SUPERIOR COURT OF ARIZONA IN PINAL COUNTY Probate / Guardian / Conservator Information Sheet IN THE MATTER OF: _____________________________________________________ (Please Print) Case Number: PB 2 Date: _____________________ Description of Proposed Fiduciary / Guardian / Conservator (The person to be appointed Guardian / Conservator OR person seeking appointment as Personal Representative of the estate of someone who died) Date of Birth: Name: (First / Middle / Last) Mailing Address: Social Security Number: Physical Address: Race: Home telephone: Height: Weight: Work Telephone: Hair Color: Eye Color: Relationship to Proposed Ward or Deceased: Fiduciary Certification No. Information about the Person Needing Protection (minor or Incapacitated Adult) Name of Person Needing Protection: (First / Middle / Last) Date of Birth: Mailing Address: Social Security Number: Physical Address: Home Telephone: If concerning an Estate matter (information of the Decedent, person who died) Decedent’s Name: (First / Middle / Last) Decedent’s Date of Birth: I state to the court that the information I have provided is true and correct, under penalty of perjury. Petitioner or Attorney signature NOTICE: This document is used by the Court for administrative purposes only and may be maintained in electronic form. It is not part of the public record. Superior Court of Arizona in Pinal County July 8, 2009 ALL RIGHTS RESRVED PB Appl for Personal Rep of an Estate Use only most current version American LegalNet, Inc. www.FormsWorkFlow.com