Name of Person Filing Document: Address: City, State, Zip Code: Telephone Number: Attorney Bar Number (if applicable): Self or Attorney for Representing FOR CLERK’S USE ONLY SUPERIOR COURT OF ARIZONA MARICOPA COUNTY In the Matter of Guardianship and Conservatorship of Case Number PB: PETITION FOR PERMANENT APPOINTMENT OF GUARDIAN AND CONSERVATOR OF A MINOR a Minor. REQUIRED INFORMATION FROM PETITIONER, UNDER OATH or AFFIRMATION: 1. INFORMATION ABOUT ME. I am called the Petitioner: Name: Address: Telephone: Date of Birth: My relationship to the person I say needs a guardian and conservator is: 2. INFORMATION ABOUT THE MINOR I SAY NEEDS A GUARDIAN AND CONSERVATOR. The minor is called the proposed ward (for a guardianship) and proposed protected person (for a conservatorship): Name: Address: Telephone: Date of Birth: Social Security Number: The minor is 3. married or unmarried. PERSON(S) ENTITLED TO NOTICE of the court matter under Arizona law, A.R.S. 14-5207 for guardians and 14-5405 for conservators, and to whom I will give notice of this case: (See instructions) ©Superior Court of Arizona in Maricopa County January 27, 2009 ALL RIGHTS RESERVED Page 1 of 4 PBGCM12f Use only most current version American LegalNet, Inc. www.FormsWorkflow.com Case No. Name Address Relationship to Person I Say Needs a Guardian or Conservator A. B. C. D. 4. ASSETS OF THE MINOR WHOM I SAY NEEDS GUARDIAN AND 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 $ Explain: 5. PERSON TO BE APPOINTED GUARDIAN AND 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 guardian or conservator: 6. INFORMATION REGARDING GUARDIANSHIP and 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): ©Superior Court of Arizona in Maricopa County January 27, 2009 ALL RIGHTS RESERVED Page 2 of 4 PBGCM12f Use only most current version American LegalNet, Inc. www.FormsWorkflow.com Case No. 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. 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 six (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. 9. PARENTAL RIGHTS. All parental rights of custody regarding the Minor have been terminated or suspended by: Prior court order. (You must provide the court with a certified copy of the order.) Written consent of the parent(s) to the guardianship. Abandonment of the Minor for at least six (6) months prior to the filing of this Petition. Other circumstances. Explain: 10. REASONS FOR REQUESTED PERSON TO BE APPOINTED GUARDIAN: (Check one or more of the boxes that you think apply to the relationship to the person you say is incapacitated): Proposed appointee was selected by the Will of a deceased parent. Proposed appointee was selected by the Minor who is 14 or more years of age. Proposed appointee is a relative of the Minor and has had care and custody of the Minor for at least six (6) months prior to filing this Petition. Proposed appointee was chosen to be the guardian by someone who is caring for the Minor or is paying benefits for the Minor. Proposed appointee is a public fiduciary, a professional guardian, conservator, or the Arizona Veterans' Service Commission. The proposed appointee is not related by blood to the Minor and the person will submit a full set of fingerprints to the court required by A.R.S. § 14-5206 within five (5) days of filing this Petition. 11. REASONS I AM ASKING FOR A GUARDIANSHIP ORDER: The appointment of a guardian for the Minor is necessary or desirable to provide continuing care and supervision of the Minor, and is in the best interests of the minor because: (explain): REQUIRED STATEMENTS TO THE COURT, UNDER OATH OR AFFIRMATION: (Note: you must check each box as true, and all these statements must be true, or you cannot file this Petition) 12. 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 guardianship and conservatorship lives in or is present in this county or the person to be protected has assets in this county. 13. True. The person who is requesting to be the guardian and conservator has completed the required document called Affidavit of Person to be Appointed as Guardian and Conservator of a Minor and is filing that Affidavit with this Petition as required by Arizona law, A.R.S. §145106. 14. True. I, or the person I request to be appointed in Paragraph 5, is a suitable and proper person to act as guardian and conservator and is entitled to consideration for appointment under Arizona Law, A.R.S. §14-5106, and/or 14-5410. ©Superior Court of Arizona in Maricopa County January 27, 2009 ALL RIGHTS RESERVED Page 3 of 4 PBGCM12f Use only most current version American LegalNet, Inc. www.FormsWorkflow.com Case No. REQUESTS TO THE COURT FOR AN ORDER, UNDER OATH OR AFFIRMATION: 1. Schedule a hearing to determine if a Guardianship and Conservatorship is appropriate; 2. After Petitioner gives notice of the hearing to all interested persons and to those required by law, hold a 3. 4. hearing to determine if the Court should order a Guardianship and Conservatorship; Appoint a Guardian and Conservator of the proposed ward; Make any other orders the Court decides are in the best interests of the proposed ward. 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 27, 2009 ALL RIGHTS RESERVED Page 4 of 4 PBGCM12f Use only most current version American LegalNet, Inc. www.FormsWorkflow.com