IN THE CIRCUIT COURT OF _______________ COUNTY, WEST VIRGINIA
For Clerk's Use Only IN RE: ___________________________________________, CASE NUMBER _____________________ A PROTECTED PERSON
ORDER REGARDING MOTION FOR PERMISSION TO RESIGN AS CONSERVATOR/GUARDIAN
[West Virginia Code: ยง 44A-4-3]
ON THIS _________ day of ________________________, 20________, came the Petitioner in the above captioned cause, __________________________________________, and petitioned this Court for permission to reign as the duly appointed [check applicable office(s) for which resignation is sought] __________ conservator __________ guardian for the Protected Person, ______________________________________________. Based upon the reasons stated in the motion and further upon the
testimony of _____________________________________________________________________________________________, and the representations and arguments made to the Court, it is hereby ORDERED [check applicable spaces]: __________ The motion of the Petitioner to resign is hereby granted. Such resignation shall be effective on the _______ day of _____________________, 20 ________, on which date, all powers of the conservator/guardian over the person/estate of the Protected Person named above shall cease. __________ The motion of the Petitioner to resign is hereby denied. The reason(s) for such denial is/are as follows:
_______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________ _____________________________________________________________. [Attach additional pages as necessary.]
___________________________________________________________ JUDGE OF THE CIRCUIT COURT
SCA-CG 910O / 6-94