IN THE CHANCERY COURT OF <> COUNTY, MISSISSIPPI

IN THE MATTER OF THE GUARDIANSHIP AND CONSERVATORSHIP OF

<>, AN ADULT	CAUSE NO.

DECREE GRANTING LETTERS OF GUARDIANSHIP AND CONSERVATORSHIP

THIS CAUSE came on for hearing this date upon the Petition for Letters of Guardianship and Conservatorship filed by Petitioners <> and <>, and the Court, upon testimony heard in open Court and upon the Court file, hereby finds as follows, to-wit:

I

That this Court has jurisdiction of all parties, and of the subject matter, and that all necessary parties, being the Petitioners, the spouse/children/parents of the Ward, the Veterans Administration, and the Ward are before this Court.

II

That the Ward was given sufficient notice of this hearing, and the Court so finds by clear and convincing evidence. That the <> of the Ward has <>. That <> have certified that the Ward is not able to manage his/her own affairs.

III

That the matter and the facts presented to this Court are well founded, true, and correct, and that the prayer of the Petitioners should be granted. That granting guardianship and conservatorship of the Ward to the Petitioners is in the best interest of the Ward. That clear and convincing evidence shows that a less restrictive alternative will not meet the needs of the Ward.

IV

That the Petitioners are granted full guardianship of the Ward, due to <>./That the following specific powers are granted to the Petitioners in a limited guardianship: <>.

That each person who received notice of this hearing is entitled to: notice of the rights of the Ward; notice of a change in the primary dwelling of the Ward; notice that the Guardian has delegated some or all of his/her powers granted hereunder; receive a copy of the Guardian's Plan; access to court records herein; notice of the death or significant change in the health of the Ward; notice that the court as modified the powers of the Guardian; and notice of the removal of the Guardian.

That granting full conservatorship of all property of the Ward to the Petitioners is in the best interest of the Ward because <>./That granting a limited conservatorship of the Ward to the Petitioners is in the best interest of the Ward; that the following powers are not granted to the Petitioners, but are reserved to the Ward: <>; that the following property is not placed in the conservatorship, but remains under the control of the Ward: <>.

That the conservator is authorized to execute all powers not specifically requiring approval of the Court on behalf of the Ward.

That each person who received notice of this hearing is entitled to: notice of the rights of the Ward; notice of a sale of or the surrender of a lease of the primary dwelling of the Ward; notice that the Conservator will be unavailable to perform his/her duties for more than one (1) month; notice that the Conservator has delegated some or all of his/her powers granted hereunder; receive a copy of the Conservator's Plan; access to court records herein; notice of a transaction involving a substantial conflict between the Conservator's fiduciary duties and personal interests; notice of the death or significant change in the health of the Ward; notice that the court has modified the powers of the Conservator; and notice of the removal of the Conservator.

That the following persons are not entitled to notice as set out hereinabove, as the Court determines that such is not in the best interest of the Ward/is contrary to the preferences/prior directions of the Ward: <>.

V

That the Conservator's bond is set at <>/ That bond is waived as the Ward's funds are on deposit at <> and fully FDIC insured/ as the Court finds that bond is not necessary to protect the assets of the Ward.

That the Conservator is/is not required to file a Conservator's Plan, within ninety (90) days of the date of this Order.

IT IS THEREFORE ORDERED, ADJUDGED, AND DECREED that Letters of Guardianship and Conservatorship be issued by the Clerk of this Court to <> and <>, for guardianship of <>, and that the Oath of Guardianship and Conservatorship be administered.

ORDERED, ADJUDGED, AND DECREED this the _____ day of _______________, 20___.

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CHANCELLOR

Approved:

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<>

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<>