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STATE OF NEBRASKA FORM NO. CC 16:2.3.1 11/2011 NEW IN THE MATTER OF THE GUARDIANSHIP OF TERRY PATRICK DILLON An Incapacitated Person TO: Rhoda Shuriaar, Guardian The Court finds you are qualified and you are appointed as the Guardian of Terry Patrick Dillon. You are authorized and empowered to perform the duties and responsibilities of guardian as required by law, subject to the following limitation of powers until you shall be discharged according to law: The Court finds clear and convincing evidence that A full guardianship is necessary and is the least restrictive alternative. The guardian is granted all powe onferred upon guardians by law. This is a limited guardianship. You, as Guardian, shall have the following authorities and responsibilities as checked below (acting together with the ward or singly): ❑ Selecting the ward's place of abode within or without this state; ❑ Arranging for medical care for the, ward; ❑ Protecting the personal effects of the ward; ❑ Giving necessary consent, approval, or releases on behalf of the ward; ❑ Arranging for training, education, or other habilitating services appropriate for the ward; ❑ Applying for private or governmental benefits to which the ward may be entitled; ❑ Instituting proceedings to compel any person under a duty to support the ward or-to pay sums for the welfare of the ward to perform such duty, if no conservator has been appointed; ❑ Entering into contractual arrangements on behalf of the ward, if no conservator has been appointed; and ❑ Receiving money and tangible property deliverable to the ward and applying such money and property to the ward's expenses for room and board, medical care,.personal effects, training, education, and habilitating services, if no conservator has been appointed, or requesting the conservator to expend the ward's estate by payment to third persons to meet such expenses. ❑ Other: Continued... LETTERS OF GUARDIANSHIP FOR AN INCAPACITATED PERSON IN THE COUNTY COURT OF HALL COUNTY, NEBRASKA 201303775 CASE NUMBER PR 13 -58 LETTER S OF GUARDIi FOR AN INCAPACrEATED PERSON U ' 9 2013 FiEviv oAa ors q R