Your Name: Your Address: Your City, State, ZIP: Your Telephone No: Representing Self, Without an Attorney OR Attorney for FOR CLERK’S USE ONLY IN THE SUPERIOR COURT OF ARIZONA MARICOPA COUNTY In the Matter of (check one or both) The Guardianship Conservatorship PB No: PETITION FOR of Discharge and termination Termination Only Discharge Only (Incapacitated and/or Protected person) OF A GUARDIANSHIP AND CONSERVATORSHIP OF AN ADULT 1. APPOINTMENT: The following person was appointed accepted appointment as (check one box): and Guardian and conservator on (date) Guardian (date) Conservator (date) 2. . FOR TERMINATION PETITIONS: The reason I am asking for termination of the guardianship and/or conservatorship is : (check one box) Death of the ward on (date) (attach death certificate); Ward moved out of state on to (LOCATION) (DATE) Other (explain) 3. FOR DISCHARGE PETITIONS: The reason for the discharge is: (check one box): I am the guardian and/or conservator, and I want to resign because: (explain) I am not the guardian and/or the conservator, but I think the person who is should be discharged because (explain): ©Superior Court of Arizona in Maricopa County June 20, 2007 ALL RIGHTS RESERVED Page 1 of 2 PBGCD10f Use most current version American LegalNet, Inc. www.FormsWorkflow.com Case No. Other: (explain) 4. Petitioner should be discharged from this appointment because (check all that apply) Conservatorship: the court approved the Final Accounting; Guardianship: there are no remaining matters to be taken care of. Other: (explain) OATH OR AFFIRMATION AND VERIFICATION I swear or affirm that the information on this document is true and correct under penalty of perjury. Signature Date Sworn to or Affirmed before me this: by (date) My Commission Expires: Deputy Clerk or Notary Public ©Superior Court of Arizona in Maricopa County June 20, 2007 ALL RIGHTS RESERVED Page 2 of 2 PBGCD10f Use most current version American LegalNet, Inc. www.FormsWorkflow.com