COURT COUNTY OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .:::::::Index No.Calendar No.Name of Person Filing Document: Address:City, State, Zip Code: Telephone Number: Attorney Bar Number (if applicable): Representing:JUDICIAL SUBPOENAPlaintiff(s) -against-Defendant(s)SUPERIOR COURT OF ARIZONA MARICOPA COUNTY. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .In the Matter ofCase Number PB: Guardianship and Conservatorship ofPETITION FOR PERMANENT APPOINTMENT OF GUARDIAN AND CONSERVATOR (Incapacitated Person and/or Protected Person)THE PEOPLE OF THE STATE OF NEW YORK TOOF AN ADULTREQUIRED INFORMATION FROM PETITIONER, UNDER OATH: 1.GREETINGS:WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before Court at the the HonorableINFORMATION ABOUT ME. I am called the Petitioner: Name:Address:Telephone:,located at County ofo'clock in the day of, on the, 20, at or adjourned date, to testify and give evidence as a witness in this action on the part of thenoon, and at any recessed in roomDate of Birth:My relationship to the person I say needs a guardian and conservator is:Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a result of your failure to comply.2.INFORMATION ABOUT THE PERSON I SAY NEEDS A GUARDIAN AND CONSERVATOR. This person is called the proposed incapacitated person (for a guardianship) and proposed protected person (for a conservatorship): Name: Address:Telephone:, one of the Justices of theCourt in Witness, Honorableday of, 20 County,(Attorney must sign above and type name below)Date of Birth:Social Security Number:Attorney(s) for3.PERSONS WHO ARE ENTITLED TO NOTICE of the court matter under Arizona law, A.R.S. 14-5309 for guardians and 14-5405 for conservators, and to whom I will give notice of this case: (See instructions)NameMy Relationship to Person Who I Say Needs a Guardian and ConservatorAddressOffice and P.O. AddressA.B.Telephone No.: Facsimile No.: E-Mail Address:© Superior Court of Arizona in Maricopa CountyPBGCA11f June 10, 2002Page 1 of 5Use only most current version ALL RIGHTS RESERVED APEMobile Tel. No.:American LegalNet, Inc. www.USCourtForms.comCOURT COUNTY OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .:::::::Index No.Calendar No.JUDICIAL SUBPOENAPlaintiff(s) -against-Defendant(s)C. D.4.ASSETS OF PERSON WHOM I SAY NEEDS GUARDIAN AND CONSERVATOR: (check one box). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .The person who needs a guardian and conservator has no substantial assets or income. No bond by Petitioner is required; The person who needs a guardian and conservator has assets and/or annual income in the approximate amount of $Explain:THE PEOPLE OF THE STATE OF NEW YORK TO5.PERSON TO BE APPOINTED GUARDIAN AND CONSERVATOR (complete this only if the person is a different person than Petitioner): Name: Address:Telephone:GREETINGS:WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before Court at the the Honorable,located at County ofo'clock in the day of, on the, 20, at or adjourned date, to testify and give evidence as a witness in this action on the part of thenoon, and at any recessed in roomSocial Security Number:Date of Birth:Driver's License Number:Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a result of your failure to comply.My relationship to the person I say needs a guardian and conservator: 5.INFORMATION REGARDING GUARDIANSHIP/CONSERVATORHIP. To the best of my knowledge, (check one box):No Guardian and/or Conservator has been appointed in any other court, and no court proceedings are pending for such appointment; OR Someone has been appointed Guardian and/or Conservator, or court proceedings are pending. Explain who, when, in what court, and if the appointee is guardian or conservator:, one of the Justices of theCourt in Witness, Honorableday of, 20 County,(Attorney must sign above and type name below)Attorney(s) for6.REASONS FOR CONSERVATORSHIP: The person needs a Conservator because he or she has property which will be wasted or used up unless proper management is provided, and (check one or both boxes that apply):Office and P.O. AddressHe or she needs funds for his or her support, care and welfare; Funds are needed for the support, care and welfare of those entitled to be supported by the person.Telephone No.: Facsimile No.: E-Mail Address:© Superior Court of Arizona in Maricopa CountyPBGCA11f June 10, 2002Page 2 of 5Use only most current version ALL RIGHTS RESERVED APEMobile Tel. No.:American LegalNet, Inc. www.USCourtForms.comCOURT COUNTY OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .:::::::Index No.Calendar No.JUDICIAL SUBPOENAPlaintiff(s) -against-Defendant(s)7.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .REASONS PERSON CANNOT MANAGE HIS or HER PROPERTY: (check all that you believe apply): Mental illness, mental deficiency, or mental disorder; Physical illness or disability; Chronic use of drugs; Chronic intoxication; Confinement;Detention by a foreign power; Disappearance. 8.REASONS FOR GUARDIANSHIP: I believe that the person needs a guardian and is incapacitated as defined by Arizona Law, A.R.S. §14-5101(1) to the extent that he or she lacks sufficient understanding or capacity to make or communicate responsible decisions concerning his or her person because of (check one or more reasons that you think apply):THE PEOPLE OF THE STATE OF NEW YORK TOMental illness, mental deficiency, mental disorder; Physical illness or disability; Chronic use of drugs; Chronic intoxication; Other (explain):GREETINGS:WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before Court at the the Honorable,located at County ofo'clock in the day of, on the, 20, at or adjourned date, to testify and give evidence as a witness in this action on the
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