Rhode Island > Statewide > Probate Court > Guardian Conservator Custodian And Receiver
Custodianship PC-2.11 - Rhode Island
| Custodianship Form. This is a Rhode Island form and can be used in Guardian Conservator Custodian And Receiver Probate Court Statewide . |
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PC-2.11 (11/02, formerly SW-31) Custodianship Date filed: _____________________ Court use only STATE OF RHODE ISLAND County of ___________________________________ PROBATE COURT OF THE Estate of ____________________________________ _________________________________________________ Alias _______________________________________ Alias _______________________________________ No. ____________________ ____________________ Date CUSTODIANSHIP Resident deceased died: ____________________________________ Date of Death Real and Personal estate estimated at: $_______________________. _______________________________________________ _______________________________________________ Name of Petitioner Relationship to the Deceased Name of Deceased _______________________________________________ _______________________________________________ No. S treet N o. S treet _______________________________________________ _______________________________________________ City/Town State Zip Phone Number City/Town State Zip Phone Number 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 may be appointed CUSTODIAN. 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-2.11 (11/02) Page 2 DECREE Upon hearing, it is hereby ordered and decreed: Appointed CUSTODIAN(s) : _______________________________________________ _______________________________________________ Name of Appointed Custodian Relationship to Respondent Name of Appointed Co-Codian (ustif any) Relationship to Respondent _______________________________________________ _______________________________________________ No. Street No. Street _______________________________________________ _______________________________________________ City/Town State Zip Phone Number City/Town State Zip Phone Number 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 City/Tnow State Zip Phone Number Entered as an order and decree of the court on: _______________________________________________ _______________________________________________ Date Probate Judge
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