Form Cc 16:2.5 - Address Information For Guardianships/ Conservatorships

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Revised 11/15
Nebraska State Court Form
CC 16:2.5
ADDRESS INFORMATION FOR
Formulario del Tribunal del
GUARDIANSHIPS/
Estado de Nebraska
CONSERVATORSHIPS
REQUIRED
Información de Domicilio para
Requerido
Neb. Rev. Stat. §30-2601
Tutelas/Curatelas
IN THE COUNTY COURT OF ________________COUNTY, NEBRASKA
EN EL TRIBUNAL DEL CONDADO DE ____________, NEBRASKA
IN THE MATTER OF
Case # Causa#____________________
EN LA CAUSA DE
ADDRESS INFORMATION FOR
_____________________________________
GUARDIANSHIPS/CONSERVATORSHIPS
Ward/Incapacitated Person/Protected Person
Información de Domicilio para
Pupilo/Persona Incapacitada/Inhábil
Tutelas/Curatelas
List the names and complete mailing addresses of the ward/incapacitated person/protected
person and all living spouse, parents, children, two closest known relatives to the
ward/incapacitated person/protected person and all other interested parties as defined below.
Failure to list such relatives and interested parties and notify them of any and all hearings may
result in an order postponing the hearing. The court must be notified within three days of a change
of residence by any person listed on this document. The guardian/conservator must receive
court permission prior to moving the ward/incapacitated person/protected person out of the
State of Nebraska.
Escriba en esta lista los nombres y las direcciones postales completas del pupilo/persona
incapacitada/inhábil y de todos los cónyuges, padres, hijos y dos parientes más cercanos
conocidos que aún estén con vida, del pupilo/ persona incapacitada/inhábil y de todas las partes
interesadas como se define a continuación. El no incluir en esta lista a dichos parientes y partes
interesadas, y el no notificarles de cualquier y todas las audiencias, puede resultar en una orden
de postergación de la audiencia. Se debe notificar al juez dentro de tres días del cambio de
domicilio de cualquier persona nombrada en este documento. El tutor/curador debe recibir la
autorización del juez antes de mudar al pupilo/persona incapacitada/inhábil fuera del estado
de Nebraska.
WARD/
Name
Nombre
INCAPACITATED PERSON/
Address
Domicilio
PROTECTED PERSON:
Pupilo/ Persona
Incapacitada/Inhábil
PARENTS:
Padres:
Mother
Madre
Address
Domicilio
Father
Padre
Address
Domicilio
Page 1 of 4
Address Information for
Guardianships/Conservatorships
CC 16:2.5 Rev.11/15

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