PROBATE COURT OF BUTLER COUNTY, OHIOIN THE MATTER OF GUARDIANSHIP OFCase No.APPLICATION FOR APPOINTMENT OF GUARDIAN OF ALLEGED INCOMPETENT [R.C. 2111.03]Applicant represents to the Court thatagedyears,resides or has a legal settlement at, inCounty, Ohio and that the prospective ward is incompetent by reason of (R.C. 2111.01(D))A Statement of Expert Evaluation is attached. (Form 17.1)A List of Next of Kin of Proposed Ward is also Attached. (Form 15.0) The whole estate of the prospective ward is estimated as follows:Personal Property$Real Estate$Annual rents$Other annual income$Applicant represents thatis not an administrator,executor or other fiduciary of the estate wherein the alleged incompetent is interested.Applicant offers the attached bond in the amount of $ Applicant further represents that a guardian of the alleged incompetent is necessary in order that the wardward's property may be taken proper care of and asks that a guardian be appointed.TYPE OF GUARDIANSHIP APPLIED FOR ISnon-limitedperson and estatelimitedestate onlyperson onlyIf limited guardianship is applied for, the limited powers requested areThe time period requested isindefinite.definite toApplicant's relationship to alleged incompetent is.9/1/91FORM 17.0 -APPLICATION FOR APPOINTMENT OF GUARDIAN OF ALLEGED INCOMPETENT2001 © American LegalNet, Inc.The Applicant has (not) been charged with or convicted of a crime involving theft, physical violence, or sexual, alcohol or substance abuse except as follows (if applicable, state date and place of each charge or each conviction.).Attorney for ApplicantApplicantType or print nameType or print nameAddressAgeSocial Security NumberCityStateZipStreetPhone number (include area code)CityStateZipSupreme Court Registration NumberPhone number (include area code)2001 © American LegalNet, Inc.
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