1 2 3 4 5 Code: (Your name) ________________________ (Address) ________________________ (Telephone) ________________________ In Proper Person 6 IN THE _____ JUDICIAL DISTRICT COURT OF THE STATE OF NEVADA 7 IN AND FOR THE COUNTY OF_____________ 8 9 10 11 12 13 14 15 16 ________________________ In the Matter of the Guardianship of  the person  the estate  the person and the estate ) ) ) ) ) of: ) ) ______________________________ ) ) ______________________________, and ) ) ______________________________ ) Minor Children. ) _________________________________________) 17 CASE NO. _________________ DEPT. NO. _________________ 18 PETITION FOR APPOINTMENT OF GUARDIAN(S) (WITH A HEARING) 19 COME NOW, Petitioner, (your name)_________________________________ and 20 21 22 23 (co-petitioner’s name) ____________________________________, in accordance with Chapter 159 of the Nevada Revised Statutes, whose petition respectfully represents the following to this Honorable Court: 24 25 26 27 28 Information Regarding the Petitioner(s) 1. That Petitioner(s) would like to be appointed the general guardian over (proposed wards’ names) _______________________________________________________________ ____________________________________________________________________________. Minors With Hearing Petition 1 of 18 ©2006 Nevada Supreme Court Revised December 14, 2006 American LegalNet, Inc. www.FormsWorkflow.com 1 2. That Petitioner’s full legal name is _____________________________________. 2 3. That Petitioner currently resides at (street/city/state/zip) ____________________ 3 4 5 6 ___________________________________________________________________________. 4. That Petitioner’s mailing or post office address is _________________________ ___________________________________________________________________________. 7 5. The Petitioner’s date of birth is _____________________. 8 6. That Co-Petitioner’s full legal name is _________________________________. 9 7. That Co-Petitioner currently resides at (street/city/state/zip) _________________ 10 11 12 13 ___________________________________________________________________________. 8. That Co-Petitioner’s mailing or post office address is ______________________ ___________________________________________________________________________. 14 9. The Co-Petitioner’s date of birth is _____________________. 15 10. That Petitioner  has/  has not been judicially determined to have committed 16 17 18 19 20 abuse, neglect or exploitation of a child, spouse, parent or other person. 11. committed abuse, neglect or exploitation of a child, spouse, parent or other person. 12. 21 That Petitioner has never been convicted of a felony.  23 25 (Check All that Apply)  22 24 That Co-Petitioner  has/  has not been judicially determined to have That Petitioner has been convicted of a felony (description of conviction) ___________________________________________ and the Petitioner (check one) □ was/  was not placed on parole and (check one)  was/  was not placed on probation for that 26 27 felony.  28 Minors With Hearing Petition That Co-Petitioner has never been convicted of a felony. 2 of 18 ©2006 Nevada Supreme Court Revised December 14, 2006 American LegalNet, Inc. www.FormsWorkflow.com  1 2 3 4 5 6 7 8 9 10 11 12 13 14 That Co-Petitioner has been convicted of a felony (description of conviction) ___________________________________________ and the Petitioner (check one) □ was/  was not placed on parole and (check one)  was/  was not placed on probation for that felony. Proof of the disposition will be filed with this Petition. 13. That Petitioner(s) have not been suspended for misconduct or disbarred from the practice of law, the practice of accounting or any other profession which involves the management or sale of money, investments, securities or real property and requires licensure in Nevada or any other state. 14. That Petitioner is the (your relationship to the first child) ________________ and Co-Petitioner is the (relationship) _____________________ of (first child’s name) ________________________________. Petitioner(s) are competent and capable of acting as 15 guardians of the (check one)  person only/  estate only/  person and estate of the 16 proposed ward, and hereby consent to act in this capacity. 17 18 15. That Petitioner is the (your relationship to the second child) ________________ and Co-Petitioner is the (relationship) ______________________ of (second child’s name) 19 20 _______________________________. Petitioner(s) are competent and capable of acting as 21 guardians of the (check one)  person only/  estate only/  person and estate of the 22 proposed ward, and hereby consent to act in this capacity. 23 24 25 26 16. That Petitioner is the (your relationship to the third child) __________________ and Co-Petitioner is the (relationship) ________________________ of (third child’s name) _____________________________________. Petitioner(s) are competent and capable of 27 acting as guardians of the (check one)  person only/  estate only/  person and estate of 28 the proposed ward, and hereby consent to act in this capacity. Minors With Hearing Petition 3 of 18 ©2006 Nevada Supreme Court Revised December 14, 2006 American LegalNet, Inc. www.FormsWorkflow.com 1 17. 2 3 4 5 (Check All that Apply)  That Petitioner is not a private professional guardian and is not currently receiving compensation for services as a guardian to more than one ward who are not related to Petitioner by blood or marriage.  6 That the Petitioner is a private professional guardian. (Copies of 7 documents proving that Petitioner meets the requirements of a “private professional guardian” 8 pursuant to section 3 of NRS 159.059 will be filed with this Petition.) 9  10 That Co-Petitioner is not a private professional guardian and is not 11 currently receiving compensation for services as a guardian to more than one ward who are 12 not related to Co-Petitioner by blood or marriage. 13 14 15 16  documents proving that Co-Petitioner meets the requirements of a “private professional guardian” pursuant to section 3 of NRS 159.059 will be filed with this Petition.) Information Regarding the First Proposed Ward 17 18 That the Co-Petitioner is a private professional guardian. (Copies of Paragraphs 18 through 33 are to be answered regarding child #1 only. 19 20 18. That the proposed ward, (first child’s name) _____________________________, 21 age _________, was born on (date of birth) __________________, and will become 18 years 22 of age on (date) _____________________. 23 24 19. That the proposed ward currently resides at (street/city/state/zip) ____________ 25 ___________________________________________________________________________. 26 The proposed ward has lived at this address for ___________  days/  months/  years. 27 28 20. The name and address of any person or care provider having the care and control of the proposed ward is (name/address of care provider) ______________________________ Minors With Hearing Petition 4 of 18 ©2006 Nevada Supreme Court Revised December 14, 2006 American LegalNet, Inc. www.FormsWorkflow.com The current care 1 ______________________________________________________________________________. 2 provider has cared for this proposed ward because _________________________________ 3 4 5 6 7 8 __________________________________________________________________________ __________________________________________________________________________. 21. That the proposed ward is a resident of the State of _______________________. 22. The proposed ward’s parent or legal guardian has  has/  has not executed a written nomination of guardian. The agent is _____________________________________. 9 10 Attach an additional page to the end of this document if you need more 11 room to list all of the ward’s relatives. 12 23. 13 Relative’s Name 14 15 16 The names and addresses of the following relatives of the ward are: Relationship to Ward Mother Address (street address/city/state/zip code) Father 17 18 Grandmother on Ward’s mother’s side 19 20 Grandfather on Ward’s mother’s side 21 22 Grandmother on Ward’s father’s side 23 24 Grandfather on Ward’s father’s side Brother/Sister 25 26 27 28 Minors With Hearing Petition 5 of 18 ©2006 Nevada Supreme Court Revised December 14, 2006 American LegalNet, Inc. www.FormsWorkflow.com 1 2 3 4 5 6 7 8 24. (Complete only if the identity of the ward’s father is unknown) The identity of the proposed ward’s father is truly unknown. He (check one)  is /  is not on the proposed ward’s birth certificate. There (check one)  is /  is not a court order for child support. There (check one)  has /  has not been a finding of paternity by a court. The proposed ward’s mother (check one)  will/  will not file a written consent with this Petition. 25. 9 (Check One)   10 11 There is not a current order concerning custody of the proposed ward. There is a current order concerning custody of the proposed ward. The 12 order is from the State of ___________ and was filed on approximately (date) ____________. 13 If the order was not issued by this court, a copy of the order will be filed with this petition. 14 15 16 26. Petitioner(s) (check one)  do /  do not believe that the proposed ward will need a guardianship when he/she becomes 18 years of age. 27. (Check One) 17  18 19 pursuant to Chapter 432B of the Nevada Revised Statutes. 20 21 22 23 24 25 26 27 The guardianship is not sought as a result of an investigation conducted  The guardianship is sought as a result of an investigation conducted pursuant to Chapter 432B of the Nevada Revised Statutes. The name of the case worker is _____________________________. The juvenile case file number is __________________. The investigating agency (check one)  does/  does not approve of this guardianship and the placement of the proposed ward with the proposed guardian. 28. That the proposed ward (check one)  is/  is not a party to any pending criminal or civil litigation. 28 Minors With Hearing Petition 6 of 18 ©2006 Nevada Supreme Court Revised December 14, 2006 American LegalNet, Inc. www.FormsWorkflow.com 1 2 29. That the guardianship (check one)  is/  is not sought for the purpose of initiating litigation. 3 Information Regarding the First Proposed Ward’s Estate 4 5 6 7 8 9 10 30. That the proposed ward (check all that apply)  has no assets or income/  has assets and income /  is or will be entitled to assets or income. 31. That the proposed ward (check one)  does/  does not receive any money from the Department of Veterans Affairs. 32. The types of assets and/or income are: (if none write “N/A” on first blank) 11 a. ___________________________________ value: $______________ 12 b. ___________________________________ value: $______________ 13 c. ___________________________________ value: $______________ 14 d. ___________________________________ value: $______________ 15 These funds will be safeguarded by: (Check one, if applicable) 16   17 18 19 20 being placed into a blocked account. a bond which the proposed guardian(s) will obtain in an amount set by the court. 33. That proposed guardian(s) (check one)  are not/  are requesting special 21 powers as follows (see NRS 159.117 through 159.175 for the only special powers that may be 22 requested):___________________________________________________________________ 23 24 ____________________________________________________________________________ 25 ____________________________________________________________________________ 26 ____________________________________________________________________________ 27 ____________________________________________________________________________. 28 Minors With Hearing Petition 7 of 18 ©2006 Nevada Supreme Court Revised December 14, 2006 American LegalNet, Inc. www.FormsWorkflow.com Information Regarding the Second Proposed Ward 1 2 Paragraphs 34 through 48 are to be answered regarding child #2 3 only. If guardianship is being requested for only one child, print 4 “N/A” in these spaces. 5 6 34. That the proposed ward, (second child’s name) _________________________, 7 age _________, was born on (date of birth) __________________, and will become 18 years 8 of age on (date) __________________________. 9 10 11 35. That the proposed ward currently resides at (street/city/state/zip) ____________ ___________________________________________________________________________. The proposed ward has lived at this address for ___________  days/  months/  years. 12 13 36. The name and address of any person or care provider having the care and control 14 of the proposed ward is (name/address of care provider) _____________________________ 15 ______________________________________________________________________________. 16 17 18 19 The current care provider has cared for this proposed ward because __________________________________ ___________________________________________________________________________ __________________________________________________________________________. 20 37. That the proposed ward is a resident of the State of _______________________. 21 38. The proposed ward’s parent or legal guardian has  has/  has not executed a 22 23 24 written nomination of guardian. The agent is _____________________________________. 39. The names and addresses of the following relatives of the ward are: 25 Attach an additional page to the end of this document if you need more 26 room to list all of the ward’s relatives. 27 28 Minors With Hearing Petition 8 of 18 ©2006 Nevada Supreme Court Revised December 14, 2006 American LegalNet, Inc. www.FormsWorkflow.com 1 2 Relative’s Name Relationship to Ward Mother Address (street address/city/state/zip code) 3 4 Father 5 6 Grandmother on Ward’s mother’s side 7 8 Grandfather on Ward’s mother’s side 9 10 Grandmother on Ward’s father’s side 11 12 Grandfather on Ward’s father’s side 13 14 Brother/Sister 15 16 17 18 19 20 21 22 23 24 25 39. (Complete only if the identity of the ward’s father is unknown) The identity of the proposed ward’s father is truly unknown. He (check one)  is /  is not on the proposed ward’s birth certificate. There (check one)  is /  is not a court order for child support. There (check one)  has /  has not been a finding of paternity by a court. The proposed ward’s mother (check one)  will/  will not file a written consent with this Petition. 40. (Check One) 26  There is not a current order concerning custody of the proposed ward. 27  There is a current order concerning custody of the proposed ward. The 28 order is from the State of ___________ and was filed on approximately (date) ____________. Minors With Hearing Petition 9 of 18 ©2006 Nevada Supreme Court Revised December 14, 2006 American LegalNet, Inc. www.FormsWorkflow.com 1 2 3 4 5 If the order was not issued by this court, a copy of the order will be filed with this petition. 41. need a guardianship when he/she becomes 18 years of age. 42. (Check One)  6 7 Petitioner(s) (check one)  do/  do not believe that the proposed ward will The guardianship is not sought as a result of an investigation conducted pursuant to Chapter 432B of the Nevada Revised Statutes.  8 The guardianship is sought as a result of an investigation conducted 9 pursuant to Chapter 432B of the Nevada Revised Statutes. The name of the case worker is 10 ___________________________. The juvenile case file number is __________________. 11 12 13 14 15 16 17 The investigating agency (check one)  does/  does not approve of this guardianship and the placement of the proposed ward with the proposed guardian. 43. That the proposed ward (check one)  is/  is not a party to any pending criminal or civil litigation. 44. That the guardianship (check one)  is/  is not sought for the purpose of initiating litigation. 18 Information Regarding the Second Proposed Ward’s Estate 19 20 21 22 23 24 45. That the proposed ward (check all that apply)  has no assets or income/  has assets and income /  is or will be entitled to assets or income. 46. That the proposed ward (check one)  does/  does not receive any money from the Department of Veterans Affairs. 47. 25 The types of assets and/or income are: (if none write “N/A” on first blank) a. ___________________________________ value: $______________ 26 27 b. ___________________________________ value: $______________ 28 c. ___________________________________ value: $______________ Minors With Hearing Petition 10 of 18 ©2006 Nevada Supreme Court Revised December 14, 2006 American LegalNet, Inc. www.FormsWorkflow.com d. ___________________________________ value: $______________ 1 2 These funds will be safeguarded by: (Check one, if applicable) 3   4 5 6 7 being placed into a blocked account. a bond which the proposed guardian(s) will obtain in an amount set by the court. 48. That proposed guardian(s) (check one)  are not/  are requesting special 8 powers as follows (see NRS 159.117 through 159.175 for the only special powers that may be 9 requested):___________________________________________________________________ 10 11 ____________________________________________________________________________ 12 ____________________________________________________________________________ 13 ____________________________________________________________________________. 14 Information Regarding the Third Proposed Ward 15 16 17 18 19 20 21 22 23 Paragraphs 49 through 64 are to be answered regarding child #3 only. If guardianship is being requested for only one or two children, print “N/A” in these spaces. 49. That the proposed ward, (third child’s name – if no third child, write “N/A”) ________________________________, age _________, was born on (date of birth) _______, and will become 18 years of age on (date) __________________________. 50. That the proposed ward currently resides at (street/city/state/zip) _____________ 24 ____________________________________________________________________________. 25 The proposed ward has lived at this address for ___________  days/  months/  years. 26 27 28 51. The name and address of any person or care provider having the care and control of the proposed ward is (name/address of care provider) ______________________________ Minors With Hearing Petition 11 of 18 ©2006 Nevada Supreme Court Revised December 14, 2006 American LegalNet, Inc. www.FormsWorkflow.com The current care 1 ______________________________________________________________________________. 2 provider has had care of this proposed ward because ________________________________ 3 4 5 ____________________________________________________________________________ ____________________________________________________________________________. 6 52. That the proposed ward is a resident of the State of _______________________. 7 53. The proposed ward’s parent or legal guardian has  has/  has not executed a 8 9 10 written nomination of guardian. The agent is _____________________________________. 54. The names and addresses of the following relatives of the ward are: 11 Attach an additional page to the end of this document if you need more 12 room to list all of the ward’s relatives. 13 14 Relative’s Name Relationship to Ward Mother Address (street address/city/state/zip code) 15 16 Father 17 18 Grandmother on Ward’s mother’s side 19 20 Grandfather on Ward’s mother’s side 21 22 Grandmother on Ward’s father’s side 23 24 26 Grandfather on Ward’s father’s side 27 Brother/Sister 25 28 Minors With Hearing Petition 12 of 18 ©2006 Nevada Supreme Court Revised December 14, 2006 American LegalNet, Inc. www.FormsWorkflow.com 1 2 3 4 5 6 7 8 55. (Complete only if the identity of the ward’s father is unknown) The identity of the proposed ward’s father is truly unknown. He (check one)  is /  is not on the proposed ward’s birth certificate. There (check one)  is /  is not a court order for child support. There (check one)  has /  has not been a finding of paternity by a court. The proposed ward’s mother (check one)  will/  will not file a written consent with this Petition. 56. 9 (Check One)  11 There is not a current order concerning custody of the proposed ward.  10 There is a current order concerning custody of the proposed ward. The 12 order is from the State of ___________ and was filed on approximately (date) ____________. 13 If the order was not issued by this court, a copy of the order will be filed with this petition. 14 15 16 57. Petitioner(s) (check one)  do/  do not believe that the proposed ward will need a guardianship when he/she becomes 18 years of age. 58. 17 (Check One)  The guardianship is not sought as a result of an investigation conducted 18 19 pursuant to Chapter 432B of the Nevada Revised Statutes.  20 The guardianship is sought as a result of an investigation conducted 21 pursuant to Chapter 432B of the Nevada Revised Statutes. The name of the case worker is 22 _____________________________. The juvenile case file number is ________________. 23 24 25 26 27 The investigating agency (check one)  does/  does not approve of this guardianship and the placement of the proposed ward with the proposed guardian. 59. That the proposed ward (check one)  is/  is not a party to any pending criminal or civil litigation. 28 Minors With Hearing Petition 13 of 18 ©2006 Nevada Supreme Court Revised December 14, 2006 American LegalNet, Inc. www.FormsWorkflow.com 1 2 60. That the guardianship (check one)  is/  is not sought for the purpose of initiating litigation. 3 Information Regarding the Third Proposed Ward’s Estate 4 5 6 7 8 9 10 61. That the proposed ward (check all that apply)  has no assets or income/  has assets and income /  is or will be entitled to assets or income. 62. That the proposed ward (check one)  does/  does not receive any money from the Department of Veterans Affairs. 63. The types of assets and/or income are: (if none write “N/A” on first blank) 11 a. ___________________________________ value: $______________ 12 b. ___________________________________ value: $______________ 13 c. ___________________________________ value: $______________ 14 15 16 d. ___________________________________ value: $______________ These funds will be safeguarded by: (Check one, if applicable) 17  being placed into a blocked account. 18  a bond which the proposed guardian(s) will obtain in an amount set by the 19 20 court. 64. That proposed guardian(s) (check one)  are not/  are requesting special 21 22 powers as follows (see NRS 159.117 through 159.175 for the only special powers that may be 23 requested):___________________________________________________________________ 24 ____________________________________________________________________________ 25 ____________________________________________________________________________ 26 27 ____________________________________________________________________________. 28 Minors With Hearing Petition 14 of 18 ©2006 Nevada Supreme Court Revised December 14, 2006 American LegalNet, Inc. www.FormsWorkflow.com General Information 1 2 3 4 5 65. That a general guardianship is needed for the proposed wards because ____________________________________________________________________________ ____________________________________________________________________________ 6 ____________________________________________________________________________ 7 ____________________________________________________________________________ 8 9 10 11 12 66. when/if it becomes available to the Petitioner(s). 67. 15 16 That a copy of the following form(s) of identification will be filed in a separate document: (check all that apply for the Petitioners and the Proposed Wards) 13 14 That documentation demonstrating the need for a guardianship will be filed a. For the Petitioner: □ Social Security Number / □ Taxpayer Identification Number / □ Valid Drivers License Number / □ Valid Identification Card Number/ □ Valid Passport Number. 17 b. For the Co-Petitioner: □ Social Security Number / □ Taxpayer 18 19 20 Identification Number / □ Valid Drivers License Number / □ Valid Identification Card Number/ □ Valid Passport Number. 21 c. 22 For the First Proposed Ward: □ Social Security Number / □ Taxpayer 23 Identification Number/ □ Valid Drivers License Number/ □ Valid Student Identification Card 24 Number/ □ Valid Passport Number/  Birth Certificate . 25 d. 26 For the Second Proposed Ward:  Social Security Number /  Taxpayer 27 Identification Number/  Valid Drivers License Number/  Valid Student Identification Card 28 Number/  Valid Passport Number/  Birth Certificate. Minors With Hearing Petition 15 of 18 ©2006 Nevada Supreme Court Revised December 14, 2006 American LegalNet, Inc. www.FormsWorkflow.com e. 1 2 For the Third Proposed Ward:  Social Security Number /  Taxpayer Identification Number/ □ Valid Drivers License Number/ □ Valid Student Identification Card 3 4 5 6 7 Number/ □ Valid Passport Number /  Birth Certificate. 68. That Petitioner (check one) □ has/ □ has not been appointed as guardian over the proposed wards in a state other that Nevada. If Petitioner has been appointed Guardian 8 over the proposed wards in another state, Petitioner will file an (check one) □ exemplified 9 copy/ □ certified copy of the guardianship order with this Court. 10 11 69. That Co-Petitioner (check one) □ has/ □ has not been appointed as guardian 12 over the proposed wards in a state other that Nevada. If Co-Petitioner has been appointed 13 Guardian over the proposed wards in another state, Co-Petitioner will file an (check one) □ 14 15 16 17 18 exemplified copy/ □ certified copy of the guardianship order with this Court. WHEREFORE, Petitioner(s) pray that this general guardianship be granted and for such other and further relief as the court may deem just and proper. DATED this _____ day of ____________________, ________. 19 20 ________________________________ Petitioner 21 22 ________________________________ Co-Petitioner 23 24 25 26 27 28 Minors With Hearing Petition 16 of 18 ©2006 Nevada Supreme Court Revised December 14, 2006 American LegalNet, Inc. www.FormsWorkflow.com VERIFICATION OF PETITIONER 1 2 STATE OF NEVADA 3 COUNTY OF ______________ 4 5 6 7 ) ) ) I, (your name)____________________________, being first duly sworn under penalty of perjury, hereby depose and say: That I am the Petitioner in the within action; that I have read the foregoing Petition For 8 Appointment of Guardian(s) and know the contents thereof; that the same is true of my 9 knowledge except as to those matters therein stated upon information and belief and as to 10 11 those matters, I believe them to be true. ______________________________ Petitioner 12 13 SIGNED and SWORN to before me by (petitioner’s name) ___________________________ 14 on the _____ day of ____________________, _____. 15 ____________________________________ NOTARY PUBLIC 16 ACKNOWLEDGMENT OF PETITIONER 17 18 STATE OF NEVADA 19 COUNTY OF ______________ 20 21 22 23 ) ) ) On this _____ day of ____________________, _______, before me, the undersigned Notary Public in and for the said County and State, personally appeared (your name)_________________ ____________________ known to me to be the person described 24 in and who executed the foregoing instrument, and who acknowledged to me that (check one) 25  he/  she did so freely and voluntarily and for the uses and purposes therein mentioned. 26 WITNESS my hand and official seal. 27 ________________________________ NOTARY PUBLIC 28 Minors With Hearing Petition 17 of 18 ©2006 Nevada Supreme Court Revised December 14, 2006 American LegalNet, Inc. www.FormsWorkflow.com 1 2 3 4 5 6 7 8 VERIFICATION OF CO-PETITIONER STATE OF NEVADA COUNTY OF ______________ ) ) ) I, (co-petitioner’s name)____________________________, being first duly sworn under penalty of perjury, hereby depose and say: That I am the Co-Petitioner in the within action; that I have read the foregoing Petition For Appointment of Guardian(s) and know the contents thereof; that the same is true of my 9 10 11 knowledge except as to those matters therein stated upon information and belief and as to those matters, I believe them to be true. _____________________________ Co-Petitioner 12 13 SIGNED and SWORN to before me by (co-petitioner’s name) _________________________ 14 on the _____ day of ____________________, _____. 15 ____________________________________ NOTARY PUBLIC 16 ACKNOWLEDGMENT OF CO-PETITIONER 17 18 STATE OF NEVADA 19 COUNTY OF ______________ 20 21 22 ) ) ) On this _____ day of ____________________, _______, before me, the undersigned Notary Public in and for the said County and State, personally appeared (co-petitioner’s name)_____________________________________ known to me to be the person described 23 24 in and who executed the foregoing instrument, and who acknowledged to me that (check one) 25  he/  she did so freely and voluntarily and for the uses and purposes therein mentioned. 26 WITNESS my hand and official seal. 27 ________________________________ NOTARY PUBLIC 28 Minors With Hearing Petition 18 of 18 ©2006 Nevada Supreme Court Revised December 14, 2006 American LegalNet, Inc. www.FormsWorkflow.com