STATE OF INDIANA
)
) SS:
COUNTY OF DELAWARE
)
IN THE DELAWARE CIRCUIT COURT NO. ____
IN RE THE GUARDIANSHIP OF:
CAUSE NO: 18C0__________________________

Notice of Exclusion of Confidential Information from Public Access

(FILED WITH TRIAL COURT CLERK for documents filed with the clerk)

(TENDERED IN OPEN COURT for documents tendered in open court)

Contemporaneous with filing tender of this notice, Your Name has
filed tendered confidential information under the Indiana Rules on Access to Court Records.
Your Name, provides this notice that the confidential information is to remain
excluded from public access in accordance with the authority listed below:

Name or description of document:

Guardianship Information Sheet

ACR grounds for exclusion:

TR 3.1 (A)(10)

[NOTE: If Rule 5(A)(1 or 3), 5(B)(1 or 2), or 5 (D)(2) provides the basis for exclusion, you must also list the specific law, statute, or rule declaring the information confidential.]