COMMONWEALTH OF KENTUCKY þ PETITIONER en-USVS. þ RESPONDENT AOC- 745 þ Doc. Code: AAF en-USRev. 7-18en-USPage 1 of 2en-USCommonwealth of Kentuckyen-USCourt of Justice en-US www.courts.ky.goven-USKRS 387.530(2); 387.720; 395.130;en-US210.290en-USAPPLICATION FOR APPOINTMENTen-USOF FIDUCIARY FOR DISABLED PERSONS lexet justitia COMMONWEALTHOFKENTUCKY COURTOFJUSTICE District en-USCase No. Court þ County þ Division þ 1. þ Comes now en-US, Applicant herein, and requests to be þ appointed as for en-USRespondent. 2. þ Applicant states his/her relationship to Respondent is en-US. þ þ þ þ þ þ þ þ þ en-US þ þ þ þ þ þ þ þ þ þ þ þ en-US þ en-US þ þ þ þ þ þ þ þ þ þ en-USs, and anticipated þ yearly income (state if none or unknown en-US): þ en-USESTATE þ en-USVALUE þ Real Property þ $ þ Personal Property þ $ þ Yearly Income þ $ þ Source of Yearly Income þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ hearing in this matter en-US, a þ þ þ þ þ þ þ þ þ en-USrker. 7. þ Applicant states that all statements in the foregoing a en-USre true.en-USApplicant222s Name: en-USen-USAddress: þ en-USTelephone Number: , þ en-US Date þ Applicant222s Signature en-US* * * * * * * * * * * *en-USSUBSCRIBED and SWORN to before me this day of , 2.en-USMy Commission expires:. þ en-US County, Kentucky þ Name/Title American LegalNet, Inc. www.FormsWorkFlow.com WAIVER OF NOTICE AND REQUESTFOR APPOINTMENT OF FIDUCIARY The undersigned hereby waive notice of hearing and the right to appointment and request the Court to make theappointment herein applied for: To be completed if Applicant is represented by counsel:Attorney222s Name: Address: Telephone Number: , Date Attorney SignatureAOC-745Rev. 7-18Page 2 of 2 American LegalNet, Inc. www.FormsWorkFlow.com