Judgment Of Incapacity And Appointment Of Guardian(S) Of The Person And Estate - Court Of New Jersey Page 3

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Copy of the Social Security Representative Payee Report (presumptive if guardian is also
representative payee for Social Security benefits and incapacitated person has no other assets or
income);
OR
The filing of a Periodic Accounting is hereby waived for the reasons stated on the record.
If an informal accounting is ordered, said Periodic Accounting does not replace or satisfy the duty to file and
bring on for approval a formal accounting as required by law or as ordered by the court.
10.
The report(s) indicated in paragraphs 8 and/or 9 above is/are to be filed not later than fourteen (14) days after
the anniversary date of this judgment with the County Surrogate. The report(s) to be filed by the guardian(s)
shall be filed by the Surrogate and shall be made available by the Surrogate to any party in interest entitled to
review pursuant to R. 1:38-3(e), as well as to the following parties or persons:
,
and the reference in this Judgment shall constitute a showing of a special interest as required by R. 1:38-3(e)
for the purpose of reviewing such reports.
11.
The Guardian(s) of the Person and Estate is/are hereby directed to advise the County Surrogate within ten (10)
days of any changes in the address or telephone number of himself or herself or the incapacitated person or
within thirty (30) days of the incapacitated person’s death or of any major change in status or health. If the
incapacitated person dies during the guardianship, the Guardian(s) will notify the Surrogate in writing and
forward a copy of the death certificate upon receipt.
12.
The Guardian(s) of the Person and Estate is/are agent(s) of the court and shall cooperate fully with any court
staff, Surrogate staff, or volunteers until the guardianship is terminated by the death or return to capacity of
the incapacitated person, or the Guardian’s death, removal or discharge.
13.
COUNSEL FOR INCAPACITATED PERSON:
The court-appointed attorney for the alleged incapacitated person, having reported to the court and
advocated on behalf of the incapacitated person, is hereby discharged with the appreciation of the court
for his or her pro bono services, with no further obligation to act as attorney for the incapacitated person.
OR
The court having reviewed the affidavit or certification of services of
,
Esquire, previously filed with the court, the Guardian of the Estate shall, within
days of the date of
this Judgment, pay
, Esquire, court-appointed attorney for the then
alleged incapacitated person, a fee of $
for professional services rendered and $
,
for expenses incurred, which disbursements from the funds of the incapacitated person’s estate are hereby
approved. Court-appointed counsel, having reported to the court and advocated on behalf of the
incapacitated person, be and hereby is discharged with no further obligation to act as attorney for the
incapacitated person.
14.
Any power of attorney previously executed by the incapacitated person be and hereby is revoked. Any
advance directive for healthcare previously executed by the incapacitated person is voided as to proxy
designation, but the guardian(s) shall consider the preferences expressed in such advance directive.
15.
Plaintiff(s) shall serve a Judgment upon the Guardian(s) and all interested parties and attorneys of record
within seven (7) days of receipt.
J.S.C.
Revised: 02/2017, CN 11802
(Judgment of Incapacity and Appointment of Guardian(s) of the Person and Estate)
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