Rhode Island > Statewide > Probate Court > Guardian Conservator Custodian And Receiver
Temporary Guardianship PC-2.1 - Rhode Island
| Temporary 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-2.1 (11/02, formerly SW-69) Temporary Guardianship Date filed: _____________________ Court use only STATE OF RHODE ISLAND County of ___________________________________ PROBATE COURT OF THE Estate of ____________________________________ _________________________________________________ Alias _______________________________________ Alias _______________________________________ No. ____________________ ____________________ Date TEMPORARY GUARDIANSHIP Name and address of ward: ________________________________________________________________________ ___ N ame ________________________________________________________________________ ___ No. Street ________________________________________________________________________ ___ City/Town State Zip Phone Number Personal estate estimated at: $________________________ Your petitioner: ________________________________________________________________________ ___ Name Relationship to Ward ________________________________________________________________________ ___ No. Street ________________________________________________________________________ ___ City/Town State Zip Phone Number Your petitioner respectfully requests that there isoccasion fo r the appointment of a TEMPORARY GUARDIAN of the above respondent; that a petition for the appointmof a guardian of this personent and estate is now pending. He/she requests that: _______________________________________________ _______________________ ________________________ Name of Nominee Relationship to Ward Nam of Co-eNominee (if any) Relationship to Ward _______________________________________________ _______________________ ________________________ No. Street No. Street _______________________________________________ _______________________ ________________________ City/Town State Zip Phone Number City/Town State Zip Phone Number or some suitable person be appointed to that trust. 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-2.1 (11/02) Page 2 DECREE Upon hearing, it is hereby ordered and decreed: For good cause shown: _______________________________________________ _______________________________________________ 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 temporary guardian and/or temporary co-guardians of the respondent. Bond fixed at: $_____________________________ [ ] With surety __________________________ [ ] Without surety (if with surety, indicate type) This appointment will expire on: ________________________________ 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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