Ohio > County (Court Of Common Pleas) > Cuyahoga > Probate > Guardianships
Application For Appointment Of Guardian An Alleged Incompetent 17.0 - Ohio
| Application For Appointment Of Guardian An Alleged Incompetent Form. This is a Ohio form and can be used in Guardianships Probate Cuyahoga County (Court Of Common Pleas) . |
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Probate Court of Cuyahoga County, Ohio John J. Donnelly, Presiding Judge John E. Corrigan, Judge IN THE MATTER OF THE GUARDIANSHIP OF ________________________________________ CASE NUMBER: ______________________________________ APPLICATION FOR APPOINTMENT OF GUARDIAN OF ALLEGED INCOMPETENT Applicant represents to the Court that ________________________________ aged ____ years, resides or has a legalsettlement at ______________________________________________ , in ______ __________________ County, Ohio and thatthe prospective ward is incompetent by reason of (r.c. 2111.01D) _____ ______________________________________________________________________________________________________________________ ____________________________ 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 that _________________________ is not an administra tor, executor or other fiduciary of the estatewherein 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 ward_______ wards property may be taken proper care of and asks that a g uardian be appointed. TYPE OF GUARDIANSHIP APPLIED FOR IS 9 Non-limited 9 limited 9 person and estate 9 estate only 9 person only If limited guardianship is applied for, the limited powers requested are _________________________________________________________________________________________________________________ _____________________________ The time period requested is 9 indefinite 9 define to _____________________________________________________________ _______________ . Applicants relationship to alleged incompetent is __________________ ____________________________________ . form 17.0 - Application for appointment of Guardian (an alleged incomp etent) American LegalNet, Inc. www.USCourtForms.com<<<<<<<<<********>>>>>>>>>>>>> 2 The applicant has(not) been charged with or convicted of a crime invol ving theft, physical violence, or sexual, alcohol orsubstance abuse except as follows (if applicable, state date and place of each charge or each conviction.) ________________________________________________________________________ ______________________________ ________________________________________________________________________ ______________________________ _______________________________________________ _______________________________________________Attorney for Applicant Applicant _______________________________________________ _______________________________________________Type or print name Type or print name _______________________________________________ _______________________________________________Address Age Social Security Number_______________________________________________ _______________________________________________City State Zip Street _______________________________________________ _______________________________________________Phone number (include area code) City State Zip_______________________________________________ _______________________________________________Supreme Court Registration Number Phone number (include area code) American LegalNet, Inc. www.USCourtForms.com
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