STATE OF WISCONSIN, CIRCUIT COURT,
COUNTY
IN THE MATTER OF
For Official Use
Amended
Consent to Serve as Temporary Guardian Case No. Date of Birth
1. I am nominated to serve as temporary guardian of the and consent to serve as temporary guardian of the this individual.
person person
estate estate
of the above named individual and will act in the best interest of
2. If appointed as temporary guardian of the estate, I will file an inventory within 60 days of appointment, and account if required by the court. 3. I will exercise all powers and perform all duties as temporary guardian of the as required by law.
person
estate
► Signature
Name Printed or Typed
Street Address
Name of Attorney/Petitioner City, State, Zip Address Date Telephone Number
Bar Number Telephone Number
GN-3230, 02/10 Consent to Serve as Temporary Guardian
§§54.50 and 223.105(2), Wisconsin Statutes
This form shall not be modified. It may be supplemented with additional material.