STATE OF ILLINOIS IN THE CIRCUIT COURT OF THE FOURTH JUDICIAL CIRCUIT CLINTON COUNTY, ILLINOIS In Re the Guardianship of: ) ) ) Case No: ) Minor ) PETITION FOR GUARDIAN Petitioner , states under the penalties of perjury: 1. , whose date of birth is and whose place of residence is a minor. 2. Approximate value of $ $ $ 3. The person having custody of the minor is (name) (relationship to minor) at the address of 4. The names and addresses of the adult relatives of the minor are: Name Relationship Address 5. It is necessary or convenient that a guardian of the (estate, person, or estate and person) of the minor be appointed because Petitioner asks that: (a) Name: , Address: , age: , Occupation: American LegalNet, Inc. www.FormsWorkFlow.com qualified and willing to act, be appointed as guardian of the (estate, person, or estate and person ) of the minor; (b) Name: , Address: , age: , Occupation: qualified and willing to act, be appointed as guardian of the person of the minor; and (c) (An or No) authorization to appraise goods and chattels issue to the following, qualified to act Date: Subscribed and sworn to before me on: /s/ Petitioner Date: Notary Public NOMINATION I, a minor over 14 years of age, nominate as guardian of my (estate or estate and person) and as guardian of my person. Date: /s/ Minor Prepared by: Address: Telephone: Email: American LegalNet, Inc. www.FormsWorkFlow.com