Fill and Sign the Colorado Sworn Statement Form

 District Court  Denver Probate Court ___________________ County, Colorado Court Address: In the Interests of: Ward COURT USE ONLY Attorney or Party Without Attorney (Name and Address): Phone Number: E-mail: FAX Number: Atty. Reg. #:: Case Number: Division Courtroom REGISTRATION AND RECOGNITION OF GUARDIANSHIP ORDERS FROM OTHER STATES AND SWORN STATEMENT – GUARDIAN FOR ADULT This Registration and Recognition of Guardianship Orders from Other States and Sworn Statement – Guardian for Adult is submitted pursuant to §15-14.5-401, C.R.S of the Uniform Adult Guardianship and Protective Proceedings Jurisdiction Act. I, ____________________________________, was appointed as the guardian for an adult in the State of ______________________ on _________________. As the guardian I hereby file with this Court the following documents:  Certified, exemplified, or authenticated copies of the foreign court’s order appointing me as guardian;  Certified, exemplified, or authenticated copies of the foreign court’s letters or other documents evidencing or affecting my authority to act as guardian;  Certified, exemplified, or authenticated copies of any bonds filed with the appointing foreign court;  Other: . I state no petition for a guardian is pending in Colorado for the incapacitated person. The statutorily required notice to the foreign appointing court of an intent to register was given on ________________________________.  By checking this box, I am acknowledging I am filling in the blanks and not changing anything else on the form.  By checking this box, I am acknowledging that I have made a change to the original content of this form. (Checking this box requires you to remove JDF number and copyright at the bottom of the form.) Page 1 of 2 JDF 893 R8/17 Registration and Recognition of Guardianship Orders from Other States and Sworn Statement – Guardian for Adult ©2014 Colorado Judicial Department for use in the Courts of Colorado VERIFICATION AND ACKNOWLEDGMENT As the foreign guardian, I swear/affirm under oath, and under penalty of perjury, that I have read the foregoing REGISTRATION AND RECOGNITION OF GUARDIANSHIP ORDERS FROM OTHER STATES AND SWORN STATEMENT – GUARDIAN FOR ADULT and that the statements set forth therein are true and correct to the best of my knowledge. Date: ___________________________ _____________________________________________ Signature of Foreign Guardian _____________________________________________ Street _____________________________________________ City/State/Zip Code _____________________________________________ Daytime Phone Number Subscribed and affirmed, or sworn to before me in the County of ______________________, State of __________________, this ___________ day of _______________, 20______. My Commission Expires: ___________________ ______________________________________ Notary Public/Deputy Clerk Page 2 of 2 JDF 893 R8/17 Registration and Recognition of Guardianship Orders from Other States and Sworn Statement – Guardian for Adult ©2014 Colorado Judicial Department for use in the Courts of Colorado