Missouri > Local Circuit Courts > 7th Circuit (Clay County) > Probate > Adults
Application To Appoint Guardian Ad Litem (Guardian Not Available) 379-A - Missouri
| Application To Appoint Guardian Ad Litem (Guardian Not Available) Form. This is a Missouri form and can be used in Adults Probate 7th Circuit (Clay County) Local Circuit Courts . |
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CIRCUIT COURT OF CLAY COUNTY, MISSOURI PROBATE DIVISION No. Matter of , an incapacitated person. APPLICATION TO APPOINT GUARDIAN AD LITEM (Sec. 475.097 RSMo.) I, , hereby state to the Court that the Guardian in this matter, , is unavailable due to and that the Ward, , is presently mentally disordered and in need of treatment as evidenced by the following facts: . WHEREFOR E, I request that the Court appoint a Guardian ad Litem to protect the Ward and to assume the responsibilities of the Guardian until the Guardian is again available, but for a period not to exceed days. THE STATEMENTS AND REPRESENTATIONS IN THIS DOCUMENT ARE MADE UNDER OATH AND ARE TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND BELIEF. I UNDERSTAND THEY ARE MADE SUBJECT TO THE PENALTIES OF MAKING A FALSE AFFIDAVIT OR DECLARATION. Date Signature Address Phone Relationship to Ward, if any: Form 379-A Page 1 of 1 Revised 3/14/2003
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