Petition to Establish Custodial Account for Minor or Incapacitated Adult INSTRUCTIONS I. Specific Instructions 1. 2. II. This form is to be used when petitioning the court for authority to establish a custodial account for a minor or incapacitated adult pursuant to O.C.G.A. §29-6-1, et seq. It may be necessary for the petitioner to provide a social security number or taxpayer identification number to be used in connection with the bank account. Contact the appropriate probate court to determine whether this information is needed from petitioner. General Instructions General instructions applicable to all Georgia probate court standard forms appear in Volume 255 of the Georgia Reports and are available in each probate court. -1- American LegalNet, Inc. www.USCourtForms.com IN THE PROBATE COURT OF COUNTY STATE OF GEORGIA IN RE: ) ) _____________________________________, ) MINOR/INCAPACITATED ADULT ) ) ESTATE NO.__________________________ PETITION TO ESTABLISH CUSTODIAL ACCOUNT FOR MINOR OR INCAPACITATED ADULT TO THE HONORABLE JUDGE OF THE PROBATE COURT: The petition of ________________________________________________ shows to the Court: 1. ______________________________________________________________________________ is a minor/incapacitated adult who has no legal and qualified conservator. 2. The minor/incapacitated adult is a resident of this County, residing at ______________________ ____________________________________________________________________________________. 3. The minor’s/incapacitated adult’s age is and date of birth is . 4. The minor/incapacitated adult is entitled to the sum of arising from________________________________________________________________________________. 5. The (parents of the minor, if any) (guardian(s) of the incapacitated adult, if any) are: Name address telephone number ______________________________________________________________________________ ______________________________________________________________________________ 6. The names and addresses of two people other than those listed in paragraph 5 who will likely be aware of the minor’s/incapacitated adult’s whereabouts in the future are: _____________________________________________________________________________________ _____________________________________________________________________________________ -2- American LegalNet, Inc. www.USCourtForms.com WHEREFORE petitioner(s) pray(s) that the minor’s/incapacitated adult’s parents/guardian(s), if any, be served in accordance with Chapter 9 of Title 29 with a copy of this Petition and Notice, and that the petitioner(s) be allowed to pay over to the Judge of the Probate Court, as custodian, the money due and owing to the minor/incapacitated adult. ___________________________________ Signature of first petitioner ___________________________________ Printed Name ___________________________________ Address ___________________________________ ______________________________________ Signature of second petitioner, if any ______________________________________ Printed Name ______________________________________ Address ______________________________________ ___________________________________ Telephone Number ______________________________________ Telephone Number Signature of Attorney: ______________________________________ Typed/printed name of Attorney: Address: ______________________________________ ______________________________________ ______________________________________ _________________State Bar #____________ Telephone: 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 . ______________________________________ First Petitioner ____________________________________ ______________________________________ NOTARY/CLERK OF PROBATE COURT Printed Name -----------------------------------------------------------------------------------------------------------------------------Sworn to and subscribed before me this______day of_________, 20______. ________________________________ Second Petitioner, if any ___________________________________ ________________________________ NOTARY/CLERK OF PROBATE COURT Printed Name -3- American LegalNet, Inc. www.USCourtForms.com