Form Cc 16:2.5 - Address Information For Guardianships/ Conservatorships Page 3
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4Signature(s) of Guardian(s) and/or Conservator(s)
Date
Firma(s) del(de los) tutor(es) y/o curador(es)
Fecha
Print or Type Name of Guardian(s) and/or Conservator(s)
Escriba con letra de molde o mecanografíe el nombre del(de los) tutor(es) y/o curador(es)
_____
Bar Number and Firm Name (attorneys only)
Cédula Profesional y nombre de Bufete (abogados solamente)
Address(es)/P.O. Box of Guardian(s) and/or Conservator(s)
Domicilio(s)/ Apartado Postal del(de los) tutor(es) y/o curador(es)
City, State and Zip Code
Ciudad, estado y código postal
Phone Number(s) of Guardian(s) and/or Conservator(s)
Número de teléfono del(de los) tutor(es) y/o curador(es)
E-mail Address(es) of Guardian(s) and/or Conservator(s)
Dirección(es) de correo(s) electrónico(s) del(de los) tutor(es) y/o curador(es)
* Pursuant to Neb. Rev. Stat. § 30-2601, *Interested persons are defined as:
*Conforme a los Estatutos Revisados del Estado de Nebraska § 30-2601, *Las
personas/partes interesadas se definen como:
• children and spouses;
hijos y cónyuges;
• future heirs if the ward/incapacitated person/protected person would die without leaving a valid
will (brothers and sisters who are adults, grandparents, etc.);
futuros herederos, si el pupilo/persona incapacitada/inhábil falleciera sin un testamento válido
(hermanos y hermanas adultos, abuelos, etc.);
• a trustee of any trust executed by the ward/incapacitated person/protected person;
fideicomisario o cualquier fideicomiso emitido y firmado por el pupilo/persona
incapacitada/inhábil;
Page 3 of 4
Address Information for
Guardianships/Conservatorships
CC 16:2.5 Rev. 11/15
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