Rc Form 17.66g - Application Of Guardian To Provide Direct Services To Ward Page 2

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The Guardian has disclosed this inherent conflict of interest to the Court and requests
that the conflict be waived and/or the restricting Sup.R. 66.01-66.09 be waived, to this
extent.
Attorney’s Signature
Guardian’s Signature
Attorney’s Printed Name
Guardian’s Printed Name
Address
Address
City, State, Zip Code
City, State, Zip Code
Phone Number
Phone Number
Sup. Ct. No.
ENTRY
The matter has come before the Court for consideration and it is ORDERED that:
The Court denies the Application as not being in the best interest of the Ward; or
to the extent that Sup.R. 66.01-66.09 (inclusive) prohibit the request, they are
hereby waived pursuant to Sup.R. 76 and the Court.
Approves the Application as being in the best interest of the Ward.
Approves the request in part as follows:
Probate Judge Philip Alan B. Mayer

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