Free Address Information Sheet, CC 16:8 - Nebraska

STATE OF NEBRASKA FORM NO. CC 16:8 3/91 rev.

CASE NUMBER

ADDRESS INFORMATION SHEET

IN THE COUNTY COURT OF ______________________________________COUNTY, NEBRASKA
IN THE MATTER OF THE GUARDIANSHIP/CONSERVATORSHIP OF

ADDRESS INFORMATION SHEET
______________________________________ (Ward) ______________________________________ (Social Security Number)

In the space provided on the back of this page, list the names and complete mailing addresses of all living adult children, grandchildren, grandparents, brothers, sisters, uncles, aunts, nephews and nieces of the ward. Failure to list such relatives and notify them of any and all hearings may result in postponement of said hearing. The court must be notified immediately of a change of residence by any person listed on the back of this page.

FORM NO. 16:8 Page 1 of 2

IN THE COUNTY COURT OF ______________________________________COUNTY, NEBRASKA RE: GUARDIANSHIP/CONSERVATORSHIP OF

______________________________________ (Ward) PARENTS: Mother _______________________________________________________ Address _______________________________________________________ City, State, Zip _______________________________________________________ Father _______________________________________________________ Address _______________________________________________________ City, State, Zip _______________________________________________________ SPOUSE: Name _______________________________________________________ Address _______________________________________________________ City, State, Zip _______________________________________________________ Name _________________________________________Age___________ Address _______________________________________________________ City, State, Zip _______________________________________________________ Name _________________________________________Age___________ Address _______________________________________________________ City, State, Zip _______________________________________________________ RELATIVES:
List the names and addresses of ward's closest known relatives other than the above persons.

CHILDREN:

Name _________________________________Relation_______________ Address _______________________________________________________ City, State, Zip _______________________________________________________ Name _________________________________Relation_______________ Address _______________________________________________________ City, State, Zip _______________________________________________________ GUARDIAN OR CONSERVATOR: List the names and addresses of any person having power to act in a fiduciary capacity regarding any ward's financial resources: Name _________________________________Relation_______________ Address _______________________________________________________ City, State, Zip _______________________________________________________ Nature of Power_______________________________________________________

FORM NO. 16:8 Page 2 of 2