Free Order - Oregon

IN THE CIRCUIT COURT OF THE STATE OF OREGON THIRD JUDICIAL DISTRICT Probate Department In the Matter of the Guardianship of: ) ) ) ) ) )

Case No. ORDER APPROVING GUARDIAN'S FEE

_______________________________________ A Protected Person.

This matter came before the Court upon Motion of the Guardian for approval of a Guardian's fee. The Court having reviewed the Motion and accompanying Affidavit, and being fully advised, HEREBY ORDERS: The Guardian's fee in the amount of $___________ is approved as reasonable; and IT IS FURTHER ORDERED that the administrator of the Marion County Indigent Guardianship Fund is authorized to disburse the amount of the approved fee to:______________ _______________________________ for services as guardian in this matter. Dated: __________________________ __________________________________ Circuit Court Judge __________________________________ Print, Type or Stamp Name of Judge Submitted by: ___________________________________ Name Bar No. (if any) ___________________________________ Address ___________________________________ City, State, Zip ___________________________________ Phone ___________________________________ E-mail Fax FC (10/20/04)

___________________________________ Guardian's Name ___________________________________ Address ___________________________________ City, State, Zip ___________________________________ Phone

ORDER APPROVING GUARDIAN'S FEE - Page 1 of 1