Order Appointing Conservator - Nebraska State Court Page 3
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3of Conservatorship and file with the court an Acknowledgement from the Financial Institution that they
received the letters along with a printout of all assets and account numbers in each financial institution.
The conservator shall thereafter be entitled to deal with such assets. This form shall be filed within 10
days. Failure to file this form will result in a suspension of the conservator’s authority.
As a conservator you are ordered to comply with the following restrictions:
1. The conservator shall not pay himself/herself/themselves or his/her/their attorney compensation
from the assets or income of the protected person nor sell real property of the estate without first
obtaining an Order from the court. To obtain an order, you must first file an application, give
notice to interested persons, then have a hearing date scheduled. This Order may be entered
without a hearing if all interested persons have waived notice of hearing or have executed their
consent to such compensation or sale or any other restrictions as determined to be appropriate
by the court.
2. The conservator shall not make any ATM withdrawals or receive cash back on debit transactions
without a court order.
3. If any funds have been restricted by the court, the conservator shall not make any withdrawals
from the restricted account without a court order.
4. Other:_______________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
DATED this _____ day of ________________,20______.
BY THE COURT:
__________________________________
County Judge
PREPARED AND SUBMITTED BY:
Page 3 of 3
Order Appointing Conservator CC
16:2.1.3 Rev 03/16
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