IN THE CIRCUIT COURT OF THE SIXTEENTH JUDICIAL CIRCUIT KANE COUNTY, ILLINOIS Case No. IN THE MATTER OF THE ESTATE OF (Minor): Name: Address: City,State, Zip: Date of Birth: File Stamp PETITION FOR APPOINTMENT OF GUARDIAN FOR MINOR The petitioner, , a reputable citizen of Illinois, certifies the following reason why a guardian should be appointed for the above named minor, whose residence and date of birth is set forth herein: The approximate value of the minor's personal estate is and his/her anticipated gross annual income and other receipts are . The minor's nearest relatives are (the spouse, if any; if none, the parents and adult brothers and sisters, if any; if none, nearest adult kindred). (Please print Name/Relationship, Post Office Address, City, State, and Zip below.) 1. 2. 3. The name and address of the person having custody of the Minor: The Petitioner's nominee for guardian/ Minor's (if over 14 years of age) Nominee for Guardian /or Appointed Standby Guardian is: (Name, Address, Telephone No.) who is years of age and whose occupation is Previously . The petitioner states it is necessary that a guardian be appointed and asks that the nominee set forth herein, who is qualified and willing to act, be appointed Temporary Plenary Limited Guardian of the person the estate the person and estate. Describe any juvenile, adoption, parentage, dissolution, or guardianship court actions pending concerning the minor or the parents of the minor and whether any guardian is currently acting for the minor: Under penalties as provided by law pursuant to 735 ILCS 5/1-109, the undersigned certifies that the statements set forth in this petition are true and correct, except as to matters stated to be on information and belief and as to such matters the undersigned certifies that he/she verily believes the same to be true. Minor's Signature (if over the age of 14) : Petitioner's Signature: Address: City, State, Zip: Telephone No.: Signed pursuant to Supreme Court Rule 137: (Attorney or Party) P1-PR-032 (11/12) Page 1 of 2 American LegalNet, Inc. www.FormsWorkFlow.com Case No. If the petitioner seeks the appointment of a previously appointed standby guardian as guardian of the minor, complete the following: 1. Facts concerning the standby guardian's previous appointment: 2. The date of death of the minor's parents OR the facts concerning the consent of the minor's parent or parents to the appointment of the standby guardian as guardian OR the willingness and ability of the minor's parent of parents to make and carry out day-to-day child care decisions concerning the minor: Attorney/Pro Se: Address: City, State, Zip: Telephone No.: Attorney Registration No.: Attorney E-mail: P1-PR-032 (11/12) Page 2 of 2 American LegalNet, Inc. www.FormsWorkFlow.com