(Copy Receipt) (Clerk’s Date Stamp) SUPERIOR COURT OF WASHINGTON COUNTY OF ____________________ In the Guardianship of: CASE NO. _________________________ ____________________________________ An Alleged Incapacitated Person VERIFIED PETITION TO APPOINT ATTORNEY FOR ALLEGED INCAPACITATED PERSON COMES NOW ___________________________________________, and states as follows: 1. Relief Requested. Entry of an order appointing ___________________________________ as the attorney for the Alleged Incapacitated Person in the above-entitled action. 2. Statement of Facts. _______________________________ is the Guardian ad Litem in this matter. _________________________________ is an attorney licensed to practice law in the State of Washington. The Alleged Incapacitated Person has requested that the Court appoint ______________________________________ to represent him/her in this Guardianship action. In the event the assets of the Alleged Incapacitated Person are not sufficient, the attorney should be paid at County expense. 3. Evidence Relied Upon. The statements contained in this Petition and the entire record and file in this matter. #05A-VERIFIED PETITION TO APPOINT ATTORNEY FOR ALLEGED INCAPACITATED PERSON PAGE 1 OF 2 American LegalNet, Inc. www.USCourtForms.com 4. Authority. RCW 11.88.045. DATED AND SIGNED IN OPEN COURT THIS ______ DAY OF_______________, 20_____. I certify (or declare) under penalty of perjury under the laws of the State of Washington that to the best of my knowledge the statements above are true and correct. Signature of Guardian ad Litem Printed Name of Guardian ad Litem, WSBA# Address Telephone/Fax Number City, State, Zip Code Email Address #05A-VERIFIED PETITION TO APPOINT ATTORNEY FOR ALLEGED INCAPACITATED PERSON PAGE 2 OF 2 American LegalNet, Inc. www.USCourtForms.com