SUPERIOR COURT OF ARIZONA IN MARICOPA COUNTY PROBATE INFORMATION COVER SHEET Case Number: PB A person needing a guardian or conservator is the "ward". A person who died is the "decedent". INFORMATION ABOUT THE WARD or THE DECEDENT NAME: MAILING ADDRESS : STREET ADDRESS (if different): TELEPHONE (Home): TELEPHONE (Cellular): SSN: EMAIL: DATE OF BIRTH: FOR CLERK'S USE ONLY ADDITIONAL WARDS ARE INVOLVED. Information listed separately. INFORMATION ABOUT THE PETITIONER, the person filing these papers. NAME: MAILING ADDRESS: TELEPHONE: INFORMATION ABOUT PETITIONER'S ATTORNEY: NAME: TELEPHONE: EMAIL: Petitioner is not represented by an attorney, or BAR # EMAIL: An INTERPRETER IS NEEDED for this language: (List Names of) Persons who need interpreter: Name: STAFF USE ONLY: REASON FEES NOT PAID: Name: Name: Government Charge Deferred Waived NATURE OF ACTION: Place an "X" next to number which describes the nature of the case. Check only ONE. 200 ESTATE ____ 201 Formal Appointment of Personal Representative ____ 202 Informal Appointment of Personal Representative ____ 203 Ancillary Administration ____ 204 Affidavit of Succession to Realty ____ 205 Trust Administration ____ 206 Formal Probate of Will ____ 207 Informal Probate of Will ____ 208 Proof of Authority ____ 210 Other Specify 220 CONSERVATOR ____ 221 Minor ____ 222 Adult Incapacitated Person 230 GUARDIANSHIP ____ 231 Minor ____ 232 Adult (including those with Dementia, Alzheimer's) ____ 233 Adult Requiring In-Hospital Mental Health Treatment 240 GUARDIANSHIP-CONSERVATOR COMBINATION ____ 241 Minor ____ 242 Adult (including those with Dementia, Alzheimer's) ____ 243 Adult Requiring In-Hospital Mental Health Treatment ____ 211 Single Transaction/Limited Conservatorship ____ 212 Foreign Domicilliary � Superior Court of Arizona in Maricopa County ALL RIGHTS RESERVED Page 1 of 2 PB10f- 030115 American LegalNet, Inc. www.FormsWorkFlow.com Case No. INFORMATION ABOUT THE FIDUCIARY, NAME: MAILING ADDRESS: STREET ADDRESS: (if different) TELEPHONE (Home): TELEPHONE (Cellular): TELEPHONE (Work): the person to serve as guardian, conservator, or personal representative (executor) of the Estate of someone who died. DATE OF BIRTH: SSN: EMAIL: CERTIFICATION # (for State-Licensed Fiduciaries ONLY) RELATIONSHIP TO THE WARD OR (if an estate matter) THE DECEDENT: PHYSICAL DESCRIPTION: RACE: EYE COLOR: HEIGHT HAIR COLOR: WEIGHT: By signing below, I state to the Court under penalty of perjury that the contents of this document are true and correct to the best of my knowledge and belief. Petitioner or Attorney Signature NOTICE SUBMIT THIS FORM WITH NEW CASES ONLY. If there is already a (Maricopa County) Probate Court case number and you are filing in an existing Superior Court case in Maricopa County, DO NOT SUBMIT THIS FORM. � Superior Court of Arizona in Maricopa County ALL RIGHTS RESERVED Page 2 of 2 PB10f- 030115 American LegalNet, Inc. www.FormsWorkFlow.com