Fill and Sign the Petition Appointment Conservator Form

 District Court  Denver Probate Court ___________________________________ County, Colorado Court Address: IN THE MATTER OF THE ESTATE OF: Respondent COURT USE ONLY Attorney or Party Without Attorney (Name and Address): Phone Number: E-mail: FAX Number: Atty. Reg.#: Case Number: Division Courtroom PETITION FOR APPOINTMENT OF CONSERVATOR FOR  Minor  Adult 1. Petitioner, _______________________________________________________________________________ (name) __________________________________________________________________________________________________ (residence and current address if different) ______________________________________________________________________________________________________________ (relationship to respondent)  is interested in the estate, financial affairs or welfare of the protected person. (State nature of interest.) _______________________________________________________________________________________.  is the above person.  is a person who would be aversely affected by lack of effective management of the respondent’s property and business. 2. The respondent, age ________, was born on (date) _________________and resides at ___________________ ____________________________________in the County of ________________________, State of Colorado.  Under this conservatorship, the respondent’s dwelling is likely to be changed to __________________________________________________________________. The reason for the change of dwelling is _____________________________________________________________________________. 3. Venue for this proceeding is proper in this county because the respondent  resides in this county.  does not reside in Colorado, but property of the person is located in this county. 4. The name and address of the person’s guardian, if any, is _________________________________________ _______________________________________________________________________________________. 5. A conservatorship or other protective order is in the best interest of the respondent because: (§15-14-403(2)(h), C.R.S.) ________________________________________________________________________________________ ______________________________________________________________________________________________ 6 .  A conservator is required because the respondent is a minor and: (§15-14-401(1)(a), C.R.S.) CPC 29 R1/01 PETITION FOR APPOINTMENT OF CONSERVATOR Page 1 of 3 This form conforms in substance to CPC 29.  the minor owns money or property that requires management or protection which cannot otherwise be provided; or  the minor has or may have business affairs which may be put at risk or prevented because his or her age; or  the minor requires money for support and education, and protection is necessary or desirable to obtain or provide money. 7.  A conservator is required because the respondent (whether an adult or minor) is unable to manage property and business affairs because of an inability to effectively receive or evaluate information or both or to make or communicate decisions, even with the use of appropriate and reasonably available technological assistance, or because the respondent is missing, detained, or unable to return to the United States, and: (§15-14-401(1)(b)(I), C.R.S.)  the respondent has property which will be wasted or dissipated unless proper management is provided; or  the respondent, or persons entitled to the respondent’s support, require money for support, care, education, health, and welfare, and protection is necessary or desirable to obtain or provide money.  T he nature and extent of the respondent’s disability or impairment is: (§15-14-403(2)(b), C.R.S.) _________ ____________________________________________________________________________________________  The time and nature of respondent’s disappearance or detention and any efforts to locate respondent are: (§15-14-403(2)(c), C.R.S.) ________________________________________________________________ __________________________________________________________________________________________ 8. The following is a general statement of the property of the person, together with an estimate of the value, including any insurance or pension, and the source and amount of any other anticipated income or receipts: (§15-14-403(2)(g), C.R.S.) Description and Location Estimated Value or Income 9.  Limited conservatorship is requested. The following powers should be granted to the limited conservator: (§15-14-403(3)(c), C.R.S.) ______________________________________________________________________ ____________________________________________________________________________________________  Unlimited conservatorship is requested. The reason why limited conservatorship is inappropriate is: §15- 14-403(3)(c), C.R.S.) __________________________________________________________________________ ___________________________________________________________________________________________ 10 .  It is necessary to appoint a special conservator for the respondent until a hearing can be held on the petition because: (§§15-14-405(2), (15-14-406(7), C.R.S.) ___________________________________________ ____________________________________________________________________________________________  It is necessary to appoint a special conservator to assist in the accomplishment of a protective arrangement or other authorized transaction. (§15-14-412(3), C.R.S.) ________________________________ ____________________________________________________________________________________________ 11. Petitioner nominates _______________________________________________________________________ (name, address and telephone number of petitioner’s nominee for conservator) _______________________________________________________________________________________ who has priority for appointment as conservator because: (§15-14-413, C.R.S.) ___________________________ CPC 29 R1/01 PETITION FOR APPOINTMENT OF CONSERVATOR Page 2 of 3 This form conforms in substance to CPC 29. ________________________________________________________________________________________________ 12. The name and address of the respondent’s spouse, or if none, an adult with whom the respondent has resided for more than six (6) months within one year before filing this petition is: _______________________ ________________________________________________________________________________ The name and address of each of respondent’s adult children is: ___________________________________ _______________________________________________________________________________________ _______________________________________________________________________________________ The names and addresses of respondent’s parents are: __________________________________________ _______________________________________________________________________________________ If the respondent has neither spouse, adult child, nor parent, give the name and address of at least one (1) of the adults nearest in kinship to the respondent who can be found with reasonable efforts: ________________ _______________________________________________________________________________________ The name and address of each person responsible for care or custody of the respondent, including the respondent’s treating physician: _____________________________________________________________ _______________________________________________________________________________________ The name and address of each legal representative of the respondent is: (§15-14-102(6), C.R.S.) ____________ _________________________________________________________________________________________________ _________________________________________________________________________________________________ The name and address of each person nominated as conservator by the respondent is: (§15-14-403(4)(b), C.R.S.) ________________________________________________________________________________ _______________________________________________________________________________________ If respondent’s nomination is by written instrument, attach a copy. The persons listed above will be given notice of the time and place for hearing on this petition. (§§15-14-403(2) (a)-(f), 15-14-404(1)(2), C.R.S.) PETITIONER REQUESTS that the Court set a time and place of hearing; that the Court appoint a visitor; that after notice and hearing the Court find that appointment of a conservator is proper; that the Court determine those persons to whom notice of hearing should be given on any subsequent petition or motion for an order; that the Court appoint the nominee as conservator and that Letters of Conservatorship be issued;  that the Court appoint a special conservator. (§§15-14-406(7) or 15-14-412(3), C.R.S.)  Petitioner further requests _____________________________________________________________. Date: _____________________________ _________________________________ __________________________________ Signature of Attorney for Petitioner Signature of Petitioner CPC 29 R1/01 PETITION FOR APPOINTMENT OF CONSERVATOR Page 3 of 3 This form conforms in substance to CPC 29.