Application For Appointment Of Conservator
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Application For Appointment Of Conservator Form. This is a Ohio form and can be use in Geauga County (Court Of Common Pleas).
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Tags: Application For Appointment Of Conservator, 20.0, Ohio County (Court Of Common Pleas), Geauga
PROBATE COURT OF GEAUGA COUNTY, OHIO
JUDGE CHARLES E. HENRY
IN RE:
CASE NO.:
APPLICATION FOR APPOINTMENT OF CONSERVATOR
NOTE:
If space allotted is inadequate to respond, write "See Exhibit" in the space and add
appropriate exhibit letter sequence, then attach exhibit containing information requested for
that space.
The undersigned petitioner states that his/her legal settlement or residence is
County, Ohio.
, in
Petitioner states that he/she is a mentally competent adult who is physically infirm.
Petitioner requests that:
Name of Proposed Conservator
Street
City
County
State
Zip
Phone Number (include Area Code)
be appointed conservator
of the person and estate
of the person only
of the estate only
and letters issued upon qualification.
The petitioner states, with particularity, all real and personal property to be placed under the
conservatorship is:
ConservatorApplication
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The petitioner requests that the proposed conservator be granted the following powers:
The petitioner requests that the powers of the proposed conservator or Court be limited as
follows :
Petitioner requests that the conservatorship:
continue indefinitely
continue for a definite period of time:
from
, 20
to
, 20
Attorney for Petitioner
Petitioner
Typed or Printed Name
Typed or Printed Name
Address
Address
Phone Number (Include Area Code)
Phone Number (Include Area Code)
Registration Number
Date of Birth
Social Security Number
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