For Official Use STATE OF WISCONSIN, CIRCUIT COURT, COUNTY IN THE MATTER OF THE GUARDIANSHIP OF Determination and Order Appointing Temporary Guardian Case No. Date of Birth A petition for appointment of temporary guardian(s) of the person/and or estate was filed and considered by the court. THE COURT FINDS: 1. The welfare of the subject requires the immediate appointment of a temporary guardian. 2. The following person or organization is competent and suitable to be appointed as temporary guardian of the person: temporary guardian of the estate: THE COURT ORDERS TEMPORARY GUARDIANSHIP AND: 1.The following is/are appointed temporary guardian of the a. person: estate: Name: b. person: estate: Name: 2. Bond for the temporary guardian of the estate is required in the amount of $ . surety bond signature bond waived. 3. The temporary guardian shall have only the following limited powers: all the powers of a general guardian. 4. The appointment of the temporary guardian expires at the end of 60 days, unless extended by the court for an additional 60 days. BY THE COURT: Circuit Court Judge/Circuit Court Commissioner Name of Attorney Name Printed or Typed Address Date Telephone Number Bar Number GN-2013, 10/03 Determination and Order Appointing Temporary Guardian §880.15, Wisconsin Statutes This form shall not be modified. It may be s upplemented with additional material.