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 the Guardianship of: Case Number PB: PETITION FOR PERMANENT APPOINTMENT OF GUARDIAN 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 guardian is: 2. INFORMATION ABOUT THE MINOR I SAY NEEDS A GUARDIAN. The minor is called the proposed ward for a guardianship: 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. 14-5207 for guardians, and to whom I will give notice of this case: (See instructions) © Superior Court of Arizona in Maricopa County April 17, 2009 ALL RIGHTS RESERVED Page 1 of 3 PBGM12f Use most current version American LegalNet, Inc. www.FormsWorkFlow.com Case No. Name Address Relationship to Person Who I Say Needs a Guardian A. B. C. D. 4. ASSETS OF THE MINOR WHOM I SAY NEEDS A GUARDIAN: (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 GUARDIAN. (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: 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. 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: 8. 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 requires a guardian): Proposed appointee was selected by the Will of a deceased parent. © Superior Court of Arizona in Maricopa County April 17, 2009 ALL RIGHTS RESERVED Page 2 of 3 PBGM12f Use most current version American LegalNet, Inc. www.FormsWorkFlow.com Case No. 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 the last 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 at the time the hearing is set. 9. 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: (Note: you must check each box as true, and all these statements must be true, or you cannot file this Petition) 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 lives in or is present in this county. 11. True. The person who is requested to be the guardian has completed the required document called Affidavit of Person to be Appointed as Guardian 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 guardian and is entitled to consideration for appointment under Arizona Law, A.R.S. §145106, and/or 14-5410. 10. REQUESTS TO THE COURT FOR AN ORDER, UNDER OATH: 1. 2. 3. 4. Conduct a hearing to determine if a Guardianship 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 Guardianship; Appoint a Guardian of the proposed Minor; 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 April 17, 2009 ALL RIGHTS RESERVED Page 3 of 3 PBGM12f Use most current version American LegalNet, Inc. www.FormsWorkFlow.com