IN THE CIRCUIT COURT OF THE NINETEENTH JUDICIAL CIRCUIT LAKE COUNTY, ILLINOIS ESTATE OF ) ) ) ) _____________________________________________ ) a minor ) Case No.: NOMINATION OF GUARDIAN FOR MINOR I, _______________________________________________, am a minor over 14 years of age, and I do hereby nominate (Name of Minor) _______________________________________________ as guardian of my person. (Name of Nominated Guardian) ______________________________________ Signature of Minor ______________________________________ Printed name of Minor SUBSCRIBED and SWORN to before me this ______ day of ___________________________, 20____. ___________________________________________ Notary Public (Seal) Prepared by: Name: ____________________________________________ Attorney's Name: ____________________________________ Address: __________________________________________ City: ______________________________ State: __________ Phone: ______________________Zip Code: _____________ Fax: ______________________________________________ ARDC #: __________________________________________ 171P-256 (Rev. 12/11) American LegalNet, Inc. www.FormsWorkFlow.com