Fill and Sign the Alabama Conservatorship Form

IN THE PROBATE COURT OF MOBILE COUNTY, ALABAMA IN RE THE MATTER OF: ) ) Case No. 99 -2673 __________________, ) ) An alleged incapacitated person ) PETITION FOR LETTERS OF CONSERVATORSHIP and GUARDIANSHIP To: The Honorable L. W. Noonan, Judge of Probate The undersigned ________________, your Petitioner, respectfully petitions the Court, pursuant to the Alabama Uniform Guardianship and Prote ctive Proceedings Act, and respectfully represents unto your Honor the following: 1. That __________________ i s an incapacitated person, 75 years of age, born on the 11 th day of May, 1924; 2. T hat __________________ (hereinafter “the incapacitated person”), is a resident of Mobile County, Alabama, whose permanent address is _____________________, Mobile, Alabama 36693. She is currently residing at _____________________, Mobile, Alabama 36693. __________________ is incapacitated in that she has physical and/or mental infirmities accompanying her advanced age. 3. That your Petitioner is a resident of Mobile County, Alabama, and is the daughter of the incapacitated person. Your Petitioner's current address is __________________________ Alabama 36693; 4. That there was no other guardian appointed over the incapacitated person. 5. That it is uncertain at this time whether the incapacitated person will recover, and if she does recover, to what extent. 6. That the incapacitated person is in need of continued medical treatment, supervision, assistance in daily care and that she is una ble to care for herself. 7. That your Petitioner has a basis of priority for appointment as conservator as follows: Before she became incapacitated, __________________ executed a durable power of attorney in favor of your Petitioner; your Petitioner is an adult daughter of _________________; and your Petitioner has resided with __________________ for more than six months. WHEREFORE, ________________, your Petitioner, now prays that she be appointed guardian of __________________, the incapacitated person , and for other and different relief as the Court deems appropriate under the present circumstances. Your Petitioner hereby specifically invokes the equity jurisdiction of this Court. ____________________________________ ________________, P etitioner STATE OF ALABAMA ) COUNTY OF MOBILE ) I, the undersigned, a Notary Public in and for said county in said state, hereby certify that ________________, whose name is signed to the foregoing instrument, and who is known to me, acknowledged befor e me on this day that, being informed of the contents of the instrument, she executed the same voluntarily on the day the same bears date. Given under my hand this ______ day of March, 2000. ____________________________________ Notary Pub lic My Commission expires: _______________ ____________________________________ ______________________ ________ Attorney for Petitioner Post Office Box ______ Mobile, Alabama _____ 334/______________ CERTIFICATE OF SERVICE I hereby certify that I have on this the ______ day of March, 2000, served a copy of the foregoing upon __________________, Esq., Post Office Box ____, Mobile, AL _____, by placing a copy of same in the United States mail, proper ly addressed, first class postage pre -paid. ____________________________________ Attorney for Petitioner