Fill and Sign the In Re the Conservatorship of Charles Addison Cynthia Form

IN THE CHANCERY COURT OF COUNTY, MISSISSIPPI IN THE MATTER OF THE CONSERVATORSHIP OF NO. COMPLAINT TO APPOINT CONSERVATOR COMES , Chancery Clerk of County, Mississippi and files this his Complaint to appoint conservator of the Estate of and would show unto the Court in support thereof the following:1.Plaintiff, , is the Chancery Clerk of County, Mississippi and files this Complaint in said capacity. is a resident of County, Mississippi, whose address is .2. is of advanced age, and because of such age, mental and physical incapacity is incapable of managing her own Estate and should have a conservator appointed to have charge and management of the property of .3. Plaintiff would show that he is a fit and proper person to be appointed as conservator of the Estate of due to the failure of the daughter of to properly care for the physical and estate needs of . 4.The daughter of who is made a party to this proceeding is: 5.The Estate of consists of monthly Social Security payments. The balance of her estate is unknown at the present time.WHEREFORE, PREMISES CONSIDERED, Plaintiff prays that this Complaint be received and filed, and that the interested parties be served with process, and that a hearing be set in term time or in vacation, and that at such hearing, the Court determine that is a person who, by reason of advanced age, mental and physical incapacity, is incapable of managing her own Estate and that as Chancery Clerk should be appointed as the conservator of the Estate of , and is a fit and proper person to be appointed as such.Plaintiff prays that, should the Court appoint a conservator as set forth in this Complaint, that the cost of this action, including a reasonable attorney's fee for the attorney for the Plaintiff be paid from the Estate of .Plaintiff prays for general relief. __________________________ STATE OF MISSISSIPPICOUNTY OF PERSONALLY appeared before me, the undersigned authority in and for the county and state aforesaid, the within named , who acknowledged to me that all matters, facts and things set forth in the above and foregoing Complaint to Appoint Conservator are true and correct as therein stated. __________________________ GIVEN under my hand and official seal this the day of , 20 . __________________________ NOTARY PUBLIC My Commission Expires:______________________