Instructions
Clear Form
THE STATE OF NEW HAMPSHIRE
JUDICIAL BRANCH
http://www.courts.state.nh.us
Court Name: Case Name: Case Number:
(if known)
Conservatorship of
PETITION FOR CONSERVATOR
1. Petitioner name Address 2. Attorney for petitioner Address 3. Proposed conservator name Relationship to petitioner Address 4. The value of the estate of the petitioner consists, as nearly as can be ascertained, of: Real Estate......................................................................... $ Personal Estate .................................................................. Total amount of Estate ....................................................... $ $ Date of Birth Telephone Telephone Telephone
The petitioner represents that by reason of mental or other physical disabilities, he or she is unfit for the management of his or her property and financial affairs. Therefore, the petitioner asks that the above proposed conservator be named to manage his or her property and financial affairs. The petitioner also asks that the following impartial appraiser be named to take an inventory and appraise the estate of the petitioner. Appraiser name Appraiser Address Occupation
Date
Petitioner's Signature
ORDER
Petition for Conservator is granted; letters of appointment to be issued.
Date
NHJB-2161-P (10/01/2006) (formerly AOC-092-003) Page 1 of 1
Judge
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