Rhode Island > Statewide > Probate Court > Guardian Conservator Custodian And Receiver
Minor Guardianship PC-2.2 - Rhode Island
| Minor Guardianship 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-2.2 (11/02, formerly SW-41) Minor Guardianship Date filed: _____________________ Court use only STATE OF RHODE ISLAND County of ___________________________________ PROBATE COURT OF THE Estate of ____________________________________ _________________________________________________ Alias _______________________________________ Alias _______________________________________ No. ____________________ ____________________ Date MINOR GUARDIANSHIP Proposed ward: ________________________________________________________________________ ___ Name Date of birth of resident minor ________________________________________________________________________ ___ No. Street ________________________________________________________________________ ___ City/T own State Zip Phone Number Personal estate estimated at: $________________________ Your petitioner: ________________________________________________________________________ ___ Name Relationship to Ward ________________________________________________________________________ ___ No. Street ________________________________________________________________________ ___ City/Town State Zip Phone Number respectfully requests that there is occasion for the appointment of a guardian of the person and estate of the above named minor. _______________________________________________ _______________________ ________________________ Name of Father of Minor Date of Death, if applicable Name of Mother of Minor Date of Death, if applicable _______________________________________________ _______________________ ________________________ No. Street No. Street _______________________________________________ _______________________ ________________________ City/Town State Zip Phone Numb er City/Town State Zip Phone Number _______________________________________________ _______________________ ________________________ Signature of Father of Minor Signature of Mother of Minor Your petitioner requests that: _______________________________________________ _______________________ ________________________ Name of Nominee Relationship to Ward Name of Co-Nominee (if any) Relationship to Ward _______________________________________________ _______________________ ________________________ No. Street No. Street _______________________________________________ _______________________ ________________________ City/Town State Zip Phone Numb er City/Town State Zip Phone Num ber or any other suitable person be appointed as such guardian. 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-2.2 (11/02) Page 2 DECREE Upon hearing, it is hereby ordered and decreed: _______________________________________________ _______________________________________________ Name N ame _______________________________________________ _______________________________________________ No. S treet N o. S treet _______________________________________________ _______________________________________________ City/Town State Zip Phone Number City/Town State Zip Phone Number is/are hereby appointed guardian and/or co-guardians of the person and estate: 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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