Free CCP0393-5 - Illinois

Petition for Guardian of Minor

(Formatted 7/97 for temporary usage in Dist. 5)

(Rev. 2/20/03) CCP 0393-5

IN THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS
Estate of

____________________________________________ Minor

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No. __________________________ Docket _______________________ Page

Hearing on petition set for

________________________

___________________, ________ ___________ M., Room __________
District # 5 Bridgeview, Illinois

PETITION FOR GUARDIAN OF MINOR
Petitioner, ______________________________________________________________, states under the penalties of perjury: 1.

___________________________________________________, whose date of birth is ______________________, ________
(name of minor)

and whose place of residence is _________________________________________________________________, is a minor.*
(county and state)

2.

Approximate value of the minor's personal estate Approximate value of the minor's real estate Amount of the minor's anticipated gross annual income and other receipts

$ ____________________________________ $ ____________________________________ $ ____________________________________
(relationship to minor)

3.

The person having custody of the minor is ___________________________________________________________________
(name) (address/city/state/zip)

at the address of ______________________________________________________________________________________. 4. 5. The name(s) and post office address(es) of the adult relative(s) of the minor entitled to notice are set forth as Exhibit A and made a part of this petition. It is in the best interest of the minor that a guardian of the PERSON ONLY. of the minor be appointed for the following reasons: ___________________________________________________________

___________________________________________________________________________________________________
Petitioner asks that ____________________________________________________________________________________________
(name) (city, state, zip) (address) (relationship, if any)

_______________________________________________, (if an individual, add) _______ years of age, __________________________
qualified and willing to act, be appointed as guardian of the PERSON ONLY of the minor.

________________________________________________
Attorney Certification

____________________________________________________
Petitioner Address ___________________________________________

___________________________________________
NOMINATION I, ________________________________________________________________________ a minor over 14 years of age, nominate
(print minor's name)

____________________________________________________________________________ as a guardian of my PERSON ONLY.
(name and address)

____________________________________, _________
Atty. No.: ______________ Name: _______________________________________________ Firm Name: __________________________________________ Attorney for Petitioner: _________________________________ Address: ____________________________________________ City/State/Zip: _______________________________________ Telephone: ___________________________________________

____________________________________________________
Minor

*If not resident of Illinois, add: "owning real or personal estate in this county and state."

DOROTHY BROWN, CLERK OF THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS