Petition For Guardianship Of Person And-Or Estate {GDN 01.0100} | Pdf Fpdf Doc Docx | Washington

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Petition For Guardianship Of Person And-Or Estate {GDN 01.0100} | Pdf Fpdf Doc Docx | Washington

Petition For Guardianship Of Person And-Or Estate {GDN 01.0100}

This is a Washington form that can be used for Guardianship within Local County, Spokane, Superior Court.

Alternate TextLast updated: 1/24/2013

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Superior Court of Washington County of _________________ In the Guardianship of: Case No.: Petition for Guardianship of Person and/or Estate (RCW 11.88.030) (PTAPGD) ____________________________ An Alleged Incapacitated Person I ask the court to appoint a guardian or limited guardian for ___________________(name), who is an alleged incapacitated person. The court should consider the following information. 1. Information about the Alleged Incapacitated Person Name: Age: Residence: Post Office Address: ______________________________ ______________________________ ______________________________ ______________________________ ______________________________ ______________________________ 2. Nature of the Alleged Incapacity The individual is incapacitated because: [ ] He or she is unable to adequately provide for nutrition, health, housing, or physical safety and is at significant risk of personal harm. He or she needs a guardian of the person. [ ] He or she is unable to adequately manage property or financial affairs and is at significant risk of financial harm. He or she needs a guardian of the estate. and/or Pt for Guardianship of Person and/or Estate (PTAPGD) - Page 1 of 8 GDN 01.0100 (06/2012) RCW 11.88.030 American LegalNet, Inc. www.FormsWorkFlow.com [ ] The individual is also incapacitated because: __________________________________________________________________ __________________________________________________________________ __________________________________________________________________. 3. Financial Information The approximate value and the description of the property owned by the alleged incapacitated person are: A. Assets: 1. Real Property: 2. Stocks, Mutual Funds, & Bonds: 3. Mortgages and Notes: 4. Bank Accounts: 5. Other Property: Description of other property: _____________________________ _____________________________ The total approximate value of assets is: $________________________ The alleged incapacitated person receives compensation, pension, insurance, and allowances as follows: B. Income: 1. Social Security Benefits: 2. Veterans' Benefits : 3. Washington State Assistance: 4. Retirement Income: 5. ______________________: 6. ______________________: 7. ______________________: The total approximate income is: $___________________ per month $___________________ per month $___________________ per month $___________________ per month $___________________ per month $___________________ per month $___________________ per month $___________________ per month $________________________ $________________________ $________________________ $________________________ $________________________ 4. Waiver of Filing Fee [] I do not ask the court to waive the filing fee. Pt for Guardianship of Person and/or Estate (PTAPGD) - Page 2 of 8 GDN 01.0100 (06/2012) RCW 11.88.030 American LegalNet, Inc. www.FormsWorkFlow.com [] I ask the court to waive the filing fee because: [ ] The alleged incapacitated person has total assets of a value of less than $3,000. [ ] Payment of the filing fee would impose a hardship upon the incapacitated person because: _____________________________________________________________ ____________________________________________________________. 5. Existing or Pending Guardianships [] There is no guardian, limited guardian, or pending guardianship action in any state for the person or estate of the alleged incapacitated person. There is a guardian, limited guardian, or pending guardianship action in any state for the person or estate of the alleged incapacitated person: Where is the case filed? (State or County in Washington State) ______________ Was a Guardian appointed? If yes: Name of guardian: Date of appointment: Type of guardianship: ______________________________ ______________________________ ______________________________ [ ] yes [ ] no [] 6. Reason to Appoint Guardian A guardian should be appointed because: ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ _____________________________________________________________________. 7. Petitioner's Interest in Appointment My interest in the court appointing a guardian is: ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ _____________________________________________________________________. Pt for Guardianship of Person and/or Estate (PTAPGD) - Page 3 of 8 GDN 01.0100 (06/2012) RCW 11.88.030 American LegalNet, Inc. www.FormsWorkFlow.com 8. Protection and Assistance for the Alleged Incapacitated Person The person is incapacitated to this nature and degree: ______________________________________________________________________ ______________________________________________________________________ _____________________________________________________________________. The alleged incapacitated person needs these specific areas of protection and assistance: ______________________________________________________________________ ______________________________________________________________________ _____________________________________________________________________. 9. Limits on the Alleged Incapacitated Person's Rights If the court grants the petition, the court should limit the following rights: [] The following rights should be revoked: [] [] [ [ [ [ [ [ [ [ [ [] ] ] ] ] ] ] ] ] ] To vote or hold an elected office. To marry, divorce, or enter into or end a state registered domestic partnership. To make or revoke a will. To enter into a contract. To appoint someone to act on his or her behalf. To sue and be sued other than through a guardian. To possess a license to drive. To buy, sell, own, mortgage, or lease property. To consent to or refuse medical treatment. To decide who shall provide care and assistance. To make decisions regarding social aspects of his or her life. Other limitations and restrictions: ________________________________________________________________ ________________________________________________________________ _______________________________________________________________. 10. Type of Guardianship Sought I seek the

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