Form GMD-5 - Decree appointing guardian
Form GMD-5
At a Surrogate's Court of the State of New York, held in and for the County of ________, at ________, New York, on ________, 19 ________.
P R E S E N T:
Hon.
______
Surrogate
________ x
In the Matter of the Guardianship of DECREE APPOINTING GUARDIAN
________
Pursuant to SCPA Article 17-A File No.
________
________ x
Upon reading and filing the petition of ________, duly verified the ________ day of ________, 19 ________, applying for appointment of a guardian of the (person) (and) (property) of ________ a (mentally retarded) (developmentally disabled) person, and the certifications of ________dated ________, 19 ________, and ________, dated ________, 19 ________, and the matter having come on to be heard before this Court on ________, 19 ________, and the Court having found that is a (mentally retarded) (developmentally disabled) person, incapable of managing (himself/herself) and/or his/her affairs by reason of (mental retardation) (developmental disability), and that such condition is permanent in nature or likely to continue indefinitely and the best interests of said person would be promoted by the appointment of a guardian of his/her (person) (and) (property) [and the proposed guardian having filed a bond with sureties pursuant to statute, which has been approved by the Surrogate], it is hereby
ORDERED that ________ upon taking the official oath and filing the designation as required by law, be and hereby is appointed guardian of the (person) (and) (property) of ________ and it is further
[If applicable] ORDERED that the filing of the bond is dispensed with the guardian is directed to collect and receive the money and property belonging to ________ jointly with ________ and it is further
ORDERED that ________ file with the Court the annual account required by law, and it is further
ORDERED that ________ (are) (is) appointed standby guardian(s) for said (mentally retarded) (developmentally disabled) person, subject to the confirmation of this Court pursuant to section 1757 of the Surrogate's Court Procedure Act, and it is further
ORDERED that ________ (are) (is) appointed alternate standby guardian(s) for said (mentally retarded) (developmentally disabled) person, subject to the confirmation of this Court pursuant to section 1757 of the Surrogate's Court Procedure Act, and it is further
ORDERED that Letters of Guardianship be issued accordingly.
______________
SURROGATE