MOHAVE COUNTY SUPERIOR COURT PROBATE / REAL PROPERTY AFFIDAVIT / GUARDIANSHIP / CONSERVATORSHIP / ADOPTION ­ (COVER SHEET) Please provide the following information (Type or Print) PETITIONER'S NAME and ADDRESS: ___________________________________________ Last First Middle ___________________________________________ Mailing Address ___________________________________________ City State Zip Code ___________________________________________ Telephone Number E-mail Address NAME OF PROTECTED, ADOPTED OR DECEASED PERSON ( Minor Adult): ______________________________________________ Last First Middle ______________________________________________ Mailing Address ______________________________________________ City State Zip Code ______________________________________________ Telephone Number E-mail Address PETITIONER'S ATTORNEY None FOR COURT USE ONLY: FEES: Paid Not Paid REASON: Deferred Waived Govt. Agency Deferred Amounts: Plaintiff's Filing Fee $__________________ Defendant's Filing Fee $__________________ ___________________________________________ Name State Bar No. ___________________________________________ Mailing Address ___________________________________________ City State Zip Code ___________________________________________ Telephone Number E-mail Address TYPE OF ACTION (Check the box next to the one description below which best describes the type of case) FORMAL PROBATE INFORMAL PROBATE PROBATE BY AFFIDAVIT REAL PROPERTY AFFIDAVIT GUARDIANSHIP, MINOR CONSERVATORSHIP, MINOR GUARDIANSHIP/CONSERVATORSHIP, MINOR GUARDIANSHIP/CONSERVATORSHIP, ADULT PROTECTED PERSON GUARDIANSHIP, ADULT PROTECTED PERSON CONSERVATORSHIP, ADULT PROTECTED PERSON ADOPTION OTHER: _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ 7/5/09 American LegalNet, Inc. www.FormsWorkFlow.com