Petition For Guardianship Conservatorship Only For A Minor

Person Filing: Mailing Address: City, State, Zip: Phone Number: Representing Self COCONINO COUNTY SUPERIOR COURT In the Matter of the Guardianship and/or Conservatorship of: Case Number: GC PETITION FOR: Ward 1: Ward 2: Ward 3: A Minor [ ] GUARDIANSHIP ONLY [ ] CONSERVATORSHIP ONLY [ ] GUARDIANSHIP AND CONSERVATORSHIP THE MINOR: City, State, Zip: Ward 1: Street Address: Phone: Birthdate: Mother's Name: Year Minor Will Turn 18: Father's Name: Birth Certificate Attached: [ ] Yes [ ] No City, State, Zip: Ward 2: Street Address: Phone: Birthdate: Mother's Name: Year Minor Will Turn 18: Father's Name: Birth Certificate Attached: [ ] Yes [ ] No City, State, Zip: Ward 3: Street Address: Phone: Birthdate: Mother's Name: Year Minor Will Turn 18: Father's Name: Birth Certificate Attached: [ ] Yes [ ] No Why birth certificates are not attached and how long it will take to get them: Venue: The minor is unmarried and lives in Coconino County. THE PROPOSED GUARDIAN AND/OR CONSERVATOR: Guardian and/or Conservator 1: Name: Phone: Street Address: City, State, Zip: Relationship to Minor 1: Related by Blood: [ ] Yes [ ] No Relationship to Minor 2: Related by Blood: [ ] Yes [ ] No Relationship to Minor 3: Related by Blood: [ ] Yes [ ] No Page 1 of 6 Revised March 2017 American LegalNet, Inc. www.FormsWorkFlow.com © 2017 Coconino County Law Library Guardian and/or Consevator 2: Name: Phone: Street Address: Relationship to Minor 1: Relationship to Minor 2: Relationship to Minor 3: City, State, Zip: Related by Blood: [ ] Yes [ ] No Related by Blood: [ ] Yes [ ] No Related by Blood: [ ] Yes [ ] No GUARDIANSHIP AND/OR CONSERVATORSHIP: The minor currently does not have a guardian or conservator, and no other proceeding is pending. If the proposed guardian is not the minor's blood relative, a full set of fingerprints is attached. An Affidavit of each Person to Be Appointed Guardian and/or Conservator is filed with this Petition. Guardianship would serve the minor's welfare and best interest because: A conservator should be appointed because: [] The minor owns money or property that requires management or protection that cannot otherwise be provided. [] The minor has financial dealings that may be jeopardized or prevented by the minor's minority. [] It is necessary or desirable to obtain or provide funds needed for the minor's support and education. Guardian and/or Conservator 1 should be appointed because he/she: [] Was nominated by Ward [ ] 1 [ ] 2 [ ] 3, who is over 13 and has signed this Petition. [] Was chosen as conservator by the will of a deceased parent of the minor. [] Has had care and custody of the minor for the months before this Petition is filed and [ ] is or [ ] is not related by blood to the minor. [] Was chosen by someone caring for or paying benefits for the minor. [] Other: Guardian and/or Conservator 2 should be appointed because he/she: [] Was nominated by Ward [ ] 1 [ ] 2 [ ] 3, who is over 13 and has signed this Petition. [] Was chosen as conservator by the will of a deceased parent of the minor. [] Has had care and custody of the minor for the months before this Petition is filed and [ ] is or [ ] is not related by blood to the minor. [] Was chosen by someone caring for or paying benefits for the minor. [] Other: I am interested in the minor's welfare because: THE MINOR'S PARENTS: The Minor's Living Parents: Name Street Address City, State, Zip Code Mother/ Father []M[]F []M[]F []M[]F []M[]F []M[]F 1 [] [] [] [] [] Of Minor 2 3 [] [] [] [] [] [] [] [] [] [] Page 2 of 6 Revised March 2017 American LegalNet, Inc. www.FormsWorkFlow.com © 2017 Coconino County Law Library []M[]F [] [] [] The Minor's Deceased Parents: Name Date of Death Death Certificate Attached [ ] Yes [ ] No [ ] Yes [ ] No [ ] Yes [ ] No [ ] Yes [ ] No [ ] Yes [ ] No [ ] Yes [ ] No Will Attached [ ] Yes [ ] No [ ] Yes [ ] No [ ] Yes [ ] No [ ] Yes [ ] No [ ] Yes [ ] No [ ] Yes [ ] No Mother/ Father []M[]F []M[]F []M[]F []M[]F []M[]F []M[]F 1 [] [] [] [] [] [] Of Minor 2 3 [] [] [] [] [] [] [] [] [] [] [] [] Why death certificates are not attached and how long it will take to get them: Why wills are not attached and how long it will take to get them: Parental rights of custody have been terminated or suspended by: Minor 1 Minor 2 Mother Father Mother Father Written consent: [] [] [] [] Prior court order: [] [] [] [] Parent's death: [] [] [] [] Parent's incarceration: [] [] [] [] Parent's abandonment of [] [] [] [] the minor for at least the last six months: Parent's disappearance: [] [] [] [] Other (explain): [] [] [] [] Minor 3 Mother Father [] [] [] [] [] [] [] [] [] [] [] [] [] [] PEOPLE ENTITLED TO NOTICE: For Guardianship and/or Conservatorship: Enter the name and address of 1) any minor over 13, 2) each living parent of the minor who will not sign a written consent, and 3) each person who has the principal care and custody of the minor. Do not enter your own name. If someone's name or address is unknown, enter "unknown" in the appropriate blank. WARD 1 THE WARD OVER 13 NAME: Street Address: City, State, Zip: THE WARD'S MOTHER NAME: Street Address: City, State, Zip: WARD 2 WARD 3 Page 3 of 6 Revised March 2017 American LegalNet, Inc. www.FormsWorkFlow.com © 2017 Coconino County Law Library WARD 1 THE WARD'S FATHER NAME: Street Address: City, State, Zip: PEOPLE HAVING CARE OR CUSTODY OF THEM NAME: Street Address: City, State, Zip: NAME: Street Address: City, State, Zip: WARD 2 WARD 3 For Conservatorship with or without Guardianship: Enter the name and address of 1) if no parent can be found, the minor's closest adult relative and 2) each person who filed a demand for notice. If someone's name or address is unknown, enter "unknown" in the appropriate blank. THE WARD'S CLOSEST ADULT RELATIVE WARD 1 NAME: Street Address: City, State, Zip: WARD 2 WARD 3 PEOPLE WHO FILED A DEMAND FOR NOTICE NAME: Street Address: City, State, Zip: THE MINOR'S ASSETS: WARD 1: [] The minor has no substantial assets or income. [] The minor has the following assets or income. Property: Est. Fair Market Value Cash (i.e. checking, savings, certificates of deposit, etc.) $ Marketable securities (i.e., stocks, bonds, brokerage accounts, etc.) $ Other Personal Property $ Real Property $ Total: $ Annual Income (including compensation, insurance, pension, or allowance): Social Security $ Pension(s) $ Dividends $ Trust Income $ Other: $ Total: $ Page 4 of 6 Revised March 2017 American LegalNet, Inc. www.FormsWorkFlow.com © 2017 Coconino County L