Fill and Sign the Application for Appointment of Fiduciary for Disabled Persons Form

Case No. ___________________ Court _______________________ County _ _____________________ IN RE: Estate of _______________________________________________________________________\ ________ Residence: __ ________________________________________________________________________\ __, Kentucky Social S ecurity Numb er: _________________________ Date of Death: _________________________, 2______ The will was probated in ___ _____________________ County on ______________________, 2______, of which th e original or an accurate copy is submitted herewith to the Court for examination. Petit ion er, _ ______________________________________________________________________, \ says that the statements in the caption are true, and the names of the life tenant\ and remaindermen of the instant trust are as follows ( Write name, interest, age and address of each remainderman ): _________________________________________________________________________\ ______________________ ________________________________________________________________________\ _______________________ ________________________________________________________________________\ _______________________ _____ ________________________________________________________________________\ __________________ Petitioner states that the Trust, created under item _________ of the Will, consist of the following\ assets: Personal Estate $____________ Annual Income from Personal Estate $____________ Real Estate $____________ Annual Rents of Real Estate $____________ Petitione r states that the applicant is indebted to or owes decedent ______________________________. Petition er prays the Court that ________________________________________________\ _________________ be appointed as Trus tee under said will, and _______________________________________________\ ___________ is offered as surety. Petition er s ays that all statements in the foregoing petition are true. Date: ____ __ ___________________, 2_______ ____________________________________________ Petitioner’s Signature Petitioner’s Address: ________________________________________________________________________\ ___ ________________________________________________________________________\ ___ ____ _______________________________________________________________________ Petitioner’s So cial Secu rity Number: ___________________________________________________________\ _____ Petition F or A PPointment oF t rustee u nder W ill AOC-820 Doc. Code: PAT & OAT Rev. 8-11 Page 1 of 2 Commonwealth of Kentucky Court of Justice www.courts.ky.gov KRS Chapter 386 Thi s certifies that the within petition was prepared or subscribed by the undersigned in accordance with the meaning and tenor of CR 11. _____ ___________________________________ _________________________________________ Attorney’s Signature Address/Phone Number Subscr ibed and sworn to before me by petitioner on ___________________________\ _________, 2_______. My co mmission will expire___________________, 2_______. ____ _________________________________________ __________________________________________ Notary Public County, Kentucky AOC-820 Doc. Code: PAT & OAT Rev. 8-11 Page 2 of 2 Subscribed and sworn to before me by above-named affiant on _________________________________, 2_______. ______________ ________________________Clerk By:____________________________________ ______D.C. IN RE: Estate of________________________________________________________\ __________________, a decedent ORDER Petiti on filed in open Court on _________________________________________, 2_______. Upon hearing, the Court appoints ____ ________________________________________________________________________\ ___, Trustee of said estate, and fixes bond in the sum of $_______________ ____. Date: _ _________________________, 2_______ _____________________________________________ Judge’s Signature WAIVER OF NOTICE The un dersigned hereby waive notice of hearing and the right to appoint and request the court to make the appointment herein applied for: ____________ _________________________________ _____________________________________________ __________ ______________________ _____________ _____________________________________________ AFFIDAVIT OF SURETY Affiant, ______ ________________________________________________________________________\ ___________, states that affiant is a resident of ___________________________ County of the Commonwealth of Kentucky, and that affiant has fee simple to and beyond amount of liens or encumbrances and homestead exemptions and subject to execution, real estate of value of $___________located at ______________________________________________ in affiant’s own name. Value of Property: $________________ Encumbrances and $________________ Homestead. ________ ___________________________________ ______________________________________ Surety’s Signature Phone Number Surety’s Address: _____ ________________________________________________________________________\ ____ _____ __ ________________________________________________________________________\ __