IN THE CIRCUIT COURT OF THE TWENTY-SECOND JUDICIAL CIRCUIT McHENRY COUNTY, ILLINOIS Probate Division ) ) _________________________________________ ) Minor ) Estate of Case Number_______________________________ PETITION FOR APPOINTMENT OF GUARDIAN FOR A MINOR ___________________________________________________________, a reputable citizen of Illinois, hereby certifies: 1. Each of the following is a minor*: Name Date of Birth Address County 2. Approximate value of the minor's personal estate $________________________________; Amount of minor's anticipated gross annual income and other receipts $__________________________________________. 3. The person having custody of the minor is____________________________________________________________, _________________________________________________________________________________________________ (Address) 4. The names and post office addresses of the nearest adult relatives of the minor are: Name Relationship Post Office Address 5. It is necessary or convenient that a guardian of the _____________________________________________ of the (Estate, Person or Estate & Person) minor be appointed because___________________________________________________________________________ _________________________________________________________________________________________________ _________________________________________________________________________________________________ 6. Petitioner is ___________________________________________________ to minor. (state relationship) Petitioner asks that: _________________________________________________________________________________________________ (Name) (Address) (occupation) (City, State & Zip) age______________ years, ___________________________, qualified and willing to act, be appointed as guardian of the ______________________________________ of the minor. (Estate, Person or Estate & Person) Name______________________________________ Attorney for_________________________________ Address____________________________________ City, State Zip ______________________________ Telephone__________________________________ The undersigned certifies that the statements set forth in this instrument are true and correct, except as to matters therein stated to be on information and belief and as to such matters the undersigned certifies as aforesaid that he/she verily believes the same to be true. ______________________________________________ Petitioner's Signature *If a non-resident of McHenry County, add "owning real estate in this county" or "owning no real estate in Illinois, but owning personal estate in this county." PR-PET4: Revised 12/01/06 Page 1 of 2 Minor Guardianship American LegalNet, Inc. www.FormsWorkflow.com NOMINATION I, a minor over 14 years of age, nominate _________________________________________ as guardian of my _________________________________________________________________. (estate, person or estate & person) _________________________, 20______ _____________________________________ Minor's Signature I, a minor over 14 years of age, nominate _________________________________________ as guardian of my _________________________________________________________________. (estate, person or estate & person) _________________________, 20______ _____________________________________ Minor's Signature I, a minor over 14 years of age, nominate _________________________________________ as guardian of my _________________________________________________________________. (estate, person or estate & person) _________________________, 20______ _____________________________________ Minor's Signature PR-PET4: Revised 12/01/06 Page 2 of 2 Minor Guardianship American LegalNet, Inc. www.FormsWorkflow.com