Nevada > County > Washoe > District Court > Family
Petition For Guardianship Of An Adult - Nevada
| Petition For Guardianship Of An Adult Form. This is a Nevada form and can be used in Family District Court Washoe County . |
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1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 Code: _______________ Name: ___________________________________ Address: _________________________________ _________________________________ Telephone No. ____________________________ Appearing in Proper Person IN THE FAMILY DIVISION OF THE SECOND JUDICIAL DISTRICT COURT OF THE STATE OF NEVADA IN AND FOR THE COUNTY OF WASHOE In the Matter of the Guardianship of the Person, the Estate, or the Person and Estate of: ________________________________________ ________________________________________ An Adult. _____________________________________________/ Case No. ________________________ Dept. No. ________________________ PETITION FOR GUARDIANSHIP OF AN ADULT Form #1 Petitioner(s) ________________________________________________________________ (Your Name) and ______________________________________________________________, in proper person, (If two people are to be guardians, the second name is filled in here) petitions the Court for an Order appointing ________________ as guardian(s) of the person, the (Him, Her, Them) estate, or the person and the estate or the special guardian of the above-named adult. 23 This Petition is based upon the following facts: 24 I. 25 PETITIONERS' INFORMATION 26 27 28 The following questions must be answered by each person petitioning for the guardianship. If only one person is petitioning, fill in the information under Petitioner Number One and print "not applicable" in the spaces for Petitioner Number Two. Revised 2005 1 American LegalNet, Inc. www.FormsWorkflow.com 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 /// Revised 2005 PETITIONER NUMBER ONE 1. I currently reside at: __________________________________________________________________________ (Street Address) __________________________________________________________________________ (City, State and Zip Code) __________________________________________________________________________ (Telephone Number) 2. My relationship to the proposed ward is as follows: __________________________________________________________________________ (How are you related to the proposed ward or if you are not related, how do you know the proposed ward?) 3. 4. My date of birth is ______________________________________________________ _____ yes _____no I am competent to serve as guardian to the proposed ward. (Initial one) _____yes _____no I am a resident of the State of Nevada. (Initial one) If your answer to Question 5 is "yes", print N/A in the following questions a f. If your answer to Question 5 is "no", complete the following information in a f. a. b. I reside in the State of ____________________, County of _____________________. My physical address is: __________________________________________________ _____________________________________________________________________ c. My mailing address is:___________________________________________________ _____________________________________________________________________ d. I have resided at that address since:_________________________________________ (Date you moved to the above address) _____yes _____no I am an appointed guardian of the proposed adult ward (Initial one) by a court of another State. (If your answer to this question is "yes", answer the following): I am a guardian of the ward in the State of ________________________. 5. e. 2 American LegalNet, Inc. www.FormsWorkflow.com 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 6. f. _____yes _____no I have associated as co-guardian, a resident of this State or (Initial one) a banking corporation whose principal place of business is in this State. (If your answer to this question is "no", please explain why you have not associated a co-guardian: ___________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ The following questions regarding conviction of a felony must be answered as directed: Have you ever been convicted of a felony? _____yes _____no If your answer to Question 6 is "no", print N/A in blanks a e. If your answer to Question 6 is "yes", complete the following information a e. a. The charge for which I was convicted was: _____________________________________________________________________ b. The County and State in which I was convicted was: _____________________________________________________________________ c. d. The date of my conviction was ____________________________________________ Were you incarcerated for the conviction? _____yes _____no If your answer to d is "yes", complete the following information: The prison/jail in which I was incarcerated was: _____________________________________________________________________ I was incarcerated for _________________________(months, years) e. Did you receive parole or probation on the conviction? _____yes _____no If your answer to e is "yes", complete the following information: My parole (has or has not) ___________________ been completed. Date of discharge or contemplated discharge: _________________________________ My discharge from parole was: _____honorable _____dishonorable My probation (has or has not) ______________ been completed. Revised 2005 3 American LegalNet, Inc. www.FormsWorkflow.com 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 /// Revised 2005 Date of completion or contemplated completion: _____________________________ My discharge from probation was: _____honorable _____dishonorable If your discharge from parole or probation was dishonorable, please explain: _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ 7. _____yes _____no Are you currently suspended for misconduct or disbarred from the (Initial one) practice of law; or the practice of accounting; or any other profession which: (1) involves or may involve the management or sale of money, investments, securities or real property, AND (2) requires licensure in this State or any other State? If your answer to Question 7 is "yes", please describe the circumstances for which you were suspended or dis
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