COMMONWEALTH OF KENTUCKY þ PETITIONER en-USVS. þ RESPONDENT AOC- 745 þ Doc. Code: AAF en-USRev. 7-18en-USPage 1 of 2en-USCommonwealth of Kentuckyen-USCourt of Justice en-US www.courts.ky.goven-USKRS 387.530(2); 387.720; 395.130;en-US210.290en-USAPPLICATION FOR APPOINTMENTen-USOF FIDUCIARY FOR DISABLED PERSONS lexet justitia COMMONWEALTHOFKENTUCKY COURTOFJUSTICE District en-USCase No. Court þ County þ Division þ 1. þ Comes now en-US, Applicant herein, and requests to be þ appointed as for en-USRespondent. 2. þ Applicant states his/her relationship to Respondent is en-US. þ þ þ þ þ þ þ þ þ en-US þ þ þ þ þ þ þ þ þ þ þ þ en-US þ en-US þ þ þ þ þ þ þ þ þ þ en-USs, and anticipated þ yearly income (state if none or unknown en-US): þ en-USESTATE þ en-USVALUE þ Real Property þ $ þ Personal Property þ $ þ Yearly Income þ $ þ Source of Yearly Income þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ hearing in this matter en-US, a þ þ þ þ þ þ þ þ þ en-USrker. 7. þ Applicant states that all statements in the foregoing a en-USre true.en-USApplicant222s Name: en-USen-USAddress: þ en-USTelephone Number: , þ en-US Date þ Applicant222s Signature en-US* * * * * * * * * * * *en-USSUBSCRIBED and SWORN to before me this day of , 2.en-USMy Commission expires:. þ en-US County, Kentucky þ Name/Title American LegalNet, Inc. www.FormsWorkFlow.com en-USWAIVER OF NOTICE AND REQUESTen-USFOR APPOINTMENT OF FIDUCIARY en-USThe undersigned hereby waive notice of hearing and the right to appointment and request the Coen-USurt to make theen-USappointment herein applied for: þ þ þ þ en-USTo be completed if Applicant is represented by counsel:en-USAttorney222s Name: en-USen-USen-USAddress: en-US þ þ en-USTelephone Number: , þ þ en-USDate þ en-USAttorney Signatureen-USAOC-745en-USRev. 7-18en-USPage 2 of 2 American LegalNet, Inc. www.FormsWorkFlow.com