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Application For Appointment Of Conservator Form. This is a Ohio form and can be use in Probate Statewide.
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Tags: Application For Appointment Of Conservator, 20.0, Ohio Statewide, Probate
PROBATE COURT OF
COUNTY, OHIO
IN THE MATTER OF THE CONSERVATORSHIP OF
CASE NO.
APPLICATION FOR APPOINTMENT OF CONSERVATOR
(R. C. 2111.021)
, Petitioner, hereby state that I am a competent adult but am
I,
physically infirm. I request that:
1
Name of Proposed Conservator
Street
City
Telephone (
, Ohio (Zip)
)
be appointed conservator of my:
[
2.
[
] Person Only
[
] Estate Only
The length (time period) of the conservatorship is:
[
3.
] Person and Estate
] Indefinite
[
] Definite - to
(If ''Person Only'' or ''Person and Estate'' is checked), I give the following power over
my PERSON to the:
a.
b.
4.
Conservator:
[ ] (1) All powers that a guardian would have under the guardianship laws of
Ohio.
[ ] (2) Limited to the power to
Court
] (1) All powers that a Court would have under the guardianship laws of
[
Ohio.
] (2) Limited to the power to
[
(If "Estate Only'' or ''Person and Estate" is checked), I give the following power over
my ESTATE to the:
a.
Conservator:
[ ] (1) All powers that a guardian would have under the guardianship laws of
Ohio.
[ ] (2) Limited to the power to
FORM 20.0 - APPLICATION FOR APPOINTMENT OF CONSERVATOR
9/1/91
American LegalNet, Inc.
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CASE NO.
b.
Court
[ ] (1)
[
The following of my property is subject to the foregoing powers:
[ ] (1) All property. (attach description of property)
[ ] (2) Only the property listed as follows:
C.
5.
] (2)
All powers that a Court would have under the guardianship laws of
Ohio.
Limited to the power to
If the application is for a conservatorship of the estate:
The estate to be placed under conservatorship is:
a.
Personal Property
$
Real Property
$
Annual Rents
$
Other Annual Income
$
TOTAL
b.
6.
$
is attached.
A bond in the amount of $
(R.C. 21 09.04(A) (1 ))(Form 15.3)
Service of notice of the conservatorship is to be given to:
[
] None [
] Same as Guardianship [
] As Listed on Form 15.0
Based on the foregoing information, I do hereby petition the Court to appoint a Conservator
for myself, and do so freely and of my own will. I certify that all information and statements
contained in this application and the attached exhibits are correct to the best of my knowledge
and belief.
Date
Attorney's Signature
Applicant's Signature
(Type or print Attorney's Name)
(Type or print Applicant's Name)
(Street)
(Street)
(City, State, Zip Code)
(City, State, Zip Code)
(
)
(Telephone Number
(
- Include Area Code)
)
(Telephone Number - Include Area Code)
Supreme Court Registration Number
FORM 20.0 - APPLICATION FOR APPOINTMENT OF CONSERVATOR
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