NOTICE OF INTENT TO REGISTER STATE OF CONNECTICUT CONSERVATORSHIP IN OTHER STATE COURT OF PROBATE PC-334 NEW 10/12 [Type or print in black ink.] TO: Court of Probate, IN THE MATTER OF: District No. Hereinafter referred to as the conserved person. Conservator of the Person [Name, address and telephone number] ____________________________________________________________________________________________________ Conservator of the Estate [Name, address and telephone number] ____________________________________________________________________________________________________ The conservator of the person intends to register the order of appointment of the petitioner as conservator as a foreign judgment, with the ________________________________________[Court] in the State of_____________________ pursuant to C.G.S. sections 45a-667r, 45a-667s and 45a-667t. The conservator of the estate intends to register the order of appointment of the petitioner as conservator as a foreign judgment with the ________________________________________[Court] in the State of_____________________ pursuant to C.G.S. sections 45a-667r, 45a-667s and 45a-667t. Reasons for registering the conservatorship in the other state are as follows: DATE: _______ SIGNED: ________________________________ Petitioner ­ Conservator of the Person ______________________________ Petitioner ­ Conservator of the Estate NOTICE OF INTENT TO REGISTER CONSERVATORSHIP IN OTHER STATE PC-334 American LegalNet, Inc. www.FormsWorkFlow.com