PROBATE COURT OF HAMILTON COUNTY, OHIO RALPH WINKLER, JUDGE GUARDIANSHIP OF_________________________________________________________ CASE NO.________________________ APPLICATION FOR APPOINTMENT OF GUARDIAN OF MINOR (R.C. 2111.03(C)) Applicant, a resident of _____________ County, Ohio, hereby applies for the appointment of (himself)(herself) or some suitable person as guardian of the following minor and represents that the applicant is not an administrator, executor, or other fiduciary of an estate wherein the minor is interested. Name of Minor Age Date of Birth Residence or Legal Settlement _________________________________________________________________________________ Applicant's relationship to minor is: _______________________________________________ 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 ________ Non-limited _______ Limited ________ Estate Only _______ Person and Estate _______ Person Only IF THE APPLICATION IS FOR LIMITED GUARDIANSHIP, The length (time period) of the guardianship requested is: ________ Indefinite _______ Definite to _______________________, _______. 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 jurisdiction. (Applies to guardianship of person only. R.C. 3109.22). The Applicant has (not) been charged with or convicted of a crime involving theft, physical violence, or sexual, alcohol or substance abuse except as follows (if applicable, state date and place of each charge or each conviction). _________________________________________________________________________________ _________________________________________________________________________________ Page 1 of 2 H.C. FORM 16.0 - APPLICATION FOR APPOINTMENT OF GUARDIAN OF MINOR 09/13/10 American LegalNet, Inc. www.FormsWorkFlow.com CASE NO. ___________________ 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 this application and attached exhibits are correct to the best of my knowledge and belief. __________________________________ Attorney for Applicant __________________________________ Typed or printed name __________________________________ Street __________________________________ City State Zip __________________________________ Phone number (include area code) _________________________________ Supreme Court Registration Number _______________________________________ Applicant _______________________________________ Typed or printed name _______________________________________ Street _______________________________________ City State Zip _______________________________________ Phone number (include area code) Page 2 of 2 H.C. FORM 16.0 - APPLICATION FOR APPOINTMENT OF GUARDIAN OF MINOR 09/13/10 American LegalNet, Inc. www.FormsWorkFlow.com