IN THE CIRCUIT COURT FOR FLORIDA IN RE: GUARDIANSHIP OF COUNTY, PROBATE DIVISION File No. Division PETITION FOR ORDER AUTHORIZING PERIODIC WITHDRAWALS FROM RESTRICTED DEPOSITORY FOR PAYMENTS TO GUARDIAN OF PERSON Petitioner, 1. Petitioner is the duly qualified and acting [limited] [plenary] , alleges: guardian of the (the Ward). of the Ward is [person] [property] ____________________________ of [person] [property] 2. The duly qualified and acting guardian of the . 3. The guardian of the person requests that the guardian of the property pay to the guardian of each month , , for the support, care, maintenance, the person the sum of commencing on education and other needs of the Ward, and a list of the various items and amounts the guardian of the person has estimated will be required for those purposes is as follows: DESCRIPTION MONTHLY AMOUNT Bar Form No. G-4.125 - 1 of 2 © Florida Lawyers Support Services, Inc. Revised January 1, 2017 American LegalNet, Inc. www.FormsWorkFlow.com 4. 5. Petitioner believes the amounts requested by the guardian of the person are reasonable. There are sufficient funds on deposit in the Ward's restricted depository account number __________________ at _________________________________________ to fund the expenditures requested herein. Petitioner requests that an order be entered directing the guardian of the property to withdraw from said restricted depository the amount of commencing on , each month , and to make periodic payments in that amount to the guardian of the person, and further ordering that the guardian of the property shall not be bound to see to the application of the payments made to the guardian of the person. Under penalties of perjury, I declare that I have read the foregoing, and the facts alleged are true, to the best of my knowledge and belief. Signed on this day of , . Petitioner Attorney for Petitioner Email Addresses: _______________________________________ _______________________________________ Florida Bar No. (address) Telephone: [Print or Type Names Under All Signature Lines] Bar Form No. G-4.125 - 2 of 2 © Florida Lawyers Support Services, Inc. Revised January 1, 2017 American LegalNet, Inc. www.FormsWorkFlow.com