Rhode Island > Statewide > Probate Court > Guardian Conservator Custodian And Receiver
Notice (Of Limited Guardianship Or Guardianship) PC-2.5 - Rhode Island
| Notice (Of Limited Guardianship Or 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-2.5 (11/02, formerly SW-77) Notice of Limited Guardianship or Guardianship Page 1 of 3 This notice should be served at once and returned to the clerk of the court. NOTICE STATE OF RHODE ISLAND AND PROVIDENCE PLANTATIONS BY PROBATE COURT OF THE ____________________________ OF ____________________________ City or Town Name of City or Town BY THE COUNTY OF _________________________________ AND THE STATE AFORESAID Name of County To: _____________________________________________________________________________ Estate of: _____________________________________________________________________________ No: __________________________________ Greeting: __________________________________ A petition for Limited Guardianship/Guardianship has been filed in the Probate Court of the City/Town of: ________________________________________________________________________________________. ________________________________________________________________ has requested that the Probate Name of Petitioner Court appoint a limited guardian/guardian for you. A hearing regarding this Petition shall be held: On (Date): ________________________________________________________________ At (Time): ________________________________________________________________ at the Probate Court for the town of: __________________________________________________________ Address: _________________________________________________________________________________ The Petitioner requests that the Probate Court consider the qualification of the following individual as guardian: _________________________________________________________________________________________ Name of Proposed Guardian A guardian ad litem will be appointed by the Probate Court to visit you to explain the process and inform you of your rights. You have the right to attend the hearing to contest the petition, to request the powers of the guardian be limited, or to object to the appointment of particular individual guardian. If you wish to contest the petition, you have the right to be represented by an attorney, at state expense, if youre indigent. <<<<<<<<<********>>>>>>>>>>>>> 2PC-2.5 (11/02, formerly SW-77) Notice of Limited Guardianship or Guardianship Page 2 of 3 If the petition is granted and a guardian is appointed, the Probate Court may give the guardian power to make decisions about one or more of the following: Your health cares; your money; where you live; and with whom you associate. Copies of this notice will be mailed to: The administrator of any care or treatment facility where you live or receive primary services; your spouse; and heirs at law; any individual or entity known to petitioner to be regularly supplying protection services to you. CERTIFICATION OF SERVICE I certify that I hand-delivered and read this Notice to: _________________________________________________________________________________________ Name of Recipient On the ______________________________________ day of ______________________________________. Day Month ___________________________________________ Signature ___________________________________________ Name (Print or Type) ___________________________________________ N o. Address ___________________________________________ City/Town State Zip Phone Number <<<<<<<<<********>>>>>>>>>>>>> 3PC-2.5 (11/02, formerly SW-77) Notice of Limited Guardianship or Guardianship Page 3 of 3 CERTIFICATION OF NOTICE I certify that, as required by Rhode Island General Laws section 33-15-17-1, I mailed a copy of this Notice to the following persons, a the addresses listed, on the t ______________________________ day of ______________________________, ____________________. Day Month Year _______________________________________________________________________________________ Name A ddress _______________________________________________________________________________________ Name A ddress _______________________________________________________________________________________ Name A ddress _______________________________________________________________________________________ Name A ddress _______________________________________________________________________________________ Name A ddress ___________________________________________ Signature ___________________________________________ Name (Print or Type) ___________________________________________ N o. Address ___________________________________________ City/Town State Zip Phone Number Subscribed and sworn to before me this _______________________ day of _______________________, __________________________________________________ __________________________________________________ Notary public (please print nam e) Notary public signature WITNESS Judge of the Probate Court of the ________________________ of _______________________________ this __________________ day of _________________________________________________________. ____________________________________________ Signature of Clerk
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