AOC-853 Rev. 2-17 Page 1 of 1 Doc. Code: AAM COM M O NW E A LT H O F K E lex et justitia Case No. ____________________ Court County Division ____________________ ____________________ ____________________ NT U C KY CO Commonwealth of Kentucky Court of Justice www.courts.ky.gov KRS 387.025 U RT OF JUS TI APPLICATION FOR APPOINTMENT AS GUARDIAN/CONSERVATOR FOR MINOR In Re: estate of __________________________________________________, a unmarried minor under the age of 18. Comesnowtheapplicant,________________________________________________________,affiantherein, and applies to be appointed as q guardian, q limited guardian, or q conservator of the above-named minor. In support of this application, applicant states as follows: 1. My address is _______________________________________________________________________ ___________________________________________________________________________________ __________________________________________________________________________________. 2. 3. 4. 5. 6. My birthdate is ______________________________________________________________________. My relationship to minor, if any, is _______________________________________________________. I q have/ q have not been convicted of a crime. If yes, please explain _________________________________________________________________. Myqualificationsforthisappointmentare__________________________________________________ __________________________________________________________________________________. Applicant q waives q does not waive notice of appointment hearing. If waived, applicant has completed waiver at the bottom of form. Applicant states that all the statements above are true and correct. ________________________________, 2_______ Date ____________________________________________ Applicant's Signature Subscribed and sworn before me by Petitioner on _______________________, 2______. ___________________________________________ Name/Title _______________________________________________________________________________________________ Attorney Name & Address (If any) Waiver Of NOtice aNd request fOr appOiNtmeNt Of GuardiaN The undersigned, being under no legal disability, hereby waive notice of hearing on the appointment of guardian/ limited guardian/conservator and request the court to make the requested appointment. A minor age 14 or older may waive notice if present in person at hearing on application. Court may dispense with notice requirements if gross amount of estate is less than $5,000. KRS 387.025; KRS 395.016. ____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________ American LegalNet, Inc. www.FormsWorkFlow.com C E