Notice Of Petition SCPA 1753(2) (SCPA Article 17-A) {GMD-8}

SURROGATE222S COURT OF THE STATE OF NEW YORKCOUNTY OF ---------------------------------------------------------------------------XProceeding for the Appointment of a Guardian forNOTICE OF PETITION SCPA 2471753 (2)File No. Pursuant to SCPA Article 17-A---------------------------------------------------------------------------XNotice is hereby given that:1.On the day of , 20, ,(Name of Petitioner(s))whose address is/are, filed a petition with the Surrogate222s Court, County of , which is returnable on, , at o222clock in the noon of that day for the appointment of[ ] , guardian(s)(Name(s))[ ] , standby guardian(Name)[ ] , first alternate standby guardian(Name)[ ] , second alternate standby guardian (Name)of the[ ] person[ ] property[ ] person and property[ ] limited guardianship of the property.2.The name and post office address of each person entitled to notice of the petition who has not been served or has notappeared, or waived service of process, with a statement with regard to such person222s relationship, if any, to the intellectuallydisabled person developmentally disabled person, is as follows:NAMEMAILING ADDRESSRELATIONSHIP (USE ADDITIONAL SHEETS IF NECESSARY)Date: , Attorney for Petitioner(s) Telephone Number: Address of Attorney: GMD-8 -1- American LegalNet, Inc. www.FormsWorkFlow.com AFFIDAVIT OF MAILING NOTICE OF PETITIONSTATE OF NEW YORK)COUNTY OF ) ss.:, residing at being duly sworn, deposes and says that he/she is over the age of 18 years, that on the day of,, he/she mailed, by certified mail, a copy of the foregoing Notice of Petition containedin a securely closed, postpaid wrapper directed to each of the persons named in said notice at the places set opposite theirrespective names.(Signature)Sworn to before me this day of, (Print Name)Notary PublicCommission Expires:(Affix Notary Stamp or Seal)Attorney for Petitioner(s): Telephone Number: Address of Attorney: -2- American LegalNet, Inc. www.FormsWorkFlow.com