Petitioner Pro Se IN THE FAMILY COURT OF THE SECOND CIRCUIT STATE OF HAWAII In the Matter of the Guardianship of born on A Minor Person. ) ) ) ) ) ) ) ) ) ) ) ) FC-G No. PETITION FOR APPOINTMENT OF A GUARDIAN OF THE PERSON OF A MINOR; NOTICE OF HEARING PETITION FOR APPOINTMENT OF A GUARDIAN OF THE PERSON OF A MINOR TO THE HONORABLE PRESIDING JUDGE OF THE FAMILY COURT: Petitioner respectfully alleges as follows: 1. This petition is for the appointment of a Guardian of the person of who is a minor residing or present within the jurisdiction of this Court, pursuant to Hawaii Revised Statutes (H.R.S.) Section 560:5255102. American LegalNet, Inc. www.FormsWorkFlow.com 2. The following information concerns the above-named minor: Name:002 Address:002 Date and Place of Birth:002 Social Security Number: Sex: Age:002 3.003 Such appointment is necessary because . 4. The following person is suitable to be appointed guardian of the person of the minor: Name: Date of Birth: Address: Relationship to Minor: Occupation: Monthly Gross Income: Marital Status: Maiden Name: Number of children: Number of Dependents: Criminal convictions: Social Security Number: Testamentary Nomination: [ ] Yes [ ] No 5.003 The minor has the following living legal relatives: (a)003 Legal parents:002 Name of father:002 Address:002 City, State, ZIP:002 Name of mother:002 Address:002 City, State, ZIP:002 American LegalNet, Inc. www.FormsWorkFlow.com (b)003 Legal Paternal grandparents: Name of grandfather: Address: City, State, ZIP: Name of grandmother: Address: City, State, ZIP: (c)003 Legal Maternal grandparents: Name of grandfather: Address: City, State, ZIP: Name of grandmother: Address: City, State, ZIP: (d)003 Person who has the principal care and custody of the minor during the sixty days preceding the filing of the petition: Name: Address: City, State, ZIP: 6. 003Guardian of the minor222s property, if any: Name: Address: City, State, ZIP: Guardianship File Number: G. 7. The following interested person(s) (has/have) filed with the Court a request for notice before entry of any order in a protective proceeding relative to the above-named person: Name:002 Address:002 City, State, ZIP:002 Relationship to Subject of the Petition:002 American LegalNet, Inc. www.FormsWorkFlow.com 8. Petitioner has made inquiry of all reasonable sources as to the names and addresses of persons in paragraphs 5(a) through 5(d) and paragraph 6, and has not been able to obtain information other than as alleged in said paragraphs. 9.003 The minor [ ] is [ ] is not represented by counsel/guardian ad litem. WHEREFORE, petitioner prays: 1.003 The Court make the following findings that: (a)003 This Court has jurisdiction in this matter and venue is proper; (b)003 The material allegations of the petition for appointment of a guardian of the person of a minor are true; (c)003 all required notices have been given or consents or waivers have been granted; (d)003 the requirements of H.R.S. Section 560:5-204 have been met; (e)003 the appointment of a guardian will serve the welfare and best interest of the subject minor; and (f)003 the proposed guardian is a competent person. 2. The proposed guardian be appointed guardian of the person of the subject minor, to continue in office until such guardianship is terminated by court order or by operation of law. 3. The guardian of the person of the minor shall serve [ ] with [ ] without compensation and [ ] with [ ] without bond. 4.003 The prayer of the petition be granted and letters of guardianship be issued. PETITIONER DECLARES UNDER PENALTY OF PERJURY THAT PETITIONER HAS READ THIS PETITION FOR GUARDIANSHIP AND KNOWS AND UNDERSTANDS THE CONTENTS HEREOF; AND THAT THE STATEMENTS MADE HEREIN ARE TRUE OF PETITIONER222S OWN KNOWLEDGE EXCEPT AS TO MATTERS HEREIN STATED UPON INFORMATION AND BELIEF. AS TO THOSE MATTERS, PETITIONER BELIEVES THEM TO BE TRUE. DATED: , Maui, Hawaii, Signature of Petitioner American LegalNet, Inc. www.FormsWorkFlow.com Petitioner Pro Se IN THE FAMILY COURT OF THE SECOND CIRCUIT STATE OF HAWAII In the Matter of the Guardianship of ) ) ) ) )) ) ) born on )002 )002 A Minor Person. )002 )002 FC-G No. NOTICE OF HEARING NOTICE OF HEARING STATE OF HAWAII TO: American LegalNet, Inc. www.FormsWorkFlow.com The petition for appointment of a guardian of the person of the above-named minor person will be heard in the Family Court, 2145 Main Street, Wailuku, Maui, Hawaii 96793, on , at in Courtroom 3B. If you fail to appear at the hearing, or to file an answer with the Office of the Chief Clerk of the Second Circuit at 2145 Main Street, Wailuku, Hawaii 96793, before the date of the hearing, further action may be taken in this cause without further notice to you. THIS SUMMONS SHALL NOT BE PERSONALLY DELIVERED BETWEEN 10:00 P.M. AND 6:00 A.M. ON PREMISES NOT OPEN TO THE PUBLIC, UNLESS A JUDGE OF THE DISTRICT OR CIRCUIT COURTS PERMITS, IN WRITING ON THE SUMMONS, PERSONAL DELIVERY DURING THOSE HOURS. FAILURE TO OBEY THE SUMMONS MAY RESULT IN AN ENTRY OF A DEFAULT AND DEFAULT JUDGMENT AGAINST THE PERSONS SUMMONED. In accordance with the Americans with Disabilities Act and other applicable state and federal laws, if you require a reasonable accommodation for a disability, please contact the ADA Coordinator at the Family Court Administration Office at PHONE NO. 244-2700, FAX 244-2704, TTY 244-2889 or adarequest@courts.hawaii.gov, at least ten (10) working days prior to your hearing or appointment date. DATED: , Maui, Hawaii, CLERK OF THE ABOVE-REFERENCED COURT American LegalNet, Inc. www.FormsWorkFlow.com Petitioner Pro Se IN THE FAMILY COURT OF THE SECOND CIRCUIT STATE OF HAWAII ) . ) In the Matter of the Guardianship of ) ) ) ) ) ) born on ) ) A Minor Person. ) ) FC-G NoLIST OF EXHIBITS LIST OF EXHIBITS The exhibits attached hereto are submitted for filing in the above-entitled proceeding: 1. . 2. . 3. . DATED: , Maui, Hawaii, Petitioner Pro Se American LegalNet, Inc. www.FormsWorkFlow.com Petitioner Pro Se IN THE FAMILY COURT OF THE SECOND CIRCUIT STATE OF HAWAII ) ) In the Matter of the Guardianship of ) ) ) ) ) born on ) ) A Minor Person. FC-G No. ) WAIVER OF NOTICE AND CONSENT TO GUARDIANSHIP WAIVER OF NOTICE AND CONSENT TO GUARDIANSHIP I acknowledge receipt of a filed copy of the Petition requesting the appointment of as guardian of the person of the above-named minor and the Notice of Hearing in this action. I consent to the guardianship, appointment of the proposed guardian, and waive the requirement that I receive notice of the hearing at least fourteen days before the hearing on the Petition. Also, [ ] I do not want to be notified of any further hearings and understand that the Court may grant the petition without further notice to me American LegalNet, Inc. www.FormsWorkFlow.com [ ] I want to be notified of all future hearings but do not require that I be given at least fourteen (14) days advance notice. DATED: , Maui, Hawaii, Name: Address: American LegalNet, Inc. www.FormsWorkFlow.com Petitioner Pro Se IN THE FAMILY COURT OF THE SECOND CIRCUIT STATE OF HAWAII In the Matter of the Guardianship of , born on , A Minor Person. ) ) ) ) ) ) ) ) ) ) ) ) ) FC-G No. ORDER APPOINTING GUARDIAN OF THE MINOR PERSON; EXHIBIT A ORDER APPOINTING GUARDIAN OF THE MINOR PERSON This matter came on for hearing on before the Honorable , Judge of the Family Court Second Circuit. Following that hearing and after full consideration of all of the evidence, the Court found that: 1. This court has jurisdiction in this matter and venue is proper; American LegalNet, Inc. www.FormsWorkFlow.com 2. The material allegations of the petition for appointment of a guardian of the minor person are true; 3. Required notices or consents have been given or waivers granted; 4. The requirements of Hawaii Revised Statutes (H.R.S.) Section 560:5-204 have been met; 5. Appointment of a guardian will serve the welfare and best interest of the subject minor; 6. is a competent person. NOW THEREFORE, IT IS HEREBY ORDERED that be and is hereby appointed guardian of the person of born (with authority to delegate his/her responsibilities and duties to a professional member of his/her staff) for the purpose