Form CC 16:2.219 Acceptance of Appointment of Temporary Conservator by the Public Guardian - Nebraska

Form CC16:2.219 or the "Acceptance Of Appointment Of Temporary Conservator By The Public Guardian" is a form issued by the Nebraska Judicial Branch.

Download a PDF version of the Form CC16:2.219 down below or find it on the Nebraska Judicial Branch Forms website.

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Nebraska State Court Form
ACCEPTANCE OF
REQUIRED
APPOINTMENT OF
CC 16:2.219 New 11/15
TEMPORARY CONSERVATOR
Neb. Rev. Stat. § 30-2630.01(a)
and Neb. Ct. R. § 6-1443(A)
IN THE COUNTY COURT OF
COUNTY, NEBRASKA
Case No.
IN THE MATTER OF
ACCEPTANCE OF APPOINTMENT
Protected Person
OF TEMPORARY CONSERVATOR
I,
, accept appointment as temporary conservator of the assets of
(Name of conservator(s))
_______________________________, and swear that I will perform, according to law, all duties for
(Protected person)
the protected person as temporary conservator.
Date
Signature(s) of Conservator(s)
Print or Type Name of Conservator(s)
Bar Number and Firm Name (attorneys only)
Street Address/P.O. Box of Conservator(s)
City/State/ZIP Code of Conservator(s)
Phone of Conservator(s)
E-mail Address of Conservator(s)
Page 1 of 1
Acceptance of Appointment of
Temporary Conservator
CC 16:2.219 New 11/15
Nebraska State Court Form
ACCEPTANCE OF
REQUIRED
APPOINTMENT OF
CC 16:2.219 New 11/15
TEMPORARY CONSERVATOR
Neb. Rev. Stat. § 30-2630.01(a)
and Neb. Ct. R. § 6-1443(A)
IN THE COUNTY COURT OF
COUNTY, NEBRASKA
Case No.
IN THE MATTER OF
ACCEPTANCE OF APPOINTMENT
Protected Person
OF TEMPORARY CONSERVATOR
I,
, accept appointment as temporary conservator of the assets of
(Name of conservator(s))
_______________________________, and swear that I will perform, according to law, all duties for
(Protected person)
the protected person as temporary conservator.
Date
Signature(s) of Conservator(s)
Print or Type Name of Conservator(s)
Bar Number and Firm Name (attorneys only)
Street Address/P.O. Box of Conservator(s)
City/State/ZIP Code of Conservator(s)
Phone of Conservator(s)
E-mail Address of Conservator(s)
Page 1 of 1
Acceptance of Appointment of
Temporary Conservator
CC 16:2.219 New 11/15

Download Form CC 16:2.219 Acceptance of Appointment of Temporary Conservator by the Public Guardian - Nebraska

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