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Petition For Appointment Of Guardian For A Minor Form. This is a Illinois form and can be use in Lake Local County.
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Tags: Petition For Appointment Of Guardian For A Minor, 171P-31, Illinois Local County, Lake
IN THE CIRCUIT COURT OF THE NINETEENTH JUDICIAL CIRCUIT
LAKE COUNTY, ILLINOIS
ESTATE OF
)
)
)
)
a minor )
Gen No.:
PETITION FOR APPOINTMENT OF GUARDIAN FOR A MINOR
, a reputable citizen of Illinois, hereby certifies:
(Petitioner)
1. Petitioner resides at:
(Address)
(City/State/Zip)
2. Petitioner is a(n)
to the minor.
(Relationship to Minor)
3. The following minor child is in need of a guardian. (birth certificate required to be presented to the Judge)
(Name of Minor)
(Date of birth - mm/dd/yyyy)
(Current Address, City, State, Zip)
(Current County of Residence)
4. The names and post-office address of the biological parents of the minor are:
Mother
(Name of Mother)
(Address, City, State, Zip)
Father
(Name of Father)
(Address, City State, Zip)
5. If one or both of the biological parents are no longer living (attach death certificate) and list the minor’s next closest relatives:
(Name)
(Relationship to Minor)
(Address, City State, Zip)
(Name)
(Relationship to Minor)
(Address, City State, Zip)
(Name)
(Relationship to Minor)
(Address, City State, Zip)
(Name)
(Relationship to Minor)
(Address, City State, Zip)
at
6. The minor currently resides with
and has so resided since
.
7. Does Petitioner know of any orders of any court affecting the parentage, custody or guardianship rights of the minor?
Yes No If yes, describe the order and state the name and current address of any person who has an interest in
the minor as a result of such order(s):
8. Petitioner is
years of age; employed as
, has never been convicted of a felony,
(Occupation)
is qualified and willing to act as guardian of the Person, Estate, Person and Estate of the minor.
9. The approximate value of the minor’s personal estate is $
.
10. The amount of current / anticipated gross annual income, financial assistance and other receipts is $
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.
171P-31 (R 04/10)
11. It is necessary or convenient that a guardian of the Person, Estate, Person and Estate be appointed because:
12. It is necessary that a temporary guardian be appointed in order to enroll the minor child in school and or obtain
emergency medical treatment. (Delete if not requested)
WHEREFORE, Petitioner requests appointment as Guardian of Person, Estate, Person and Estate of:
.
(Minor)
CERTIFICATION
Under penalties of perjury as provided by law pursuant to Section 1-109 of the Code of Civil Procedure, the
undersigned certifies that the statements set forth in this instrument are true and correct.
Date:
, 20
Signature of Petitioner
* - Any person who makes a false statement, material to the issue or point in questions, which he does not believe to be
true, in any document certified by such person in accordance with 735 ILCS 5/1-109 shall be guilty of a Class 3 felony
punishable by two (2) to five (5) years imprisonment and/or a $25,000.00 fine.
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171P-31 (R 04/10)