1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 Objector's Address: Public Probate Objection Petition Page 1 of 1 IN THE CIRCUIT COURT OF THE STATE OF OREGON FOR JACKSON COUNTY In the Matter of the Guardianship of CASE NUMBER: OBJECTION TO PETITION A Protected Person I, My reasons are as follows: am objecting to the Petition in this protective proceeding. Objector's Signature: SUBSCRIBED AND SWORN TO BEFORE ME ON Trial Court Administrator By: ___________________________________ Court Clerk/Notary Public My commission expires:___________________ ____________________, in Jackson County, Oregon. CERTIFICATE OF DOCUMENT PREPARATION: You are required to truthfully complete this certificate regarding the document you are filing with the court. Check all boxes and complete all blanks that apply: The clerk prepared this form from my oral dictation. It was read to me and it accurately reflects my oral statement. I completed this form myself without paid assistance. I paid or will pay money to Objector's Signature: Phone 9/10/08 OJIN CODE: OB American LegalNet, Inc. www.FormsWorkFlow.com for assistance in preparing this form.