Missouri > Local Circuit Courts > 11th Circuit (St Charles County)
Petition For Appointment Of Guardian And Conservator - Missouri
| Petition For Appointment Of Guardian And Conservator Form. This is a Missouri form and can be used in 11th Circuit (St Charles County) Local Circuit Courts . |
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IN THE PROBATE DIVISION, CIRCUIT COURT, ST. LOUIS COUNTY, MISSOURI In the matter of __________________________________________ Respondent No._____________________ PETITION FOR APPOINTMENT OF A GUARDIAN AND CONSERVATOR Comes now _____________________________________ and states that the above named respondent, age _____, whose domicile is St. Louis County, Missouri, and whose present residence and post office address is ______________________________________________________________________________, is incapacitated and Street Address City State Zip disabled. The respondent owns property having an estimated value of: Real Property - $_________________________ Personal Property - $_____________________ Has the respondent executed a durable power of attorney? ____________________________________________ Petitioner is the _______________________________________ of the respondent and requests that letters (relationship) of guardianship be granted to ________________________________________________________, whose address is _______________________________________________________________ and who is not now guardian or Street Address City State Zip conservator for any wards or protectees (except as follows): _________________________________ (Name) _____________________________________________ Street Address _____________________________________________ City State Zip [For Guardianship of Person or Conservatorship of Estate per 475.060(10) R.S.Mo. 1983]. The reasons why the appointment of a guardian is sought are: _____________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ American LegalNet, Inc. www.FormsWorkFlow.com [For Guardianship of Person Only per 475.060(9) R.S.Mo. 1983]. The specific physical or mental conditions which prevent the respondent from being able to care for person are: _________________________________________ [For Conservatorship of Estate Only per 475.061(1) R.S.Mo. 1983]. The specific physical or mental conditions which prevent the respondent from being able to manage financial resources are: ____________________________ ____________________________________________________________________________________________________________ __________________________________________________________________________________________________ 2 American LegalNet, Inc. www.FormsWorkFlow.com The following are listed pursuant to the provisions of 475.060 and 475.075 R.S.Mo. 1983: NAME & RELATIONSHIP AGE (if applicable) POST OFFICE ADDRESS (Include Zip Code) __________________________________ Spouse (indicate if deceased) ____________________________________ ____________________________________ __________________________________ Mother (indicate if deceased) ____________________________________ ____________________________________ __________________________________ Father (if deceased) ____________________________________ ____________________________________ __________________________________ Son/Daughter (Grandson/Granddaughter) _______________ Age ____________________________________ ____________________________________ __________________________________ Son/Daughter (Grandson/Granddaughter) _______________ Age ____________________________________ ____________________________________ __________________________________ Son/Daughter (Grandson/Granddaughter) _______________ Age ____________________________________ ____________________________________ __________________________________ Son/Daughter (Grandson/Granddaughter) _______________ Age ____________________________________ ____________________________________ ____________________________________ ____________________________________ Nearest Known Relative Relationship - __________________________________________ ______________________________________________________ NOTE: If the respondent has no spouse, mother, father or children, the names of the nearest known relatives who are over the age of eighteen must be listed above. _______________________________________ Person having custody of respondent ____________________________________ ____________________________________ ____________________________________ ____________________________________ 3 American LegalNet, Inc. www.FormsWorkFlow.com _______________________________________ Name of any guardian/conservator in this or any other State Petitioner prays that a hearing and inquiry be held and the court appoint __________________________ __________________________________________________________________________________________ Guardian of the Person and Conservator of the Estate for the respondent. Petitioner states that the foregoing is made on this _____ day of ____________, ______, under oath or affirmation, and its representations are true and correct to the best of petitioner's knowledge and belief, subject to penalties of making a false affidavit or declaration. _______________________________________ Attorney's Signature __________________________________________ Petitioner's Signature _______________________________________ Attorney's Name (Typed) __________________________________________ Petitioner's Name (Typed) _______________________________________ Street Address __________________________________________ Street Address _______________________________________ City State Zip Code __________________________________________ City State Zip Code _______________________________________ Phone Number With Area Code __________________________________________ Phone Number with Area Code _______________________________________ Missouri Bar Number _______________________________________ Attorney's Signature __________________________________________ Petitioner's Signature _______________________________________ Attorney's Name (Typed) __________________________________________ Petitioner's Name (Typed) _______________________________________ Street Address __________________________________________ Street Address _______________________________________ City State Zip Code __________________________________________ City State Zip Code _______________________________________ Phone Number With Area Code __________________________________________ Phone Number with Area Code ______________________________
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