Fill and Sign the Fillable Online Aucegypt Plan 093684 Auc Custodial Form

(Over) Name Of Mother, And Address If Living The reason for seeking a guardian, and information concerning the ne ed, type and person(s) to appoint are: A statement of the assets and liabilities of the minor, including any in come and receivables to which the minor is entitled, is set forth on the reverse side of this Application. If applicable in the proceeding identified below custo dy of the minor was awarded a guardian of the minor was appointed the Last Will and Testament of the minor's pa rent(s), recommending the applicant(s) as guardian(s) for the minor, was admitted to probate. (Attach copy of custody or guardianship order or probated will, if available.) I hereby acknowledge receipt of the AOC-SP-850, "Responsibilities Of Guardia ns In North Carolina" or I acknowledge that said pamphlet is available online at www.nccourts.org/forms and I further acknowledge that I am required to comply with said responsibilities and to manage the guardianship estate in accordance with North Carolina law. The minor resides or is domiciled in this county. The parents of the minor are listed below. (Attach copy(ies) of death certificate(s) if parent(s) not living.) 1. 2. 4. 5. 6. 7. Other persons known to have an interest in this proceeding are: 3. The undersigned, being duly sworn, applies to be appointed guardian (s) for the minor named above, to serve in the capacity indicated, and in support of this Application state(s): Date Of Death, If Not Living Date Of Order Or Probate File Or Other Identification No. Relationship To Minor Or Interest In Proceeding Name And Address County Of Estate Administration Date Of Death, If Not Living County Of Estate Administration Name Of Father, And Address If Living Telephone No. Name And Street Address, PO Box, City, State And Zi p Of Applicant 2 Name And Address Of Attorney For Applicant(s) County Of Residence Of Applicant 2 Telephone No. APPLICATION FOR APPOINTMENT OF FOR A MINOR Name And Street Address, PO Box, City, State And Zi p Of Applicant 1 County Of Residence Of Minor Social Security No. (Last Four Digits) Age Date Of Birth County Of Residence Of Applicant 1 Applicant(s)'s Relationship Or Interest In Proceeding Telephone No. IN THE MATTER OF THE ESTATE OF: Name And Address Of Minor G.S. 35A-1221, 35A-1225 GUARDIAN OF THE ESTATE GUARDIAN OF THE PERSON GENERAL GUARDIAN STATE OF NORTH CAROLINA File No. County Of Proceeding Name And Address Of Custodian Or Guardian, If Any Relationship To Minor Or Interest In Proceeding Name And Address (Over) In The General Court Of Justice Superior Court DivisionBefore The Clerk County AOC-E-208, Rev. 4/11 © 2011 Administrative Office of the Courts (TYPE OR PRINT IN BLACK INK) 2. County Where Notarized Title Date Date1. Right Of Action For Injury, Etc. ( NOTE: Increase bond before receipt .) 2. Interests In Real Property 3. Custodial Accounts, Trust Income Or Other Resources Available For Support Of Minor, NOT Administered Or Received By Guardian (Attach itemized list) TOTAL PART II. $ $ $ $ TOTAL PART III. Mortgage Loans Other Secured Loans Or Obligations Unsecured Obligations Other 1. 3. 4. (Policy No.) Custodian, Trustee, Attorney-in-fact, Etc. (Name) Major medical or similar insurance is in effect through: (Name Of Insurer) PART III. LIABILITIES Relationship To Minor TOTAL PART I. (base bond on this amount) $ $ $ $ Parent Parent Custodian Guardian Relationship To Minor Signature Of Person Authorized To Administer Oaths Signature Of Person Authorized To Administer Oaths SEAL SEAL County Where Notarized Date Commission Expires SWORN/AFFIRMED AND SUBSCRIBED TO BEFORE ME SWORN/AFFIRMED AND SUBSCRIBED TO BEFORE ME Title Title Date Estimated Value Description EstimatedValue Description A copy of this Application and written notice of the time, date and place set for a hearing, shall be served on any parent, guardian or legal custodian of the minor who is not an applicant and who does not sign the waiver and consent above, and any other person the C lerk may direct, including the minor. Service shall be as provided by Rule 4 of the Rules of Civil Procedure unless the C lerk directs otherwise. G.S. 35A-1222. NOTE: PART I. PROPERTY OF MINOR'S ESTATE VERIFICATION I, the undersigned applicant, have read this Application and stat e that its contents are true to my own knowledge except those matt ers stated on information and belief, which I believe to be true. Signature PART II. OTHER PROPERTY Estimated Annual Income Interest And Dividends,Etc....... Rental Income.......................... Annuity, Pension Or Retirement Benefits, Social Security, Disability Or Other Compensation, Insurance Proceeds, Injury Settlement Or Other Periodic Payments........... Subtotal Of Line 8 Other Signature Of Applicant 1 Signature Of Applicant 2 WAIVER OF NOTICE/CONSENT TO GUARDIANSHIP Each of the undersigned hereby waives notice of a hearing on this Application and consents to the appointment of the applicant(s) as guardian(s) for the minor to serve in the capacity indicated. Signature 9. 8. AOC-E-208, Side Two, Rev. 4/11 © 2011 Administrative Office of the Courts Guardian Custodian Guardian Name Of Applicant 1 (Type Or Print) Name Of Applicant 2 (Type Or Print) Date Date Date Date Date Commission Expires County Where Notarized Signature Of Person Authorized To Administer Oaths Signature Of Person Authorized To Administer Oaths SEAL SEAL Date Commission Expires SWORN/AFFIRMED AND SUBSCRIBED TO BEFORE ME SWORN/AFFIRMED AND SUBSCRIBED TO BEFORE ME Title Date 1. Insurance Proceeds 2. Injury Settlements 3. Cash And Uncashed Checks On Hand 4. Accounts 5. Stocks And Bonds 6. Farm Products, Livestock And Equipment 7. Miscellaneous Personal Property County Where Notarized Date Commission Expires 0.00 0.00 0.00 0.00