Rhode Island > Statewide > Probate Court > Guardian Conservator Custodian And Receiver
Conservatorship PC-2.10 - Rhode Island
| Conservatorship Form. This is a Rhode Island form and can be used in Guardian Conservator Custodian And Receiver Probate Court Statewide . |
|
||||||
 Get this form for FREE as a print-only pdf |
|||||||
|
PC-2.10 (11/02, formerly SW-30) Conservatorship Date filed: _____________________ Court use only STATE OF RHODE ISLAND County of ___________________________________ PROBATE COURT OF THE Estate of ____________________________________ _________________________________________________ Alias _______________________________________ Alias _______________________________________ No. ____________________ ____________________ Date CONSERVATORSHIP _______________________________________________ _______________________________________________ Name of Petitioner Relationship to Respondent Name of Respondent _______________________________________________ _______________________________________________ No. Street No. Street _______________________________________________ _______________________________________________ City/Town State Zip Phone Number City/Town State Zip Phone Number Personal estate estimated at: $___________________________. Petitioner respectfully requests that: _______________________________________________ _______________________________________________ Name of Nominee Relationship to Respondent Namof Co-e Nominee (if any) Relationship to Respondent _______________________________________________ _______________________________________________ No. Street No. Street _______________________________________________ _______________________________________________ City/Town State Zip Phone Number City/Town State Zip Phone Number or any suitable person may be appointed CONSERVATOR of the above respondent who has become incapacitated by reason of: [ ] advanced age [ ] mental weakness [ ] other: _____________________________________________ to properly care for his/her property. Attach form PC9.1, Waiver, if applicable. The undersigned petitioner makes affidavit and says that the above facts are true as to the best of his/her knowledge f. and belie __________________________________________ __________________________________________ Signature of petitioner Date _____________________________________________ Sc. Subscribed and sworn to before me as to the truth of all of the above facts by the petitioner. __________________________________________ __________________________________________ Notary public (please print nam e) Notary public signatur e <<<<<<<<<********>>>>>>>>>>>>> 2PC-2.10 (11/02) Page 2 DECREE Upon hearing, it is hereby ordered and decreed: Allegations found true: Appointed CONSERVATOR(s) : _______________________________________________ _______________________ ________________________ Name of Appointed Conservator Relationship to Respondent Name of Appointed Co-Conservator (if any) Relationship to Respondet n _______________________________________________ _______________________ ________________________ No. Street No. Street _______________________________________________ _______________________ ________________________ City/Town State Zip Phone Num ber City/Town State Zip Phone Number With the fomllowing liitations on his/her/their authority: ________________________________________________________________________ _______________________ ________________________________________________________________________ _______________________ ________________________________________________________________________ _______________________ ________________________________________________________________________ _______________________ Bond fixed at: $_____________________________ [ ] With surety __________________________ [ ] Without surety (if with surety, indicate type) Appointed APPRAISER(s): (if different from above) _______________________________________________ _______________________ ________________________ Name N ame _______________________________________________ _______________________ ________________________ No. S treet N o. S treet _______________________________________________ _______________________ ________________________ City/Town State Zip Phone Number yCit/Town State Zip Phone Numb er Entered as an order and decree of the court on: _______________________________________________ _______________________ ________________________ Date Probate Judge
|
|||||||
