District Court Denver Probate Court _________________________________ County, Colorado Court Address: ______________________________________________ In the Interests of: COURT USE ONLY Case Number:___________________ Division ______ Courtroom _________

__________________________________________

Ward/Protected Person

GUARDIANSHIP

PROVISIONAL ORDER TO ACCEPT CONSERVATORSHIP IN COLORADO FROM SENDING STATE PURSUANT TO §15-14.5-302, C.R.S.

Upon consideration of the Petition to Accept and having reviewed the provisional order to transfer from ___________________ (name of state) pursuant to §15-14.5-301(6)(a), C.R.S., any objections filed and after evidentiary hearing or non-appearance hearing;

The Court finds:
1. That the statements in the Petition are true and notice has been properly given or waived. 2. That the transfer is not contrary to the interests of the Ward/Protected Person. 3. That the Guardian and/or Conservator is eligible for appointment in this state.

The Court orders the following:
1. This Court provisionally grants the Petition to Accept. Guardian Conservator 2. This Court shall appoint ___________________________ (name) as the upon receipt of a final court order transferring the proceeding to Colorado from the sending state. 3. The Court further orders: Pending filing of the Final Order Confirming the Transfer to Colorado, the Court directs the issuance of Provisional Letters to expire within 60 days. ________________________________________________________________________________ ________________________________________________________________________________ __________________________________________________________________ Date: _______________________________ ___________________________________________ Judge Magistrate

Note: Upon receipt of the Provisional Order to Accept Transfer issued by the Colorado Court, it is the responsibility of the Guardian and/or Conservator to file this Provisional Order and necessary documents to terminate the guardianship and/or conservatorship with the sending state. It is anticipated that the sending state will not issue a Final Order Confirming the Transfer to Colorado, until such documents are filed.

JDF 784 9/08 PROVISIONAL ORDER TO ACCEPT GUARDIANSHIP/CONSERVATORSHIP IN COLORADO FROM SENDING STATE