Fill and Sign the Briefing Iiimproving Service Delivery Washington State Form

Pc 70A STATE OF VERMONT DISTRICT OF _______________, SS. PROBATE COURT DOCKET NO. ___________ IN RE THE GUARDIANSHIP OF _______________________ OF _________________________ PETITION TO APPOINT A FINANCIAL GUARDIAN FOR A MINOR 1. The undersigned represents that it is necessary to appoint a guardian for the minor=s property because the minor has a parent living and the minor is the owner of real or personal property. Please describe the nature of the minor’s real or personal property (claim in litigation, a right to an inheritance from an estate, etc.) ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ Information about the minor 2. Minor=s full name _______________________________ Date of Birth __/__ /__ 3. Current Mailing Address __________________________ __________________________ Telephone ___________ 4. Residence address (if different from above) ________________________________ Information about the parents of the minor Names of minor=s parents: 5. Parent Number One: Name ____________________ Date of Birth __/__ /__ Mailing address ________________________________ ________________________________ Telephone ___________ Residence address (if different above) ___________________________________ ____________________________________ 6. Parent Number Two: Name_____________________ Date of Birth __/__ /__ Mailing address ________________________________ ________________________________Telephone___________ Residence address (if different above) ______________________________________ _______________________________________ 7. If you cannot provide a valid name or address for one or both of the parents, please describe in detail what efforts you have made to locate the parent(s). If there is a question as to the identity of the father of the child, please provide all information you can about potential fathers and any information you may have concerning prior paternity proceedings. 8. Are both the parents the legal custodians for this child at this time? If not, please give the name and address of the parent who is the legal custodian and the name of the court which conferred custody and a copy of such custodial order. Information about the proposed guardian(s) 9. Proposed guardian=s name ____________________ Date of Birth __/__ /__ Relationship to minor ________________________ Employer ____________ Mailing address _____________________________ _____________________________Telephone _____________ Residence address (if different from above) ______________________________ ______________________________ 10. Proposed co-guardian=s name _________________( if applicable ) Date of Birth __/__ /__ Relationship to minor _______________________ Employer _____________ Mailing address ____________________________ Telephone _____________ Residence address (if different from above) _____________________________ _____________________________ 11. Is the guardianship needed to settle a minor=s lawsuit pending in a court? If yes, please describe the court in which the case is pending and that nature of the claim. 12. I/we have attached to this petition: [ ] the entry fee, [ ] a copy of the birth certificate of the minor, [ ] Form No. 75 (list of interested persons), and [ ] any consents to the guardianship by a parent which may be available. THEREFORE, I/we request the court to appoint ______________________ as financial guardian for the above minor. The petitioner(s) and proposed guardian(s) by signing this petition, certify that the petition has been read by them, that to the best of his or her knowledge, information and belief, formed after reasonable inquiry, the petition is well grounded in fact and is warranted by existing law, and that it is not interposed for any improper purpose such as to harass or cause unnecessary delay or needless increase in the cost of litigation. Date:______________ ____________________ Petitioner’s Signature Subscribed and sworn to this ___ day of ________________, 20__. ______________________ Notary Public Date:_______________ ________________________ Proposed Guardian signature, if different from above Subscribed and sworn to this ___ day of ________________, 20__. _______________________ Notary Public 1/08 SML