Name of Minor2.If the minor does not reside in the county in which this petition is filed, state the place in thiscounty where the minor is currently located1.The minor,,born on theday of,, a male or female child ofandPETITION FOR GUARDIANSHIP OF MINOR The petitioner,,whoseaddress is,and whose telephone number is, represents to the court that:NameMonthAge Note: This form is to be used where the only ground for the petition is minority.Guardianshipof PersonGuardianshipof PropertyGuardianship ofPerson and PropertyAgeYear(Md. Rule 10-111)CC-GN-001 (Rev. 03/2018)Page 1 of 5Docket Reference CIRCUIT ORPHANS' COURT FOR, MARYLANDCase No.City/CountyCourt AddressLocated atresides atA birth certificate of the minor is attached.NOTE: For purposes of this Form, "county" includes Baltimore City.3.The relationship of petitioner to the minor is4.The minoris a beneficiary of the Veterans Administration and the guardian may expect to receivebenefits from that Administration.is not a beneficiary of the Veterans Administration.,... American LegalNet, Inc. www.FormsWorkFlow.com 5.Complete Section 5. if the petitioner is asking the court to appoint the petitioner as the guardian. I have not been convicted of a crime listed in Code, Estates and Trusts Article, 24711-114. I was convicted of such a crime, namely. The conviction occurred in, in the, but the following good cause exists for me to be appointed as guardian:Yearhas not been convicted of a crime listedin Code, Estates and Trusts Article, 24711-114.Name of Prospective Guardianwas convicted of such a crime, namelyName of Prospective Guardian . The conviction occurred in , in the, but the following good cause exists forYearName of Courtthe individual to be appointed as guardian:CC-GN-001 (Rev. 03/2018)Page 2 of 5 6 b. Prospective Guardian of the Property (Complete section 6 b. if the prospective guardian of theproperty is different from the prospective guardian of the person or if guardianship of the person is notsought.) The name of the prospective guardian of the property isand that individual's age is . The relationship of that individual to the minor is (Check only one of the following boxes) (Check only one of the following boxes)Name of Courthas not been convicted of a crime listed in Code,Estates and Trusts Article, 24711-114.Name of Prospective Guardianwas convicted of such a crime, namelyName of Prospective Guardian . The conviction occurred in, in the, but the following good cause exists forYearName of Courtthe individual to be appointed as guardian: .6.Complete Section 6. if the petitioner is asking the court to appoint an individual other than thepetitioner as the guardian. 6 a. Prospective Guardian of the Person (Complete section 6 a. if seeking guardianship of the person.)The name of the prospective guardian of the person is andthat individual's age is . The relationship of that individual to the minor is(Check only one of the following boxes) ... American LegalNet, Inc. www.FormsWorkFlow.com Page 3 of 57.State the name and address of any additional person on whom service shall be made on behalf ofthe minor, including a minor who is at least 10 years of age:8.The following is a list of the names, addresses, and telephone numbers, and e-mail addresses, ifknown, of all interested persons (see Code, Estates and Trusts Article, 24713-101(k)).List of Interested PersonsParents:Siblings:CC-GN-001 (Rev. 03/2018).NameAddressTelephone NumberE-mail Address (if known)Any Other Heirs at Law:Minor's Attorney:Any Other Person Having Assumed Responsibility for the Minor:Guardian (if appointed):Any Person Holding a Power of Attorney of the Minor:Any Government Agency Paying Benefits to or for the Minor:Any Person Having an Interest in the Property of the Minor:NameNameNameNameNameNameNameNameNameNameNameNameAddressTelephone NumberE-mail Address (if known)AddressTelephone NumberE-mail Address (if known)AddressTelephone NumberE-mail Address (if known)AddressTelephone NumberE-mail Address (if known)AddressTelephone NumberE-mail Address (if known)AddressTelephone NumberE-mail Address (if known)AddressTelephone NumberE-mail Address (if known)AddressTelephone NumberE-mail Address (if known)AddressTelephone NumberE-mail Address (if known)AddressTelephone NumberE-mail Address (if known)AddressTelephone NumberE-mail Address (if known)AddressTelephone NumberE-mail Address (if known) American LegalNet, Inc. www.FormsWorkFlow.com Page 4 of 59.The names and addresses of the persons with whom the minor resided over the past five years,and the approximate dates of the minor's residence with each person are, as follows: Names Addresses Approximate Dates10.Guardianship is sought for the following reason(s):CC-GN-001 (Rev. 03/2018)11.If this Petition is for Guardianship of the Property, the following is the list of all the property inwhich the minor has any interest including an absolute interest, a joint interest, or an interest less thanabsolute (e.g. trust, life estate). Property Location Sole Owner, Joint Owner,(specific type), LifeTenant, Trustee,Custodian, Agent, etc. Value12.The petitioner's interest in the property of the minor listed in 11. is13.(a) All other proceedings regarding the minor (including any proceedings in juvenile court) are,as follows:...All Other Persons Exercising Control over the Minor or the Minor's Property:A Person or Agency Eligible to Serve as Guardian of the Person of the Minor:NameNameAddressTelephone NumberE-mail Address (if known)AddressTelephone NumberE-mail Address (if known) American LegalNet, Inc. www.FormsWorkFlow.com Page 5 of 514.All exhibits required by the Instructions below are attached.WHEREFORE, Petitioner requests that this court issue an order to direct all interested persons toshow cause why a guardian of the of the minor shouldnot be appointed, and (if applicable)should not be appointedas the guardian.personpropertyperson and propertyName of Prospective GuardianAttorney's NameAddressCity, State, ZipAttorney's SignaturePetitioner's Name Petitioner solemnly affirms under the penalties of perjury that the contents of this document are trueto the best of Petitioner's knowledge, information, and belief.Petitioner's NamePetitioner's SignatureTelephone NumberFaxE-mailDateDateCC-GN-001 (Rev. 03/2018)1.The required exhibits are as follows: INSTRUCTIONS(a)A copy of any instrument nominating a guardian [Code, Estates and Trusts Article, 24713-701 andMaryland Rule 10-301(d)];(b)If the petition is for the appointment of a guardian for a minor who is a beneficiary of theDepartment of Veterans Affairs, a certificate of the Administrator or the Administrator's authorizedrepresentative, setting forth the age of the minor as shown by the records of the Veterans Administration,and the fact that appointment of a guardian is a condition precedent to the payment of any moneys due theminor from the Veterans Administration shall be prima facie evidence of the necessity for the appointment[Code, Estates and Trusts Article, 24713-802 and Maryland Rule 10-301(d)].2.Attach additional sheets to answer all the information requested in this petition, if necessary.(b)All proceedings regarding the petitioner and prospective guardian filed in this court or anyother court are, as follows:. 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