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Fill and Sign the Count Me in Resource Manual on Disabilities Form

Fill and Sign the Count Me in Resource Manual on Disabilities Form

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JDF 857 SC R6/1 9 PETITION FOR APPOINTMENT OF CO-GUARDIAN OR SUCCESSOR GUARDIAN Page 1 of 4  District Court  Denver Probate Court ___________________ County, Colorado Court Address: I n the Interest of: Ward /Minor COURT USE ONLY Attor ney or Party W ithout Attorney (n ame and ad dress): Phone Number: E-mail: FAX Number: Atty. Reg. #: Case Number: Division Courtroom PETITION FOR APPOINTMENT OF  CO -GUARDIAN  SUCCES SOR GUARDIAN This Petition is submitted pursuant to § 15 -14 -112, C.R.S. and the Petitioner makes the following statements: 1. Petitioner , (name), i s an interested person. Street Address : City: ____________________ State: __________________ Zip Code: _______________________ Mailing Address, if different: City: State: Zip Code: Prim ary Phone: ______________________ Alternate Phone: _______________ Email Address: 2. Petitioner relationship to ward or minor : _____________________________________________________ 3. Letters of G uardianship were issued on (date). 4. The previously appointed guardian, (name) :  join s in this petition.  tendered a r esignation approved by the court on (date) .  d ied on _________________ ______ (d ate of death ).  w as removed by a court order issued on (date).  is the petitioner and hereby tenders his or her resignation.  other: 5.  Petitioner is, 21 years of age or older, nominates himself or herself and requests to be appointed as  Co - G uardian or  Su ccessor Guardian. or  Petitioner nominates the following person, who is 21 years of age or older, to be appointed as  Co- G uardian or  Successor Guardian. Name: Street Address : JDF 857 SC R6/1 9 PETITION FOR APPOINTMENT OF CO-GUARDIAN OR SUCCESSOR GUARDIAN Page 2 of 4 City: __________________ State: _____________________ Zip Code: _______________ Mailing Address, if different: City: State: Zip Code: Prim ary Phone: _______________________ Alternate Phone: _________________________ Email Address: 6. The nominated  Co-G uardian or  Su ccessor Guardian has priority for appointment because he or she is: (§ 15-14 -310, C.R.S.)  a guardian currently acting for the Ward in Colorado or elsewhere.  nominated in writing by W ard, including nomination in a durable power of attorney or designated beneficiary agreement.  a n a gent under a medical power of attorney .  an a gent under a general durable power of attorney .  the s pouse or partner in a civil union of the ward.  the parent of the ward.  an a dult child of the ward.  an adult with whom ward or minor has resided for more than 6 months immediately before the filing of this p etition.  other: 7. The Co-Guardian or Successor Guardian may receive compensation.  The hourly rates to be charged, any amounts to be charged pursuant to a published fee schedule, including the rates and basis for charging fees for any extraordinary services, and any other bases upon which a fee charged to the estate will be calculated, are as stated below or in an attachment to this p etition. *  The basis of compensation has not yet been determined. * There is a continuing obligation to disclose any material changes to the basis for charging fees. (§ 15- 10-602, C.R.S.) 8. The Co-Guardian or Successor Guardian may compensate his, her, or its counsel.  The hourly rates to be charged, any amounts to be charged pursuant to a published fee schedule, including the rates and basis for charging fees for any extraordinary services, and any other bases upon which a fee charged to the estate will be calculated, are as stated below or in an attachment to this p etition. *  The basis of compensation has not yet been determined. * There is a continuing obligation to disclose any material changes to the basis for charging fees. (§ 15- 10-602 C.R.S.) JDF 857 SC R6/1 9 PETITION FOR APPOINTMENT OF CO-GUARDIAN OR SUCCESSOR GUARDIAN Page 3 of 4 9. The petitioner hereby adopts the statements in the original petition for appointment that led to the appointment of the current guardian. 10. Petitioner requests that the nominee be appointed as C o-G uardian or Successor Guardian and that Letters of G uardianship be issued  immediately  after the following event :  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. VERIFICATION I declare under penalty of perjury under the law of Colorado that the foregoing is true and correct. Executed on the ______ day of Executed on the ______ day of (date) (date) _______________________, _________, _______________________, _________, (month) (year) (month) (year) at ______________________________________ at ______________________________________ (city or other location, and state OR country) (city or other location, and state OR country) _______________________________ _______________________________ (printed name) (printed name) _______________________________ _______________________________ (Signa ture of Petitioner ) (Signature of Co- Petitioner, if any) _________________________________________ __________________ Attorney Signature, (if any) Date CERTIFICATE OF SERVICE I certify that on ___________________ (date), a copy of this _______________ (name of document) was served as follows on each of the following: Name and Address Relationship to Decedent, Ward, or Protected Person Manner of Service* *Insert one of the following: hand delivery, first -class mail, certified mail, e -service, or fax. JDF 857 SC R6/1 9 PETITION FOR APPOINTMENT OF CO-GUARDIAN OR SUCCESSOR GUARDIAN Page 4 of 4 ________________________________________ Signature Note: • The petitioner must contact the c ourt to set a date and time for a hearing.

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