Name of Person Filing: ________________________________________ Mailing Address: ________________________________________ City, State, and Zip Code: ________________________________________ Day/Evening Phone Number: ________________________________________ State Bar Number (if applicable):______________________________________ Representing: Self (Without a Lawyer) or Attorney for ____________________________________ For Clerk's Use Only SUPERIOR COURT OF ARIZONA MOHAVE COUNTY Case No: _____________________________ In the Matter of (check one or both) Guardianship Conservatorship of WAIVER OF NOTICE OF HEARING ON PETITION REGARDING (Check one box) Guardianship and Conservatorship Guardianship Conservatorship ______________________________________ an Adult a Minor THE UNDERSIGNED PERSON STATES AS FOLLOWS: 1. RECEIVED COURT PAPERS. I have received and read a copy of the following Petition and other court papers: (Check the box next to the documents you received.) "Petition for Permanent Appointment of Guardianship, Conservator or Both" "Petition for guardianship/Conservatorship" "Consent of Parent to Guardianship, Conservatorship, or both" "Affidavit of Person to be Appointed" 2. RELATIONSHIP. My relationship to the person who is named in the caption above as incapacitated or protected is (explain): 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. 3. 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:________________________ _________________________________ Notary Public / Deputy Clerk Revised: 6/10/2011 Page 1 of 1 American LegalNet, Inc. www.FormsWorkFlow.com