Petition for Guardian of Minor (Rev. 2/20/03) CCP 0393-5 (Formatted 7/97 for temporary usage in Dist. 5) IN THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS fNo. __________________________ Hearing on petition set for Estate of } Docket _______________________ ____________________________________________ Minor Page ________________________ ___________________, ________ ___________ M., Room __________ District # 5 Bridgeview, Illinois PETITION FOR GUARDIAN OF MINOR Petitioner, ______________________________________________________________, states under the penalties of perjury: 1. ___________________________________________________, whose date of birth is ______________________, ________ (name of minor) and whose place of residence is _________________________________________________________________, is a minor.* (county and state) 2. ____________________________________ ____________________________________ $ ____________________________________ Approximate value of the minor's personal estate Approximate value of the minor's real estate $ $ Amount of the minor's anticipated gross annual income and other receipts 3. The person having custody of the minor is ___________________________________________________________________ (name) at the address of (relationship to minor) ______________________________________________________________________________________. (address/city/state/zip) 4. The name(s) and post office address(es) of the adult relative(s) of the minor entitled to notice are set forth as Exhibit A and made a part of this petition. 5. It is in the best interest of the minor that a guardian of the PERSON ONLY. of the minor be appointed for the following reasons: ___________________________________________________________ ___________________________________________________________________________________________________ Petitioner asks that ____________________________________________________________________________________________ (name) (address) _______________________________________________, (if an individual, add) _______ years of age, __________________________ (city, state, zip) (relationship, if any) qualified and willing to act, be appointed as guardian of the PERSON ONLY of the minor. ________________________________________________ ____________________________________________________ Attorney Certification Petitioner Address ___________________________________________ ___________________________________________ NOMINATION I, ________________________________________________________________________ a minor over 14 years of age, nominate (print minor's name) ____________________________________________________________________________ as a guardian of my PERSON ONLY. (name and address) ____________________________________, _________ ____________________________________________________ Minor Atty. No.: ______________ Name: _______________________________________________ Firm Name: __________________________________________ Attorney for Petitioner: _________________________________ *If not resident of Illinois, add: "owning real or personal estate in this county and state." Address: ____________________________________________ 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