letters under oath, and file the Acceptance with the Clerk of the Court, Probate Registrar. 5.(Attorney must sign above and type name below)ANNUAL REPORT OF GUARDIAN: The Guardian shall report to the Court on the status of the incapacitated person and the need to continue the guardianship at least annually by this date as required by A.R.S. § 14-5315, by filing the required form with the Clerk of the Court. 6.MENTAL HEALTH CARE (TITLE 14):Attorney(s) forOUTPATIENT MENTAL HEALTH CARE. The Guardian has the authority to consent for the Ward/Incapacitated Person to receive outpatient mental health care and treatment. INPATIENT MENTAL HEALTH CARE. The court finds by clear and convincing evidence that the Ward requires inpatient care. The Guardian has the authority to place the Ward in a level one behavioral health facility for inpatient mental health care and treatment. This authority expires onOffice and P.O. Address(date).Telephone No.: Facsimile No.: E-Mail Address:© Superior Court of Arizona in Maricopa CountyPBGCA81f June 10, 2002Use only most current version ALL RIGHTS RESERVEDMobile Tel. No.:Page 2 of 4American LegalNet, Inc. www.USCourtForms.comCOURT COUNTY OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .:::::::Index No.Calendar No.JUDICIAL SUBPOENAPlaintiff(s) -against-Defendant(s)7.DRIVING PRIVILEGES.The Ward/Incapacitated Person's right to obtain or retain a driver's license is suspended. OR The Ward/Incapacitated Person's right to obtain or retain a driver's license is not suspended.8.. . . . . . . . . . . . . . . . . . . . . . . . . . .
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