251 2018 Nevada Supreme Court Page 1 of 7 226 Petition to Transfer Adult Guardianship to Nevada COURT CODE: Your Name: Address: City, State, Zip: Telephone: Email Address: Self-Represented DISTRICT COURT COUNTY, NEVADA PETITION TO TRANSFER ADULT GUARDIANSHIP TO NEVADA Petitioner(s), (name of guardian/conservator) and (name of co-guardian / conservator, or , request this court accept jurisdiction over this guardianship pursuant to NRS 159.2024. 1.The Petitioner(s) were appointed as guardians / conservators by the following court (fullname of the court, as noted on their pleadings, where guardianship and/or conservatorshipCourt Name: Case/Cause No. 2.A certified copy of the provisional order of transfer from the original court is attached. (thisis mandatory) In the Matter of the Guardianship of the: PersonEstatePerson and Estate of: CASE DEPT: ( name of person who has a guardian ) A Protected Person. American LegalNet, Inc. www.FormsWorkFlow.com 251 2018 Nevada Supreme Court Page 2 of 7 226 Petition to Transfer Adult Guardianship to Nevada Protected Person222s Information 3. The Protected Person is: (name) , born on (date of birth) , currently age . 4. The Protected Person222s residence address is: Address City, State, Zip Code The Protected Person222s mailing address is (if different than residence address): Address City, State, Zip Code 5. If the Protected Person does not currently live in Nevada, the person is expected to permanently move to Nevada on (date) . 6. Could the Protected Person benefit from less restrictive supports than guardianship (such as a supported decision making agreement, durable power of attorney, etc.)? Yes No Explain why or why not: First Guardian/Conservator222s Information 7. Full legal name: . 8. Date of birth: ; current age: . 9. Relationship to protected person: . American LegalNet, Inc. www.FormsWorkFlow.com 251 2018 Nevada Supreme Court Page 3 of 7 226 Petition to Transfer Adult Guardianship to Nevada 10.Residence address: Address City, State, Zip Code Mailing address (if different than residence address): Address City, State, Zip Code 11.If you do not live in the State of Nevada: ( check one)A person or care provider in this State is providing continuing care and supervisionfor the adult;The adult is in a secured residential long-term care facility in this State;The guardian will move to the State of Nevada within 30 days of appointment; orThe proposed protected person will move to the guardian222s state of residence within30 days of appointment. [NOTE: If a nonresident is appointed as guardian for an adult, the guardian must designate a registered agent in the State of Nevada in the same manner as a represented entity pursuant to Nevada Revised Statutes Chapter 77.] 12.Qualifications. (Answer each item listed; 223Has224 answers must be explained)The Guardian: has has not been convicted of a crime of moral turpitude, a crime involvingdomestic violence or a crime involving the abuse, neglect, exploitation, isolation or abandonment of a child, his or her spouse, his or her parent or any other adult. Explain if Yes: has has never been convicted of a felony. Explain if Yes: Petitioner was convicted of (describe conviction) Petitioner ( check one) check one) felony. has has never been suspended for misconduct or disbarred from the practice of law,the practice of accounting or any other profession which involves the American LegalNet, Inc. www.FormsWorkFlow.com 251 2018 Nevada Supreme Court Page 4 of 7 226 Petition to Transfer Adult Guardianship to Nevada management or sale of money, investments, securities or real property and requires licensure in Nevada or any other state. Explain if Yes: has has not filed for bankruptcy within the past 7 years. is is not a party to pending criminal or civil litigation. Explain if Yes: Second Guardian/Conservator222s Information Not Applicable (check if there is only one guardian, and go to #19) 13. Full legal name: . 14. Date of birth: ; current age: . 15. Relationship to protected person: . 16. Residence address: Address City, State, Zip Code Mailing address (if different than residence address): Address City, State, Zip Code 17. If you do not live in the State of Nevada: ( check one) A person or care provider in this State is providing continuing care and supervision for the adult; The adult is in a secured residential long-term care facility in this State; The guardian will move to the State of Nevada within 30 days of appointment; or The proposed protected person will move to the guardian222s state of residence within 30 days of appointment. American LegalNet, Inc. www.FormsWorkFlow.com 251 2018 Nevada Supreme Court Page 5 of 7 226 Petition to Transfer Adult Guardianship to Nevada [NOTE: If a nonresident is appointed as guardian for an adult, the guardian must designate a registered agent in the State of Nevada in the same manner as a represented entity pursuant to Nevada Revised Statutes Chapter 77.] 18. Qualifications. (Answer each item listed; 223Has224 answers must be explained) The Co-guardian: has has not been convicted of a crime of moral turpitude, a crime involving domestic violence or a crime involving the abuse, neglect, exploitation, isolation or abandonment of a child, his or her spouse, his or her parent or any other adult. Explain if Yes: has has never been convicted of a felony. Explain if Yes: The Petitioner was convicted of (describe conviction) The Petitioner ( check one) ( check one) has has never 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. Explain if Yes: has has not filed for bankruptcy within the past 7 years. is is not a party to pending criminal or civil litigation. Explain if Yes: 19. Compensation. Are you currently being paid for services as a guardian to more than one protected person who is not related to you by blood or marriage? ( check one): No, I am not being paid for services as a guardian. Yes, I am being paid for services as a guardian. American LegalNet, Inc. www.FormsWorkFlow.com 251 2018 Nevada Supreme Court Page 6 of 7 226 Petition to Transfer Adult Guardianship to Nevada 20. Exhibit A: List of All of the Adult222s Relatives must be completed and attached to petition. 21. Exhibit B: Information Regarding the Adult222s Estate must be completed and attached to petition if you are requesting guardianship over the adult222s estate. 22. Exhibit C: Copy of Other State222s Provisional Order of Transfer to Nevada must be attached. 23. Monthly Budget and Care Plan: Please be aware that the court may require you to submit a monthly budget and/or a care plan for the protected person. DATED (month) (day) , 20 . (First Petitioner222s Signature) (Second Petitioner222s Signature) (Printed Name) (Printed Name) American LegalNet, Inc. www.FormsWorkFlow.com 251 2018 Nevada Supreme Court Page 7 of 7 226 Petition to Transfer Adult Guardianship to Nevada VERIFICATION I, (name of first petitioner) , state that I am the Guardian / Conservator in the within action; that I have read the foregoing Petition and know the contents thereof; that the same is true of my knowledge except as to those matters therein stated upon information and belief and as to those matters, I believe them to be true. I declare under penalty of perjury under the law of the State of Nevada that the foregoing is true and correct. PETITIONER222S SIGNATURE VERIFICATION I, (name of second petitioner) , state that I am the Co-Guardian / Conservator in the within action; that I have read the foregoing Petition and know the contents thereof; that the same is true of my knowledge except as to those matters therein stated upon information and belief and as to those matters, I believe them to be true. I declare under penalty of perjury under the law of the State of Nevada that the foregoing is true and correct. CO-PETITIONER222S SIGNATURE American LegalNet, Inc. www.FormsWorkFlow.com Spouse: EXHIBIT A: List All of the Adult222s Relatives Children: Name: Address: Name: Address: