Order Appointing Law Guardian Page 9
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10Court:
County:
------------------------------------------------------------
X
ORDER APPROVING
LAW GUARDIAN
Title of Action/Proceeding
COMPENSATION
INDEX NO.
/
No.
Yr.
------------------------------------------------------------
X
Name of Judge:
:
Upon the order of this Court, dated
, 20 , appointing as Law
Guardian:
Name:
Address:
Phone/FAX:
/
Email:
,
and upon his/her affirmation of services, dated
, 20 , it is
ORDERED that the Law Guardian’s compensation is approved in the amount of
$______________________, plus disbursements in the amount of $__________________, for
a total of $______________________;
ORDERED that the parties shall be liable for the approved compensation and
reimbursement for disbursements in the following percentages:
Plaintiff/Petitioner
_____%:
for a total of $___________________,
Defendant/Respondent _____%:
for a total of $___________________;
Rev. 11/03
UCS 882
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