Free Guardianship Petition and Order

Petition for Appointment of Guardian

_____________________ COURT OF THE STATE OF ____________________ COUNTY OF _________________________

_____________________________
Petitioner
Proceeding for the Appointment of a
Guardian for
_____________________________________________
an Infant.

It is respectfully alleged:
1. The name, permanent address, date of birth and telephone number of the petitioner, and the petitioner’s relationship to the infant are as follows:
Name:_________________________________________________
Telephone Number:____________________________________
Address: ________________________________________________________________________
_______________________________________________________________________________
Date of Birth:___________________________
Relationship to Infant: ______________________________________________

2. The name, permanent address, date of birth and marital status of the infant of this proceeding is as follows:
Name:__________________________________________
Address:________________________________________
__________________________________________________
3. The names and permanent addresses of the parents of the infant is:
Name of Father: _____________________________
Date of Birth: ________________
Date of Death: _______________

Address:__________________________________________________________________________
Name of Mother: _____________________________
Date of Birth: ________________
Date of Death: _______________
Address: ________________________________________________________________________

4. The names and addresses of the adult persons with whom the infant resides if other than parents are:
Name: _________________________________________________________________________
Address: _________________________________________________________________________
Relationship to infant: _______________________

5. If father and mother are deceased, list the names and addresses of and addresses of the nearest distributees of full age who live within the state.
Name: _________________________________________________________________________
Address: _________________________________________________________________________
Relationship to infant: _______________________

6. The names and permanent addresses of the infant’s grandparents: Name:_________________________________________________________________________
Address: _________________________________________________________________________
Relationship to infant: _______________________

7. Petitioner is requesting appointment as guardian of the infant’s person only and alleges that the petitioner is capable of providing care, custody and control of the infant during minority and is motivated solely by the best interests of the child in requesting this appointment.
8. (a) The infant has never had, at any time, a guardian appointed for him/her, and,
(b) Custody of the infant has never been surrendered by any person lawfully charged therewith nor has custody been the subject of any court order, except as hereinafter listed: __________________________________________________________________________________
__________________________________________________________________________________

9. No prior application has been made to any Court for the relief requested herein.

WHEREFORE, your petitioner respectfully prays that:

Letters of Guardianship of the Person be granted to
_______________________________________________________________________________
or such other person or corporation as may be entitled thereto and that process issue to all interested persons who have not waived issuance of same requiring them to show cause why such relief should not be granted.

Dated: ___________________________________

______________________________________
(Signature of Petitioner)
______________________________________
(Print Name)





STATE OF ______________________ )
COUNTY OF_____________________ ) ss.:

__________________________________________ , being duly sworn deposes and says that I am the petitioner above named. I have read the foregoing petition and the same is true of my own knowledge except as to matters therein stated to be alleged upon information and belief and as to those matters I believe them to be true.

Sworn to before me this
________________ day of ___________, _______
_______________________________
Signature

_______________________________
Notary Public

Commission Expires:

(Affix Notary Stamp or Seal)

_______________________________