Probate Court of Cuyahoga County, Ohio John J. Donnelly, Presiding Judge John E. Corrigan, Judge IN THE MATTER OF THE GUARDIANSHIP OF _______________________________________ CASE NUMBER: ______________________________________ APPLICATION FOR APPOINTMENT OF GUARDIAN OF MINOR [R.C. 2111.03(c)] Applicant, a resident of _____________________ County, Ohio hereby appli es for the appointment of (himself) (herself) orsome suitable person as guardian of the following minor, and represents that the applicant is not an administrator executor, or otherfiduciary of an estate wherein the minor is interested. ________________________________________________________________________ ______________________________ Name of Minor Age Date of Birth Residence or legal settlement ________________________________________________________________________ _____________________________ ________________________________________________________________________ ______________________________ Attached is a list of the next of kin of the minor (Form 15.0) A guardian is necessary because (R.C. 2111.06), ______________________ ___________________________________ ________________________________________________________________________ ______________________________ THE TYPE OF GUARDIANSHIP APPLIED FOR IS G Non-limited G Limited G Person and Estate G Estate only G Person only IF THE APPLICATION IS FOR LIMITED GUARDIANSHIP, The length (time period) of the guardianship requested is G Indefinite G Definite to ______________________ , 20 ______ . The limited powers requested are: ______________________________________ ______________________________ ________________________________________________________________________ ______________________________ ________________________________________________________________________ ______________________________ Applicant attaches affidavit pursuant to R.C. 3109.27 Applicant represents that grounds exist for the Court to exercise its ju risdiction. (Applies to guardianship of person only. R.C. 3109.22). The Applicant has (not) been charged with or convicted of a crime invo lving theft, physical violence, or sexual, alcohol orsubstance abuse, except as follows (if applicable, state date and place of each charge or each conviction) ________________________________________________________________________ _____________________________ ________________________________________________________________________ ______________________________ form 16.0 - Application for appointment of guardian of minor 12/99 American LegalNet, Inc. www.USCourtForms.com>>>> 2 The whole estate of said minor is estimated as follows: Personal property . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. .$ ______________________ Real Estate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. $ ______________________ Annual rents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. $ ______________________ Other annual income . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Total $ ______________________ Applicant offers the attached bond in the amount of $ _______________________ I hereby certify that all the information and statements contained in th is application and attached exhibits are correct to the best of myknowledge and belief. _______________________________________________ ______________________________________________ Attorney for Applicant Applicant _______________________________________________ ______________________________________________ Type or print name Type or print name _______________________________________________ ______________________________________________ Address Street _______________________________________________ ______________________________________________ City State Zip City State Zip_______________________________________________ ______________________________________________ Phone number (include area code) Phone number (include area code) _________________________________________________ Supreme Court Registration Number SELECTION OF GUARDIAN BY MINOR OVER FOURTEEN YEARS OF AGE The undersigned hereby selects _________________________________________ _____________________________ a resident of ______________________________________ County, Ohio, as Gu ardian of the (person and estate) and respectfully asks the Court to appoint ____________________________________ as Guard ian. ________________________________________________________ ________________________________ Signature Date of Birth American LegalNet, Inc. www.USCourtForms.com>>>> 3 Probate Court of Cuyahoga County, Ohio John J. Donnelly, Presiding Judge John E. Corrigan, Judge IN THE MATTER OF THE GUARDIANSHIP OF _______________________________________ CASE NUMBER: ______________________________________ NEXT OF KIN OF PROPOSED WARD (R.C. 2111.04) (NOTE: Specify age and birthdate of each minor under 16 on the line containing the minors name. List the name and address of the minors parent, guardian, or custodi an on the name and address line following the minors address.) Service Birthdate Waived Relationship of Minor 1. G Name ___________________________________________________________________ _______________________ Address __________________________________________________________ Zip __________________________ 2. G Name ___________________________________________________________________ _______________________ Address __________________________________________________________ Zip __________________________ 3. G Name ___________________________________________________________________ _______________________ Address __________________________________________________________ Zip __________________________ 4. G Name ___________________________________________________________________ _______________________ Address __________________________________________________________ Zip __________________________ 5. G Name ___________________________________________________________________ _______________________ Address __________________________________________________________ Zip __________________________ 6. G Name ___________________________________________________________________ _______________________ Address __________________________________________________________ Zip __________________________ 7. G Name _______________