PC-G-17.0G (Rev. 1-2001) PROBATE COURT OF FRANKLIN COUNTY, OHIO ROBERT G. MONTGOMERY,JUDGE LAWRENCE A. BELSKIS, JUDGE IN THE MATTER OF THE GUARDIANSHIP OF CASE NO. GUARDIAN'S CREDIBILITY APPLICATION Name of Alleged Incompetent Name of Applicant to be Appointed Guardian Applicant's Current Address From 5 YRS. ONLY Date of Birth Previous Address From/To Previous Address From/To Spouse's Name Address Applicant's Employer 5 YRS. ONLY Years Married From From/To From/To Checking Savings Safe Deposit Box Checking Savings Safe Deposit Box Yes Yes Yes Yes Yes No No No No No Previous Employer Previous Employer Name of Applicant's Bank Name of Applicant's Bank Has Has Has Has Has Applicant Ever Filed Bankruptcy?..................................................................... Applicant Ever Been Garnisheed?.................................................................... Applicant Ever Been in Receivership?............................................................... Applicant Ever Been Convicted of a Felony?.................................................... Applicant Had Experience in Handling Investments in Marketable Securities?..... Describe that Experience This statement is made in support of my application to be appointed Guardian in the above styled matter and the undersigned says that the facts stated in the foregoing applications are true. Signature of Applicant FRANKLIN COUNTY FORM 17.0G - GUARDIAN'S CREDIBILITY APPLICATION American LegalNet, Inc. www.FormsWorkFlow.com