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Petition For Receipt-Acceptance Of Foreign Guardianship-Conservatorship Form. This is a Georgia form and can be use in Probate Court Statewide.
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GEORGIA PROBATE COU RT
STAND ARD FORM
Petition for Receipt and Acceptance of Foreign Guardianship and/or Conservatorship
INSTRUCTIONS
I.
Specific Instructions
1.
II.
This form is to be used by a guardian and/or conservator as appointed by another state to
transfer the guardianship and/or conservatorship to a Georgia county pursuant to
O.C.G.A.29-2-65 et seq.; O.C.G.A. §29-3-105 et seq.; O.C.G.A. §29-4-85 et seq.; and
O.C.G.A. §29-5-125 et seq.
General Instructions
General instructions applicable to all Georgia probate court standard forms are available in each
probate court.
Effective 7/07
GPCSF 60 Petitioner
American LegalNet, Inc.
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GEORGIA PROBATE COU RT
STAND ARD FORM
IN THE PROBATE COURT OF
COUNTY
STATE OF GEORGIA
IN RE:
)
)
, )
)
)
)
MINOR/WARD
ESTATE NO.
PETITION FOR RECEIPT AND
ACCEPTANCE OF FOREIGN
GUARDIANSHIP AND/OR
CONSERVATORSHIP
TO THE HONORABLE JUDGE OF THE PROBATE COURT:
The petition of
,
Guardian(s) and/or Conservator(s), who reside(s) at
,
County, Georgia, and who is/are domiciled at:
shows:
1.
Petitioner(s) was/were appointed Guardian(s) and/or Conservator(s) of the above minor/ward by
Order dated
,
as issued by the
Court of
County, State of
. The
clerk of said Court may be contacted as the following address:
, telephone number
.
2.
The minor/ward, age
, date of birth
, social security no.
, is currently domiciled at (address)
County, State of
, and is presently
located at
,
which is a (type of facility, if applicable)
and can be contacted at (telephone number):
.
Said minor/ward will be relocated to the following address:
Effective 7/07
-1-
GPCSF 60 Petitioner
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3.
Attached hereto as Exhibit “A” is an authenticated copy of:
a.
the order establishing the guardianship and/or conservatorship, with all attachments
describing the duties and powers of the guardian and/or conservator;
b.
any orders modifying the order referenced in “a” above, including, if any, orders of transfer.
4.
Regarding other guardianship and/or conservatorship petitions pending, (initial one)
a.
there are none
b.
there is one; it has been filed in the
County, State of
Court of
, (address)
.
5.
(initial one):
a.
The guardianship and/or conservatorship is of a minor. The following are the adult
siblings of the minor:
NAME
b.
ADDRESS
The guardianship and/or conservatorship is of an adult ward. Pursuant to law, the
names, addresses, and relationships of the persons to be notified are as follows: (NOTE:
The law requires notice to be given to the spouse, if any, and to all living children, if any, whose addresses
are known. If there are no living adult children whose addresses are known, then list at least two adults in
the following order of priority: lineal descendants of the proposed ward; parents and siblings of the proposed
ward; and friends of the proposed ward. In determining the persons to whom notice is required to be given
according to the foregoing rules, the petitioner(s) should not be counted as persons receiving notice.)
NAME
Effective 7/07
AGE (or over 18) ADDRESS
-2-
RELATIONSHIP
GPCSF 60 Petitioner
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6.
The following individuals, other than Petitioner(s), are caring for the minor/ward; have been
appointed as guardian for the minor/ward; or have been appointed conservator for the minor/ward (or
enter “not applicable”):
NAME
ADDRESS
RELATIONSHIP OR APPOINTED TITLE
7.
The following individual(s), other than Petitioner(s), is/are acting as legal representative, legal
counsel, guardian ad litem, or court visitor by the court having jurisdiction over the current guardianship
and/or conservatorship (or enter “not applicable”)
NAME
ADDRESS
Effective 7/07
RELATIONSHIP OR APPOINTED TITLE
-3-
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8.
If there is a conservatorship, the following is the name and address of the surety on the
conservator’s bond (or enter “not applicable”)
NAME
ADDRESS
9.
All known income and assets of the proposed ward are shown on page 6 attached hereto.
10.
The transfer of said guardianship and/or conservatorship to Georgia is in the best interest of the
minor/ward because
.
11.
Additional Data: Where full particulars are lacking, state here the reasons for any such omission.
Effective 7/07
-4-
GPCSF 60 Petitioner
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WHEREFORE, your Petitioner(s) pray(s) that
1.
notice be served as required by law;
2.
a hearing be held on the matter; and
3.
this Court receive and accept the foreign guardianship and/or conservatorship.
Signature of Petitioner
Signature of second Petitioner, if any
Printed Name
Printed Name
Address
Address
Telephone Number
Telephone Number
Signature of Attorney:
Typed/printed name of Attorney:
Address:
Telephone:
State Bar #
VERIFICATION
GEORGIA,
COUNTY
Personally appeared before me the undersigned Petitioner(s) who on oath state(s) that the facts set
forth in the foregoing petition are true.
Sworn to and subscribed before
me this
day of
, 20
.
Petitioner
NOTARY/CLERK OF PROBATE COURT
Printed Name
My Commission Expires
-----------------------------------------------------------------------------------------------------------------------------Sworn to and subscribed before
me this
day of
, 20
.
Second Petitioner, if any
NOTARY/CLERK OF PROBATE COURT
My Commission Expires
Effective 7/07
Printed Name
-5-
GPCSF 60 Petitioner
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ASSETS, INCOME, OTHER SOURCES OF FUNDS OF WARD
WARD:
REAL PROPERTY
(Indicate if property is jointly owned and with whom)
Description
County
Parcel 1
State
Approximate equity
$
Parcel 2
$
Parcel 3
$
INCOME FROM ALL SOURCES
Social Security per year
Yearly Total
$
SSI (Supplemental Security Income) per year
$
Retirement benefits per year
$
VA benefits per year
$
Other income per year, including,
e.g., alimony, annuity, or trust distributions
$
Interest, dividend, or investment income
$
YEARLY TOTAL OF ALL INCOME
$
PERSONAL AND INTANGIBLE PROPERTY
(Indicate if property is jointly owned and with whom)
Approximate Current Value
1. Checking/Savings/Money Market/Certificates of Deposit/Liquid Accounts:
Bank/Financial Institution/Broker
Acct. No.
Joint Owner (if any)
$
$
$
$
Effective 7/07
-6-
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2. Stocks/Bonds/Investments (including retirement and profit-sharing accounts):
a. held by brokers:
Brokerage Firm or Institution
Acct. No.
Joint Owner (if any)
$
$
$
$
$
b. privately held:
Company/Issuer
No. of Shares
Joint Owner (if any)
$
$
$
3. Automobiles:
Year/Make/Model
V.I.N.
Joint owner (if any)
$
$
4. Other assets of significant value:
Description
Joint owner (if any)
$
$
$
TOTAL VALUE OF PERSONAL AND INTANGIBLE PROPERTY
Effective 7/07
-7-
$
GPCSF 60 Petitioner
American LegalNet, Inc.
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GEORGIA PROBATE COU RT
STAND ARD FORM
ACKNOWLEDGMENT OF SERVICE
IN RE: Estate of
ESTATE NO.
Due and legal service of the Petition for Receipt and Acceptance of Foreign Guardianship is
hereby acknowledged by the following interested persons as shown in paragraphs 5, 6, 7, and 8. The
undersigned acknowledges that he/she has received a copy of the Petition and all further service and
notice is waived.
SIGNATURE(S)
Sworn to and subscribed before
me this
day of
, 20
.
NOTARY/CLERK OF PROBATE COURT
Printed Name
My Commission Expires
-----------------------------------------------------------------------------------------------------------------------------Sworn to and subscribed before
me this
day of
, 20
.
NOTARY/CLERK OF PROBATE COURT
Printed Name
My Commission Expires
------------------------------------------------------------------------------------------------------------------------------Sworn to and subscribed before
me this
day of
, 20
.
NOTARY/CLERK OF PROBATE COURT
Printed Name
My Commission Expires
------------------------------------------------------------------------------------------------------------------------------Sworn to and subscribed before
me this
day of
, 20
.
NOTARY/CLERK OF PROBATE COURT
Printed Name
My Commission Expires
---------------------------------------------------------------------------------------------------------------------------Sworn to and subscribed before
me this
day of
, 20
.
NOTARY/CLERK OF PROBATE COURT
My Commission Expires
Effective 7/07
Printed Name
-8-
GPCSF 60 Petitioner
American LegalNet, Inc.
www.FormsWorkflow.com
