Download Free Print-Only PDF OR Purchase Interactive PDF Version of this Form
Petition For Appointment Of Temporary Guardian For Disabled Person Form. This is a Illinois form and can be use in Lake Local County.
Loading PDF...
Tags: Petition For Appointment Of Temporary Guardian For Disabled Person, 171-210, Illinois Local County, Lake
IN THE CIRCUIT COURT OF THE
NINETEENTH JUDICIAL CIRCUIT, LAKE COUNTY, ILLINOIS
Probate Division
Estate of
)
)
)
)
Alleged Disabled Person
No.
PETITION FOR APPOINTMENT OF TEMPORARY GUARDIAN FOR DISABLED PERSON
_____________________________________________________, hereby certifies:
1. On ________________, 20_____, a petition was filed herein for the appointment of a guardian of
the ____________________________________of _______________________________an alleged disabled
(Estate and Person, Estate, Person)
person whose date of birth is _____________and whose place of residence is _______________________
______________________________________________________________________________________
(Address)
(City)
(County)
(State)
2. A temporary guardian is necessary for the welfare and protection of the respondent because:
_______________________________________________________________________________________
_______________________________________________________________________________________
3. Petitioner is ________________________________________________to the alleged disabled person.
(State relationship and interest to respondent)
4. The name and address of the respondent’s *(a) guardian
(b) Agent under the Durable Power of Attorney Law
is _____________________________________________________________________________________
5. The name and addresses of the respondent’s nearest relatives are as follows: (if none, respondent’s
nearest adult kindred known to Petitioner)
Spouse and Adult Children:
Name
Address
Relationship to respondent
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
6. Name and address of the person with whom or the facility in which the respondent is residing
_______________________________________________________________________________________
7. The approximate value of the respondent’s personal estate is $_______________________;
171-210 Rev. 09/00
Page 1 of 2
2002 © American LegalNet, Inc.
approximate value of real estate is $_______________________; and the amount of anticipated annual gross
income and other receipt is $_______________________.
8. Petitioner asks that ____________________________________________________________________
(Name)
(Address)
(City and State)
_________________years, _______________________________, qualified and willing to act, be appointed as
(Age)
(Occupation)
temporary guardian of the _________________________________________of the alleged disabled person.
(Estate and Person, Estate, Person)
Name
Attorney for
Address
City & Zip
Telephone
Atty No
The undersigned certifies that the statements set forth in
this instrument are true and correct, except as to matters
therein stated to be on information and belief and as to
such matters the undersigned certifies as aforesaid that
he/she verily believes the same to be true.
_____________________________________________
Petitioner
*strike either (a) or (b)
171-210 Rev. 09/00
Page 2 of 2
2002 © American LegalNet, Inc.
