IN THE CIRCUIT COURT OF THE SIXTEENTH JUDICIAL CIRCUIT KANE COUNTY, ILLINOIS Case No. IN THE MATTER OF THE ESTATE OF (Alleged Disabled Person): Name: Address: City,State, Zip: Date of Birth: File Stamp STATEMENT OF RIGHT TO DISCHARGE GUARDIAN OR MODIFY GUARDIANSHIP ORDER TO: As a result of a proceeding in the Probate Division of the Circuit Court of Kane County, you have been adjudged a disabled person and a guardian has been appointed for you. The duties of your guardian have also been determined in this proceeding. If at any time you find that your capacity to perform the tasks necessary for the care of your person or the management of your estate have changed so as to warrant the discharge of your guardian or the modification of your guardian's duties, you may petition the court for such an order pursuant to 755 ILCS 5/11a-20. You may communicate your request to the court or judge by any means, including but not limited to informal letter, telephone call or visit. Notice of a hearing must be given to each and every guardian not less than 14 days before the hearing. Date Entered: Judge CERTIFICATE OF MAILING I, Thomas M. Hartwell, Clerk of the Circuit Court of Kane County, do hereby certify that I have mailed to the person named above a copy of this Notice by depositing the same in the U.S. Mail, postage prepaid, at Geneva, Illinois,on (date) Thomas M. Hartwell, Clerk P1-PR-031 (11/12) American LegalNet, Inc. www.FormsWorkFlow.com