4125 (Rev. 6/27/00) CCP 0214 Right to Discharge Guardian or Modify Guardianship Order IN THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS COUNTY DEPARTMENT - PROBATE DIVISION ESTATE OF _____________________________________________________ A Disabled Person } No. __________________________________ Docket _______________________________ Page _______________________________ STATEMENT OF RIGHT TO DISCHARGE GUARDIAN OR MODIFY GUARDIANSHIP ORDER You have been adjudged a disabled person and a guardian has been appointed for you. The duties of your guardian have also been determined. If you believe you can make or communicate decisions about yourself, or manage your financial affairs because of some change in your circumstances, you may ask the court for assistance in modifying or discharging the guardian. You can contact the Court by any means, including a phone call, an informal letter, or a visit, however, a written request is preferable. Any such request should be sent to: Presiding Judge Probate Division Circuit Court of Cook County Richard J. Daley Center Chicago, Illinois 60602 The Clerk of the Circuit Court of Cook County is directed to mail a copy of this statement to the above-named disabled person at the residence address set forth in the petition filed herein. q 2657 Copy mailed: DATE: _________________________________, _______ _______________________________, _______ ENTER: _______________________________________ ___________________________________________ Clerk Judge Judge's No. 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