Motion For Intrastate Transfer Form
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1Nebraska State Court Form
CC 16:3.23
New 10/2015
MOTION FOR INTRASTATE
TRANSFER
REQUIRED
Neb. Ct. R. § 6-1443.02
IN THE COUNTY COURT OF ________________COUNTY, NEBRASKA
IN THE MATTER OF
Court Case # ____________________
___________________________
Ward/Incapacitated Person/Protected Person
MOTION FOR INTRASTATE
TRANSFER
Comes now, ___________________________________,
guardian,
conservator,
interested
party,
other:_______________________, to inform the Court that the ward, protected person, and/or
incapacitated person’s best interest would be served by transferring a guardianship and/or conservatorship
case to ______________________________ County, Nebraska. That county has concurrent jurisdiction
pursuant to Neb. Rev. Stat. §§ 30-2212, 30-2615, and 30-2629, because __________________________
____________________________________________________________________________________
____________________________________________________________________________________
Transferring this guardianship/conservatorship to __________________ County, Nebraska would
serve the best interest of the ward, protected person, and/or incapacitated person because
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
I therefore request that this motion for intrastate transfer be set for hearing and that this request for
transfer be considered by the court.
I acknowledge that I will receive a Notice of Hearing when I file this Motion for Interstate
Transfer. After I receive the Notice of Hearing from the County Court, it is my responsibility to send
a copy of this Motion, the Notice of Hearing, and a Notice of Right to Object (CC 16:2.16) to all
interested persons. I also acknowledge that I must then file a Certificate of Mailing (CC 16:2.49)
with the court showing I mailed a copy of these documents to all interested persons by first class
mail, postage prepaid.
Date:
______
Signature(s) of Petitioner(s)
Print or Type Name of Petitioner(s)
Street Address/ P.O. Box
Bar Number and Firm Name (attorneys only)
City, State and Zip Code
Phone Number(s)
E-mail Address
Page 1 of 1
Motion for Intrastate Transfer
CC 16:3.23 New 10/2015
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