Fill and Sign the Ca Petition 497299071 Form

ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, state bar number, and address) : TELEPHONE AND FAX NOS.: ––––– ––––– ––––– ––––– ––––– ATTORNEY FOR (Name) : ––––– FOR COURT USE ONLY SUPERIOR COURT OF CALIFORNIA, COUNTY OF ––––– STREET ADDRESS: ––––– MAILING ADDRESS: ––––– CITY AND ZIP CODE: ––––– BRANCH NAME: ––––– TEMPORARY GUARDIANSHIP CONSERVATORSHIP OF (Name) : ––––– ––––– ––––– MINOR CONSERVATEE PETITION FOR APPOINTMENT OF TEMPORARY GUARDIAN CONSERVATOR Person Estate CASE NUMBER: ––––– 1. Petitioner (name of each) : ––––– requests that a. (Name and address) : ––––– ––––– ––––– ––––– be appointed temporary guardian conservator of the PERSON of the minor proposed conservatee and Letters issue upon qualification. b. (Name and address) : ––––– ––––– ––––– ––––– be appointed temporary guardian conservator of the ESTATE of the minor proposed conservatee and Letters issue upon qualification. c. (1) bond not be required for the reasons stated in Attachment 1c. (2) $ ––––– bond be fixed. It will be furnished by an admitted surety insurer or as otherwise provided by law. (Specify reasons in Attachment 1c if the amount is different from maximum required by Probate Code section 2320.) (3) $ ––––– in deposits in a blocked account be allowed. Receipts will be filed. (Specify institution and location) : ––––– ––––– ––––– ––––– d. the powers specified in Attachment 1d be granted in addition to the powers provided by law. e. an order be granted dispensing with notice to the minor proposed conservatee minor’s mother minor's father other person having a visitation order for the reasons stated in Attachment 1e. (Identify each by name and relationship.) f. other orders be granted (specify in Attachment 1f) . 2. The minor proposed conservatee is (name) : ––––– Present address: ––––– Telephone: ––––– ––––– ––––– 3. The minor proposed conservatee requires a temporary guardian conservator to provide for temporary care, maintenance, and support protect property from loss or injury because (facts are specified below specified in Attachment 3) : ––––– ––––– ––––– (Continued on reverse) Adopted for Mandatory and Alternative Mandatory Use Instead of Form GC-110(P) PETITION FOR APPOINTMENT OF TEMPORARY GUARDIAN OR CONSERVATOR Probate Code, § 2250 Cal. Rules of Court, rule 7.101electronic form ã 1999-2007 WWW.LawCA.com Law Publishers GC-110 Judicial Council of California GC-110 [Rev. January 1, 2007] TEMPORARY GUARDIANSHIP CONSERVATORSHIP OF (Name) : ––––– ––––– ––––– MINOR CONSERVATEE CASE NUMBER: ––––– 4. The temporary guardianship conservatorship is required a. pending the hearing on the petition for appointment of a general guardian conservator. b. pending the appeal under Probate Code section 2750. c. during the suspension of powers of the guardian conservator. 5. Character and estimated value of the property of the estate: a. Personal property: $ ––––– b. Annual gross income from all sources, including real and personal property, wages, pensions, and public benefits: $ ––––– Total : $ ––––– 6. CHANGE OF RESIDENCE OF PROPOSED CONSERVATEE a. Petitioner requests that the residence of the proposed conservatee be changed to (address) : ––––– ––––– The proposed conservatee will suffer irreparable harm if his or her residence is not changed as requested and no means less restrictive of the proposed conservatee's liberty will suffice to prevent the harm because (precise reasons are stated below stated in attachment 6a) : ––––– ––––– ––––– ––––– ––––– b. The proposed conservatee must be removed from the State of California to permit the performance of the following non-psychiatric medical treatment essential to the proposed conservatee's physical survival. The proposed conservatee consents to this medical treatment. (Facts and place of treatment are specified below specified in Attachment 6b.) ––––– ––––– ––––– ––––– c. (Change of residence only) The proposed conservatee (1) will attend the hearing. (2) is able but unwilling to attend the hearing, does not wish to contest the establishment of a conservatorship, does not object to the proposed conservator, and does not prefer that another person act as conservator. (3) is unable to attend the hearing because of medical inability. An affidavit or certificate of a licensed medical practitioner or an accredited religious practitioner is affixed as Attachment 6c. (4) is not the petitioner, is out of state, and will not attend the hearing. d. (Change of residence only) Filed with this petition is a proposed Order Appointing Court Investigator (form GC-330). 7. Petitioner believes the minor proposed conservatee will will not attend the hearing. 8. Number of pages attached: ––– Date: ––––– * (Signature of all petitioners also required (Prob. Code, § 1020).) (SIGNATURE OF ATTORNEY *) I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Date: ––––– ––––– . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (TYPE OR PRINT NAME) (SIGNATURE OF PETITIONER) ––––– . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (TYPE OR PRINT NAME) (SIGNATURE OF PETITIONER) GC-110 [Rev. January 1, 2007] PETITION FOR APPOINTMENT OF TEMPORARY GUARDIAN OR CONSERVATOR Page twoGC-110