Name of Person Filing Document: Address: City, State, Zip Code: Telephone Number: Attorney Bar Number (if applicable): Self without a lawyer OR Representing: Attorney for FOR CLERK’S USE ONLY SUPERIOR COURT OF ARIZONA MARICOPA COUNTY In the Matter of the Conservatorship of: Case Number PB: PETITION FOR PERMANENT APPOINTMENT OF CONSERVATORSHIP OF A MINOR a Minor. REQUIRED INFORMATION FROM PETITIONER, UNDER OATH: 1. INFORMATION ABOUT ME. I am called the Petitioner: Name: Address: Telephone: Date of Birth: My relationship to the person I say needs a conservator is: 2. INFORMATION ABOUT THE MINOR I SAY NEEDS A CONSERVATOR. The minor is called the proposed protected person for a conservatorship: Name: Address: Telephone: Date of Birth: The minor is 3. married or unmarried. PERSON(S) ENTITLED TO NOTICE of the court matter under Arizona law, A.R.S. 14-5405 for conservators, and to whom I will give notice of this case: (See instructions) © Superior Court of Arizona in Maricopa County January 29, 2009 ALL RIGHTS RESERVED Page 1 of 3 PBCM12f Use only most current version American LegalNet, Inc. www.FormsWorkflow.com Case No. Name Address Relationship to Person Who I Say Needs a Conservator A. B. C. D. 4. ASSETS OF THE MINOR WHOM I SAY NEEDS A CONSERVATOR: (check one box) The Minor has no substantial assets or income. No bond by Petitioner is required; OR The Minor has assets and/or annual income in the approximate amount of $ 5. . Explain: PERSON TO BE APPOINTED CONSERVATOR (Complete this only if the person is a different person than Petitioner): Name: Address: Telephone: Date of Birth: Relationship to the person I say needs a conservator: 6. INFORMATION REGARDING GUARDIANSHIP/CONSERVATORSHIP. To the best of my knowledge, (check one box): No Guardian or Conservator has been appointed by Will or by any court order, and no court proceedings are pending for such appointment; OR Someone has been appointed Guardian or Conservator or court proceedings are pending. Explain who, when, in what court, and if the appointee is guardian or conservator): 7. REASONS FOR CONSERVATORSHIP: The Minor needs a Conservator because: The Minor owns money or property that requires management or protection which cannot be otherwise provided. The Minor may have business affairs which may be jeopardized or prevented by his or her minority. The Minor needs funds for his or her support and education and protection is necessary or desirable to obtain or provide funds. 8. REASON FOR REQUESTED PERSON TO BE APPOINTED CONSERVATOR: Either I myself or the person requested to be appointed in Paragraph 5 has priority for appointment under Arizona Law, A.R.S. § 14-5410 because (check one or more that you think apply to the relationship to the minor): Proposed appointee is an individual nominated by the Minor who is fourteen (14) or more years of age and who has sufficient mental capacity to make an intelligent choice. © Superior Court of Arizona in Maricopa County January 29, 2009 ALL RIGHTS RESERVED Page 2 of 3 PBCM12f Use only most current version American LegalNet, Inc. www.FormsWorkflow.com Case No. Proposed appointee is the spouse of the Minor. Proposed appointee is a parent of the Minor. Proposed appointee is a person selected by the Will of a deceased parent. Proposed appointee is a relative of the Minor with whom the Minor has lived for more than (6) months prior to the filing of the Petition. Proposed appointee has been selected by the person who is caring for the Minor or paying benefits to the Minor. Written consent of the parent(s) to the conservatorship. REQUIRED STATEMENTS TO THE COURT, UNDER OATH: (Note: you must check each box as true, and all these statements must be true, or you cannot file this Petition) 9. True. Venue (the court in which you are filing this Petition) is proper in this county because the Minor who is said to need a conservatorship lives in or is present in this county or the person to be protected has assets in this county. 10. True. The person who is requested to be the conservator has completed the required document called Affidavit of Person to be Appointed as Conservator of a Minor and is filing that Affidavit with this Petition as required by Arizona law, A.R.S. §14-5106. 12. True. I or the person I request to be appointed in Paragraph 5 is a suitable and proper person to act as conservator and is entitled to consideration for appointment under Arizona Law, A.R.S. § 14-5106, and/or 14-5410. REQUESTS TO THE COURT FOR AN ORDER, UNDER OATH: 1. 2. 3. 4. Schedule a hearing to determine if a Conservatorship is appropriate; After Petitioner gives notice of the hearing to all interested persons and to those required by law, hold a hearing to determine if the Court should order a Conservatorship; Appoint a Conservator of the proposed Minor according to the type of petition filed as checked in the Title of the Petition on the first page; Make any other orders the Court decides are in the best interests of the proposed the Minor. 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 January 29, 2009 ALL RIGHTS RESERVED Page 3 of 3 PBCM12f Use only most current version American LegalNet, Inc. www.FormsWorkflow.com