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)Self (Without a Lawyer) orAttorney forPetitioner orRespondentSUPERIOR COURT OF ARIZONA MARICOPA COUNTY. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .In the Matter of the Guardianship of:Case Number PB: PETITION FOR PERMANENT APPOINTMENT OF GUARDIAN OF AN ADULT (Incapacitated Person)THE PEOPLE OF THE STATE OF NEW YORK TOREQUIRED INFORMATION FROM PETITIONER, UNDER OATH: 1.GREETINGS:INFORMATION ABOUT ME. I am called the Petitioner: Name:Social Security Number:WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before Court at the the Honorable,Address:Telephone:located at County ofDate of Birth:o'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 roomMy relationship to the person I say needs a guardian is: 2.INFORMATION ABOUT THE PERSON I SAY NEEDS A GUARDIAN. This person is called the proposed incapacitated person: Name:Address:Telephone: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.Date of Birth:, one of the Justices of theCourt in Witness, Honorableday of, 20 County,Social Security Number: 3.PERSONS WHO ARE ENTITLED TO NOTICE of the court matter under Arizona law, A.R.S. 14-5309 for guardians, and to whom I will give notice of this case: (See instructions)(Attorney must sign above and type name below)NameRelationship to Person Who I Say Needs a GuardianAddressAttorney(s) forA.B.C.Office and P.O. Address4.ASSETS OF PERSON WHOM I SAY NEEDS GUARDIAN: (check one box) The person who needs a guardian has no substantial assets or income. No bond by Petitioner is required;Telephone No.: Facsimile No.: E-Mail Address:©Superior Court of Arizona in Maricopa CountyPBGA11f June 13, 2002Page 1 of 4Use 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)The person who needs a guardian has assets and/or annual income in the approximate amount of $. Explain:5.PERSON TO BE APPOINTED GUARDIAN (complete this only if the person is a different person than Petitioner):Name: Address:Telephone:. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .THE PEOPLE OF THE STATE OF NEW YORK TOSocial Security Number:Date of Birth:Driver's License Number:My relationship to the person I say needs a guardian:6.INFORMATION REGARDING GUARDIANSHIP. 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: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 room7.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): Mental illness, mental deficiency, mental disorder; Physical illness or disability; Chronic use of drugs; Chronic intoxication; Other (explain):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., one of the Justices of theCourt in Witness, Honorableday of, 20 County,8.REASONS FOR REQUESTED PERSON TO BE APPOINTED GUARDIAN: Either I or the person I request to be appointed in Paragraph 5 has priority for appointment under Arizona Law, A.R.S. § 14-5311, because (check one or more that you think apply about the relationship to the person you say is incapacitated): Appointee is the spouse of the incapacitated person; Appointee was selected by the incapacitated person to be the guardian; Appointee is an adult child of the incapacitated person; Appointee is the parent of the incapacitated person; Appointee is a relative of the incapacitated person and has lived with the person more than six months before filing this petition; Appointee was chosen to be the guardian by someone who is caring for the incapacitated person or is paying benefits for the incapacitated person; Appointee is a private fiduciary, a professional guardian, conservator, or the Arizona Department of Veterans' Services. Other (explain):(Attorney must sign above and type name below)Attorney(s) forOffice and P.O. AddressTelephone No.: Facsimile No.: E-Mail Address:©Superior Court of Arizona in Maricopa CountyPBGA11f June 13, 2002Page 2 of 4Use 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)9.REASONS I AM ASKING FOR A GUARDIANSHIP ORDER: The appointment of a guardian for the person I say is incapacitated is necessary or desirable to provide continuing care and supervision of the person, and is in his or her best interest. I am interested in the welfare of the person in need of protection because (explain):. . . . . . . . .
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