Name of Person Filing: ________________________________________ Mailing Address: ________________________________________ City, State, and Zip Code: ________________________________________ Day/Evening Phone Number: ________________________________________ State Bar Number (if applicable):______________________________________ Self (Without a Lawyer) OR Representing: Attorney for __________________________________  For Clerk’s Use Only lkhlh j h j lhk j l k SUPERIOR COURT OF ARIZONA MOHAVE COUNTY Case No: _____________________________ In the Matter of WAIVER OF NOTICE OF HEARING FOR DISCHARGE/TERMINATION and/or RELEASE OF FUNDS IN A (Check one box) Guardianship and Conservatorship Guardianship (only) Conservatorship (only) ______________________________________ a Protected or Incapacitated Adult 1. I RECEIVED AND READ COPIES OF THE FOLLOWING COURT DOCUMENTS: (Check the box next to the documents you received.) “Petition for Discharge of Guardian and/or Conservator and/or Termination of Guardianship and/or Conservatorship and Release of Funds.” “Notice of Hearing” OTHER (if applicable) List specifically each court document you provided: ________________________________________ _______________________________________ ________________________________________ _______________________________________ ________________________________________ _______________________________________ 2. My relationship to the person named in the caption above as incapacitated or protected is (explain): __________________________________________________________________________ 3. WAIVE NOTICE. I waive all notice of any hearing or court proceeding in connection with this matter. I understand that I can reverse this waiver by filing a written document with the court under this court case number declaring that I no longer waive notice of hearings and other court proceedings. OATH OR AFFIRMATION STATE OF ARIZONA County of Mohave ) )ss. I declare under penalty of perjury that the contents of this document are true and correct to the best of my knowledge and belief. __________________________________________________ __________________________ Signature Date Subscribed and sworn to (or affirmed) before me on the ____________ day of _____________, 20______ By:__________________________________________ My Commission Expires:________________________ 3/4/2011 _________________________________ Notary Public / Deputy Clerk Page 1 of 1 American LegalNet, Inc. www.FormsWorkFlow.com