(1/20/05) CCP 0004 Petition for Appointment of Standby Guardian of Minor IN THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS COUNTY DEPARTMENT-PROBATE DIVISION Estate of ______________________________________________________ } No. ____________________________________ A Minor PETITION FOR APPOINTMENT OF STANDBY GUARDIAN OF MINOR 1. 2. 3. Petitioner, _______________________________________________________________, states under the penalties of perjury: ________________________________________, whose date of birth was _____________________ and whose place of residence is __________________________________________________________________________, is a minor. The names and post office addresses of the minor’s nearest relatives entitled to notice are set forth on Exhibit A attached to this Petition. “Nearest relatives” means, in the following order, (i) the parents or, if none, (ii) the adult brothers and sisters or, if also none, (iii) the nearest adult kindred known to the Petitioner. The person having the custody of the minor is ________________________________________________________________, (name) (relationship to minor) ____________________________________________________________________________ Petitioner seeks the appointment of ______________________________________________________________________ whose post office address is 4. a. (name and post office address) ________________________________, who is ______ years of age, whose occupation is ___________________________ and who is qualified and willing to act, as standby guardian of the _______________________________________ of the minor. (estate) b. Petitioner seeks the appointment of (person) (estate and person) _____________________________________________________________________ (name and post office address) __________________________________,who is _____ years of age, whose occupation is __________________________ and who is qualified and willing to act, as successor/standby guardian of the _________________________________ of the minor (estate) 5. 6. 7. (person) (estate and person) if the person named in subparagraph (a) above cannot or will not act as standby guardian. The facts concerning the consent of the minor’s parent or the guardian of the person of the minor to the appointment of the standby guardian, or the willingness and ability of the minor’s parent or parents, if any, or the guardian of the person of the minor to make and carry out day-to-day child care decisions concerning the minor, are set forth on Exhibit B attached to this Petition. The facts concerning the execution or admission to probate of any written designation of the standby guardian, are set forth on Exhibit C attached to this Petition (to which is appended a copy of the written designation). *a. No guardian is currently acting for the minor, and no guardianship court action concerning the minor is pending. *b. _____________________________________________________________________________________________, (name and post office address) is the guardian of the _________________________________ of the minor. (estate) 8. (person) (estate and person) *c. The facts concerning any juvenile, adoption, parentage or dissolution court action concerning the minor or the parents of the minor are set forth on Exhibit D attached to this Petition. The nomination by the minor of a standby guardian of the ________________________ is set forth on Exhibit E attached to this Petition. (estate) (person) (estate and person) Petitioner asks that ____________________________________________________________________________________ (name and post office address) ___________________________________ be appointed as standby guardian of the _________________________________ (estate) (person) (estate and person) of the minor and that __________________________________________________________________________________ (name and post office address) __________________________ be appointed as successor/standby guardian of the ___________________________ of the minor. (estate) (person) (estate and person) __________________________________________________ _________________________________________________ Attorney Certification Atty. No.: __________________ Petitioner __________________________________________ Name: ________________________________________________________ Address: Firm Name: ___________________________________________________ City/State/Zip:______________________________________ Attys. for Petitioner: ____________________________________________ Address: _______________________________________________________ * Strike whichever is not applicable City/State/Zip: ________________________________________________ Telephone: _____________________________________________________ DOROTHY BROWN, CLERK OF THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS Print This Form For your protection and privacy, please press the Clear This Form button after you have printed the form. Clear This Form