Colorado > Statewide > Probate
Petition for Appointment of Conservator For Adult JDF 876 - Colorado
| Petition for Appointment of Conservator For Adult Form. This is a Colorado form and can be used in Probate Statewide . |
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District Court Denver Probate Court ___________________ County, Colorado Court Address: In the Interest of: COURT USE ONLY Case Number: Respondent Attorney or Party Without Attorney (name and address): Phone Number: FAX Number: E-mail: Atty. Reg. #: Division Courtroom PETITION FOR APPOINTMENT OF CONSERVATOR FOR ADULT 1. The Petitioner is a person who would be adversely affected by lack of effective management of the Respondent's property and business. a person who is interested in the estate, financial affairs, or welfare of the Respondent. the Respondent. This is a Petition for appointment of a: Permanent Conservator. Special Conservator. While a petition to establish a conservatorship is pending, there is a need to preserve and apply the property of the Respondent as may be required for the support of the Respondent or individuals who are in fact dependent upon the Respondent. (§15-14-406(7), C.R.S.) Special Conservator. There is a need for a protective arrangement or other single transaction. A permanent conservatorship is not requested. (§15-14-412(3), C.R.S.) 2. Information about the Petitioner: Name: Street Address: Mailing address, if different: City: Email Address: State: Zip Code: Home Phone #: Work Phone #: Relationship to Respondent: 3. Information about the Respondent: Name: Street Address: Mailing Address, if different: City: State: Zip Code: County of Residence: Age: Date of Birth: If this appointment is made, the Respondent's dwelling will change to: JDF 876 R8/11 PETITION FOR APPOINTMENT OF CONSERVATOR FOR ADULT Page 1 of 7 American LegalNet, Inc. www.FormsWorkFlow.com 4. Information about the Respondent's spouse or adult who has resided with the Respondent for more than six months in the last year: Name: Street Address: Mailing Address, if different: City: Email Address: State: Zip Code: Home Phone #: Work Phone #: Relationship to Respondent: 5. Venue for this proceeding is proper in this county because the Respondent resides in this county. does not reside in this state, but has property in this county. A Power of Attorney exists for financial or medical matters. name and mailing address is: 6. (Attach a copy to the Petition.) The agent's 7. A valid designated beneficiary agreement exists. (Attach a copy of the agreement to the Petition.) The designated beneficiary's name and mailing address is: 8. A Conservator is required because the Respondent is unable to manage property and business affairs because he/she is unable to effectively receive and evaluate information or both or to make or communicate decisions, even with the use of appropriate and reasonably available technological assistance due to the following disabilities or impairments: Physician's letter attached. In addition: the Respondent has property which will be wasted or dissipated unless proper management is provided. and/or the Respondent, or persons entitled to the Respondent's support, require money for support, care, education, health, and welfare, and protection is necessary or desirable to obtain or provide money. JDF 876 R8/11 PETITION FOR APPOINTMENT OF CONSERVATOR FOR ADULT Page 2 of 7 American LegalNet, Inc. www.FormsWorkFlow.com 9. A Conservator is required because the Respondent is missing, detained, or unable to return to the United States. The nature of the Respondent's disappearance or detention and any efforts to locate the Respondent are as follows: 10. The Petitioner requests the Conservator's powers and duties be unlimited/unrestricted or limited/with restrictions. The property to be placed under the Conservator's control and the requested limitations/restrictions on the Conservator's powers and duties, if any, are as follows: 11. Petitioner is, 21 years of age or older, nominates himself/herself and requests to be appointed as Conservator or Special Conservator. or Petitioner nominates the following person, who is 21 years of age or older, to be appointed as Conservator or Special Conservator. Name: Street Address: Mailing Address, if different: City: Email Address: State: Zip Code: Home Phone #: Work Phone #: Relationship to Respondent: 12. The nominated Conservator has priority for appointment because he/she is: (§15-14-413,C.R.S.) a Conservator, Guardian or other fiduciary appointed or recognized by a court in another jurisdiction where the protected person resides. nominated in writing by Respondent, including nomination in a durable power of attorney or designated beneficiary agreement. an agent appointed by the Respondent to manage the Respondent's property under a durable power of attorney. the spouse of the Respondent. an adult child of the Respondent. a parent of the Respondent. an adult with whom Respondent has resided for more than six months immediately before the filing of this Petition. R8/11 PETITION FOR APPOINTMENT OF CONSERVATOR FOR ADULT Page 3 of 7 American LegalNet, Inc. www.FormsWorkFlow.com JDF 876 13. The Respondent nominated the following person as Conservator, but the Petitioner does not seek that person's appointment for the following reason: Name: Street Address: Mailing Address, if different: City: Email Address: State: Relationship to Respondent: Zip Code: Home Phone #: Work Phone #: 14. The Conservator may receive compensation. The hourly rates to be charged, any amounts to be charged pursuant to a published fee schedule, including the rates and basis for charging fees for any extraordinary services, and any other bases upon which a fee charged to the estate will be calculated, are as stated below or in an attachment to this Petition. * The basis of compensation has not yet been determined. 15. The Conservator may compensate his, her, or its counsel. The hourly rates to be charged, any amounts to be charged pursuant to a published fee schedule, including the rates and basis for charging fees for any extraordinary services, and any other bases upon which a fee charged to the estate will be calculated, are as stated below or in an attachment to this Petition. * The basis of compensation has not yet been determined. * There is a continuing obligation to disclose any material changes to the basis for charging fees. (§ 15-10-602 C.R.S.) 16. Sections a and b below identify assets and the source and amount of anticipated income or receipts (public benefits, income, real property, proceeds from insurance policy, proceeds from pension, etc.), together with an estimate of the value. JDF 876 R8/11 PETITION FOR APPOINTMENT OF CONSERVATOR FOR ADULT Page 4 o
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