I, the undersigned guardian, having been appointed by the Delaware Circuit Court No. ___ on this date, hereby authorize my attorney, _______________________________, to deposit all of the net guardianship assets, in the amount of $___________, in an account or in a court approved investment with my name as guardian with the restriction that withdrawal of principal or interest may be made ONLY on written order of Delaware Circuit Court No. ___.

I, the undersigned, as an officer of this court and as attorney for the above guardian, hereby assume and undertake personal responsibility to the above-named protected person and to the Delaware Circuit Court No. ___; to make the restricted deposit above designated and to deliver copies of the SIGNATURE CARD and/or PASSBOOK and/or such other account or investment documents evidencing such restricted deposit, and the amount thereof, to the court within ten (10) working days from this date or to refund all of said funds to the court forthwith upon demand.