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LETTERS OF GUARDIANSHIP FOR AN INCAPACITATED PERSON 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: Jennifer Klatt, Guardian IN THE COUNTY COURT OF HALL COUNTY, .NEBRASKA 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 bylaw, subject to the following limitation of powers until you shall be discharged according to law: Continued... The out finds clear and convincing evidence that: 2013037'75 CASE NUMBER PR 13 -58 LETTERS OF OUAROI-ANIP FOR AN INCAPIAT PERSON REYNARDAA CAR% • , • C1:1 =RK MA GIS"Tpq'1� HALL co CQURT. A full guardianship is necessary and is the least restrictive alternative. The guardian is granted all powe conferred 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: