Form A Filing Attorney Information or Pro Se Litigant: Name NJ Attorney ID Number Address Telephone Number In the Matter of, , An Incapacitated Person Superior Court of New Jersey Chancery Division - Probate Part County Docket Number Civil Action Notice of Motion To: TAKE NOTICE that the undersigned will apply to the above named court, located at: on , for an Order to (describe relief requested): I will rely on the attached certification which contains the grounds for the relief sought. Pursuant to R. 1:6-2(d), the undersigned: (check one) Waives oral argument and consents to disposition on the papers. Requests oral argument if this matter is contested. Requests oral argument for the following reasons: A proposed form of Order is attached. Court Dates No conference, hearing or trial date has been set except as follows: (If any dates have been scheduled, note them here; otherwise state "none") I certify that the above statements made by me are true and that if any of the statements are willfully false, I am subject to punishment. Date Signature Print Name Published 02/2017, CN 12032 (How to File a Motion in a Guardianship Case) page 8 of 15 American LegalNet, Inc. www.FormsWorkFlow.com Form A If this is the first paper you are filing in this case, you must sign the following certification. I certify that confidential personal identifiers have been redacted from documents now submitted to the court, and will be redacted from all documents submitted in the future in accordance with Rule 1:38-7(b). Date Signature Print Name Published 02/2017, CN 12032 (How to File a Motion in a Guardianship Case) page 9 of 15 American LegalNet, Inc. www.FormsWorkFlow.com