SCCA 401PC (01/2019) STATE OF SOUTH CAROLINA ) ) COUNTY OF: ) ) IN THE MATTER OF: ) ) Decedent Alleged Incapacitated Individual ) PROBATE COURT USE ONLY ) ) IN THE PROBATE COURT ) ) CASE NUMBER - - - Petitioner(s), ) vs. ) SUMMONS ) Respondent(s).* ) *For Guardianship/Conservatorship matters, you must include the alleged incapacitated individual as a Respondent. TO THE RESPONDENT(S) LISTED ABOVE: YOU ARE HEREBY SUMMONED and required to Answer the Petition in this action, a copy of which is herewith served upon you, and to serve a copy of your Answer upon the Petitioner(s) listed above at the following address(es): Please Type or Print. (Name of Petitioner/Attorney for Petitioner) (Street Address or Mailing Address) (City, State, and Zip Code) Your Answer must be served on the Petitioner at the above address within thirty (30) days after the service of this Summons and Petition upon you, exclusive of the day of such service; and if you fail to answer the Petition within that time, judgment by default will be rendered against you for the relief demanded in the Petition. Signature of Petitioner(s)/Attorney for Petitioner(s) Date: American LegalNet, Inc. www.FormsWorkFlow.com FORM #575GC (01/2019) 62-5-714 STATE OF SOUTH CAROLINA ) ) COUNTY OF ) ) IN THE MATTER OF: ) , ) a ward/protected person. ) PROBATE COURT USE ONLY ) ) IN THE PROBATE COURT , ) CASE NUMBER - GC - - Petitioner(s), ) vs. ) , ) Respondent(s). ) APPLICATION FOR TRANSFER OF (No Summons Needed): *FORMAL PETITION FOR TRANSFER OF: GUARDIANSHIP GUARDIANSHIP CONSERVATORSHIP CONSERVATORSHIP *NOTE: IF THIS IS A FORMAL PROCEEDING, IN ADDITION TO THIS FORM PETITION, YOU MUST ALSO FILE THE ATTACHED SUMMONS AND PAY THE STATUTORY FILING FEE OF $150.00. A HEARING IN THE PROBATE COURT ON THE PETITION MAY BE REQUIRED. This Application/Petition is seeking transfer of a Guardianship and/or Conservatorship from South Carolina to a receiving state pursuant to S.C. Code Ann. 247 62-5-714 of the South Carolina Adult Guardianship and Protective Proceedings Jurisdiction Act. As the Guardian and/or Conservator, Applicant/Petitioner requests the Court to approve the transfer of this Guardianship and/or Conservatorship to County in (State). 1. The Ward/Protected Person: is physically present in the receiving state; is reasonably expected to permanently move to the state identified above has significant connections to the receiving state. 2. The Applicant/Petitioner requests that South Carolina transfer this guardianship/conservatorship for the following reasons: American LegalNet, Inc. www.FormsWorkFlow.com FORM #575GC (01/2019) 62-5-714 3. The Applicant/Petitioner has made reasonable and sufficient plans for care and services for the Ward and/or has made 4. The Applicant will either provide a copy of this Application to persons entitled to notice and provide the Court with proof of delivery or attach consents from all persons entitled to notice. (S. C. Code Ann. 247247 62-1-401, 62-5-303, 62-5-403, 62-5-714(B).) If this is a formal proceeding, the Petitioner must serve all interested persons in accordance with Rule 4, SCRCP, and provide the Court with proof of service. 5. The interested persons given notice of the Application or service of the Petition are as follows: Name Relationship to Ward/ Protected Person VERIFICATION The Applicant/Petitioner, being sworn, states that the facts set forth in the Application/Petition are true to the best of the Executed this d ay of , 20 . SWORN to before me this day of Signature: , 20 . Print Name: Address: Print Name: Preferred Telephone: Notary Public for: Secondary Telephone: (State) Email: My Commission Expires: Relationship to the Protected Person/ Ward : (Date) American LegalNet, Inc. www.FormsWorkFlow.com