(1) Person Filing: Street Address: City, State, Zip: Phone Number: Representing Self IN THE SUPERIOR COURT OF ARIZONA, COUNTY OF COCONINO (2) In the Matter of the Guardianship and/or Conservatorship of: Ward 1: Ward 2: Ward 3: A Minor (3) Case Number: GC ORDER REGARDING THE DISCHARGE OF THE: (4) [ ] GUARDIAN [ ] CONSERVATOR [ ] GUARDIAN AND CONSERVATOR AFTER HEARING, THE COURT FINDS: (5) This Order concerns Ward: [ ] 1 [ ] 2 [ ] 3. (6) Guardian and/or Conservator’s Name: (7) Name of Other Guardian and/or Conservator Not Seeking Resignation: Venue in this county is proper. Notice of Hearing has been given. Termination of Guardianship Upon the Parent’s Withdrawal of Consent: (8) [ ] Guardianship should terminate because the parent, who signed a consent to the guardianship, withdrew consent. Termination Upon the Guardian’s and/or Conservator’s Request: (9) Guardianship should terminate because: The ward has: [ ] turned 18 [ ] died [ ] married [ ] been adopted. [] The parent withdrew consent. [] Other: (10) Conservatorship should terminate because the ward has: [ ] turned 18 [ ] died. [] Other: Resignation of the Guardian and/or Conservator: (11) The guardian and/or conservator submitted their resignation because: Page 1 of 2 Revised May 2005 Coconino County Law Library and Self-Help Center Forms American LegalNet, Inc. www.USCourtForms.com THE COURT ORDERS: (12) 1. (13) 2. [] [] (14) 3. [] The guardianship and/or conservatorship is terminated. The guardian and/or conservator’s resignation is accepted, and the following is appointed successor: The conservator is discharged. The conservator shall transfer title to the ward’s assets to: . For each account listed below, the bank or financial institution shall release the funds to: (15) Bank or Institution Name Name on Account Value Account Description $ $ $ Date: Page 2 of 2 Revised May 2005 Superior Court Judge: Coconino County Law Library and Self-Help Center Forms American LegalNet, Inc. www.USCourtForms.com