CIRCUIT COURT OF ILLINOIS Sixth Judicial Circuit Champaign County Estate of: _____________________________ Minor Case No:_________________ PETITION FOR GUARDIANSHIP OF MINOR I, ____________________________________________, a reputable citizen of Illinois, on oath state: 1. The following is a Minor: Name: Date of Birth: Residence Address/City/State: County: 2. Approximate value of the Minor’s personal estate: $______________________________ Amount of the Minor’s anticipated gross annual income and other receipts: $________________________ 3. The person having custody of the Minor is: __________________________________________________ Name Address/City/State 4. The names and addresses of the nearest adult relatives of the Minor are: Name: Relationship: Address/City/State: 5. It is necessary that a Guardian of the Minor’s: □ Estate, □ Person, □ Estate and Person be appointed because: ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ Petitioner asks that he/she, qualified and willing to act, be appointed as Guardian of the Minor, ______________________________________________________. ________________________________________ Signature of Petitioner (Please print) Petitioner’s Name: ________________________ Address/City/State:________________________ Telephone Number:________________________ Revised: 06/10 Signed and sworn to before me on ____________ day of ____________________, 20____. ________________________________________ Clerk of the Court/Notary Public Linda S. Frank Clerk of the Sixth Judicial Circuit Court 101 E. Main Street Urbana, Illinois 61801 MMP: 06/10 American LegalNet, Inc. www.FormsWorkFlow.com