Nomination By Proposed Protectee
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Nomination By Proposed Protectee Form. This is a Missouri form and can be use in 7th Circuit (Clay County) Local Circuit Courts.
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Tags: Nomination By Proposed Protectee, 336-A, Missouri Local Circuit Courts, 7th Circuit (Clay County)
CIRCUIT COURT OF CLAY COUNTY, MISSOURI
PROBATE DIVISION
No.
Matter of ________________________________________, a person alleged to be
disabled.
NOMINATION BY PROPOSED PROTECTEE
Pursuant to the provisions of Section 475.062 RSMo., I hereby request that the Court
appoint _____________________________________________________, as
Conservator of my estate.
Date _________________________
Proposed Protectee
Subscribed and sworn to before me on this ____________________________________.
Notary Public
Commission expires: __________________
Form 336-A
Revised 5/20/2011
Page 1 of 1
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