Free Order Appointing Guardain ad Litem - Utah

_________________________________ Name _________________________________ Address _________________________________ City _________________________________ Telephone ______________________________________________________________________________ IN THE_________________DISTRICT JUVENILE COURT FOR ____________________COUNTY ______________________________________________________________________________ IN THE INTEREST OF_________________, ) ORDER APPOINTING A MINOR. ) GUARDIAN AD LITEM ) JUVENILE NO.__________________ ) ) ______________________________________________________________________________ THIS MATTER is before the court upon the minor's Petition for Declaration of Emancipation of a Minor. IT IS ORDERED that [name]________________________, [address]_____________________, [telephone number]________________be appointed as the guardian ad litem for the minor. DATED this_______day of_________, 20______.

__________________________ JUVENILE COURT JUDGE

May 6, 2006