Fill and Sign the List Interested Persons Form

STATE OF VERMONT PROBATE COURT DISTRICT OF ____________ In Re the Estate of: ) DOCKET No. __________ ) __________________ ) , Deceased ) ) ) LATE OF ) ) __________________ . ) ) ) LIST OF INTERESTED PERSONS FOR A GUARDIANSHIP List here all persons interested in the guardianship proceeding. For a minor, the list must include the proposed ward, the parent(s) of the proposed ward, the proposed guardian, and any person who has had principal care and custody of the proposed ward during the last 30 days. For an adult, the list must include the proposed ward, the proposed guardian, the spouse of the proposed ward or, if none, the parents of the proposed ward, the adult children of the proposed ward if the spouse is proposed as guardian, the nearest adult relative of the proposed ward if the proposed ward has no living parent, spouse or adult child, if a durable power of attorney for health care has been executed by the ward, the person named therein as the agent, and anyone else directed by the court. List the attorney for the proposed ward, if known. Each listing must include the name, mailing address, including zip code, and the relationship of the person to the proposed ward. Use additional forms if necessary. Name (Print) Mailing Address Relationship _____________________ _____________________ _____________________ _____________________ _____________________ _____________________ _____________________ _____________________ _____________________ _____________________ _____________________ _____________________ _____________________ _____________________ _____________________ _____________________ _____________________ _____________________ _____________________ _____________________ _____________________ _____________________ _____________________ _____________________ Rev. 3/2/92