Fill and Sign the Ny Guardian Form

SURROGATE'S COURT OF THE STATE OF NEW YORK COUNTY OF __________________________ Proceeding for the Appointment of a PermanentGuardian of the Person and Estate of _____________________ An Adult (Name of Respondent) Family File No._________TO THE FAMILY COURT:Affidavit of Proposed Guardian of the Person and Property of ___________________ (Name of Respondent) Pursuant to SCPA Article 17-ASTATE OF NEW YORK )COUNTY OF________________) ss.:To the Surrogate’s Court, County of _______________________The undersigned ________________________ (Name of one of the Guardians) , being duly sworn, deposes and says:1. I am a competent person over the age of eighteen (18) years, and I submit this affidavit in support of my Petition to be appointed one of the guardians of a mentally retarded developmentally disabled person.2. I have known the subject respondent since birth by reason of the fact that I am his father.3. I reside at ______________________________________________________________ _______________ (street address, city, county, state, zip code), and the other resident members of the household are: (Include all persons residing there and their dates of birth.) ________________________________________________________________________________________________________________________________________________________4. My educational background is as follows: (describe) ____________________________ ________________________________________________________________________________________________________________________________________________________5. Not including minor traffic offenses and adjudications as a youthful offender or juvenile delinquent, I have never been convicted of an offense against the law. 6.I have never forfeited bail or other collateral. 7. I do not have any criminal charges pending against me. 8. I have no physical or mental impairment, or medical condition, which would interfere with my ability to perform the duties of guardian of the mentally retarded developmentally disabled person.9. I am not addicted to narcotics or to alcohol.10. I am willing and able to undertake care, custody and control of the Respondent until the court determines otherwise.11. I believe that my appointment as guardian would be in the best interests of the respondent for the following reasons: (State reasons) _________________________________ ________________________________________________________________________________________________________________________________________________________._______________________________________(Signature of Proposed Guardian)_______________________________________(Print Name)Sworn to before me this_______ day of ______________, 20______.___________________________________Notary PublicCommission Expires:(Affix Notary Stamp or Seal