Kentucky > Statewide > Hospitalization-Disability
Application For Appointment Of Fiduciary For Disabled Persons AOC-745 - Kentucky
| Application For Appointment Of Fiduciary For Disabled Persons Form. This is a Kentucky form and can be used in Hospitalization-Disability Statewide . |
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AOC-745 Rev. 3-03 Page 1 of 2 Doc. Code: AAF 01/3/2007 11:25 am Ver. 1.01 Case No. Leave blank if unknown Court APPLICATION FOR APPOINTMENT OF FIDUCIARY FOR DISABLED PERSONS County District Commonwealth of Kentucky Court of Justice www.kycourts.net KRS 387.530(2); 387.720; 395.130 COMMONWEALTH OF KENTUCKY VS. Use mouse to select County in which case will be filed PETITIONER RESPONDENT Name of Respondent ********* , Applicant herein, Name of Petitioner 1. Comes now and requests to be appointed as Request of Petitioner for Respondent. Relationship to Respondent 2. Applicant states his/her relationship to Respondent is __________________________________________________. 3. Applicant states his/her qualifications for appointment are as follows: ______________________________________ List qualifications _____________________________________________________________________________________________ _____________________________________________________________________________________________ 4. Applicant offers as surety on his/her bond the following: ________________________________________________ Describe surety _____________________________________________________________________________________________ 5. Respondent owns the following estate, including government benefits, insurance entitlements, and anticipated yearly income (state if none or unknown): ESTATE Real Property Personal Property Yearly Income Source of yearly Income 6. Applicant states that all statements in the foregoing are true. Applicant's Name: _______________________________________________________________________________ Address: _______________________________________________________________________________________ Address Line 1 Name of Applicant VALUE $ Value of personal property, state none if unknown Value of real property, state none if unknown Value of yearly income, state none if unknown Source of yearly income _______________________________________________________________________________________________ _______________________________________________________________________________________________ Telephone Number: _____________________________ Phone number Address Line 2 City 1st click down arrow with mouse to select State 5 of Zip last 4 of zip Date: __________________, 2_____. _____________________________________ Applicant's Signature ,2 . My commission expires , Subscribed and sworn to before me on 2_____. ________________________________________________ Name/Title Print Help American LegalNet, Inc. www.FormsWorkflow.com Close Form Reset Form AOC-745 Rev. 3-03 Page 2 of 2 WAIVER OF NOTICE AND REQUEST FOR APPOINTMENT OF FIDUCIARY Case No. _______________________ The undersigned hereby waive notice of hearing and the right to appointment and request the Court to make the appointment herein applied for: To be completed if Applicant is represented by counsel: Attorney's Name _________________________________________________________________________________ Address _______________________________________________________________________________________ Address Line 1 Name of Attorney ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ Telephone Number ______________________________ Phone number Address Line 2 Address Line 3 City click down arrow with mouse to select State 5 of Zip 1st last 4 of zip ____________________________________________ Attorney Signature You have finished filling out the form electronically. There may still be fields you or the courts need to fill in by hand. Please press the tab key, double check all information, and then click American LegalNet, Inc. Print. www.FormsWorkflow.com Print Help Close Form Reset Form
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