STATE OF ILLINOIS) ) SS COUNTY OF WILL ) IN THE CIRCUIT COURT OF THE TWELFTH JUDICIAL CIRCUIT WILL COUNTY, ILLINOIS - IN PROBATE Hearing on Petition set for _____________, 20______ _______ a.m., Room _____ River Valley Justice Center Joliet, IL 60431 Estate of CASE NO: _______________________ PETITION FOR APPOINTMENT OF GUARDIAN FOR DISABLED PERSON 1. , whose date of birth is place of residence is and , is a disabled person. 2. The relationship to and interest of the petitioner in the respondent is: _________________________________ 3. The reason for the guardianship is that the respondent is a disabled person due to: _______________________ ________________________________________________________________ and because of such disability * (a) lacks sufficient understanding or capacity to ma ke or communicate responsible decisions concerning the are of the respondent's person; (b) is unable to manage the respondent's estate or financial affairs. 4. (a) The approximate value of estate: Personal $ Real $______________________ (b) The anticipated gross annual income and other receipts of the respondent are $ _____________________ 5. The names and post-office address of the respondent's nearest relatives and guardian, if any, are listed on Exhibit A attached hereto and made a part of this petition. (List spouse and adult children; if none, the respondent's parents and adult brothers and sisters; if none, nearest kind red.) 6. The name and address of the person with whom, or the facility in which the respondent is residing is: __________________________________________________________________________________ Petitioner asks that: (a) * Strike if not applicable be adjudged a disabled person; (SEE REVERSE SIDE) Form 29F (Revised 05/04) CVPGD American LegalNet, Inc. www.USCourtForms.com (b) ___________________________________________________________________________ (name) (address) ________________________________________________________ age (city) years, (state) ______________________________________________________________ qualified and willing to act; be appointed as (occupation) guardian of the respondent's _________________________________________________. (estate) (person) (estate and person) Petitioner:_________________________________________ Address:__________________________________________ _________________________________________________ Attorney Certification_______________________________ Signed and sworn to before me ________________________, 20 _______ ___________________________________ (Notary Public) Attorney Name _____________________________________________ ARDC # __________________________________________________ Firm Name ________________________________________________ Attorney for _______________________________________________ Address ___________________________________________________ City & Zip ________________________________________________ Telephone_________________________________________________ PAMELA J. MCGUIRE, CLERK OF THE CIRCUIT COURT OF WILL COUNTY American LegalNet, Inc. www.USCourtForms.com