Fill and Sign the This Petition is Submitted Pursuant to 15 14 112 C Form

JDF 857 R8/17 PETITION FOR APPOINTMENT OF CO-GUARDIAN OR SUCCESSOR GUARDIAN Page 1 of 3©2017 Colorado Judicial Department for use in the Courts of ColoradoDistrict Court Denver Probate Court___________________ County, ColoradoCourt Address:In the Interest of:Ward 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 CO-GUARDIAN  SUCCESSOR GUARDIAN This Petition is submitted pursuant to §15-14-112, C.R.S. and the Petitioner makes the following statements:1.Petitioner, (name), is an interested person. State relationship to Ward: 2.Letters of Guardianship were issued on (date).3.The previously appointed Guardian, (name)::joins in this petition.tendered a resignation approved by the Court on (date).died on _______________________ (date of death). was removed by a Court order issued on (date).is the Petitioner and hereby tenders his/her resignation. other:4.Petitioner is, 21 years of age or older, nominates himself/herself and requests to be appointed as Co- Guardian or Successor Guardian. or Petitioner nominates the following person, who is 21 years of age or older, to be appointed as Co-Guardian or Successor Guardian. Name: Street Address: Mailing Address, if different: City: State: Zip Code: Home Phone #: Email Address: Work Phone #: JDF 857 R8/17 PETITION FOR APPOINTMENT OF CO-GUARDIAN OR SUCCESSOR GUARDIAN Page 2 of 3©2017 Colorado Judicial Department for use in the Courts of Colorado5. The nominated Co-Guardian or Successor Guardian has priority for appointment because he/she is: (§15-14-310, C.R.S.)a Guardian currently acting for the Ward in Colorado or elsewhere.nominated in writing by Ward, including nomination in a durable power of attorney or designated beneficiary agreement. an agent under a medical power of attorney. an agent under a general durable power of attorney. the spouse or partner in a civil union of the Ward. the parent of the Ward. an adult child of the Ward. an adult with whom Ward has resided for more than six months immediately before the filing of this Petition.other: 6.The Co-Guardian or Successor Guardian may receive compensation.The hourly rates to be charged, any amounts to be charged pursuant to a published fee schedule, including the rates and basis for charging fees for any extraordinary services, and any other bases upon which a fee charged to the estate will be calculated, are as stated below or in an attachment to this Petition. *The basis of compensation has not yet been determined.7.The Co-Guardian or Successor Guardian may compensate his, her, or its counsel.The hourly rates to be charged, any amounts to be charged pursuant to a published fee schedule, including the rates and basis for charging fees for any extraordinary services, and any other bases upon which a fee charged to the estate will be calculated, are as stated below or in an attachment to this Petition. *The basis of compensation has not yet been determined.* There is a continuing obligation to disclose any material changes to the basis for charging fees. (§ 15-10-602 C.R.S.)8. The Petitioner hereby adopts the statements in the original petition for appointment that led to the appointment of the current Guardian. 9.Petitioner requests that the nominee be appointed as Co-Guardian or Successor Guardian and that Letters of Guardianship be issued forthwith after the following event: JDF 857 R8/17 PETITION FOR APPOINTMENT OF CO-GUARDIAN OR SUCCESSOR GUARDIAN Page 3 of 3©2017 Colorado Judicial Department for use in the Courts of Colorado By checking this box, I am acknowledging I am filling in the blanks and not changing anything else on the form. By checking this box, I am acknowledging that I have made a change to the original content of this form.(Checking this box requires you to remove JDF number and copyright at the bottom of the form.) VERIFICATION AND ACKNOWLEDGMENT I (Petitioner) verify that the facts set forth in this document are true as far as I know or am informed. I understand that penalties for perjury follow deliberate falsification of the facts stated herein. (§15-10-310, C.R.S.) ____________________________________________ Signature of Petitioner DateThe foregoing instrument was acknowledged before me in the County of ________________, State of Colorado, this ____day of ____________, 20___, by the Petitioner.My Commission Expires: ________________ _____________________________________________ Notary Public/Deputy Clerk ______________________________________Signature of Attorney Date CERTIFICATE OF SERVICE I certify that on ________________________ (date) a copy of this Petition for Appointment of Co-Guardian or Successor Guardian was served on each of the following:Name of Person to Whom you are Sending this DocumentRelationship to Protected PersonAddressManner of Service* Protected Person*Insert one of the following: Hand Delivery, First-Class Mail, Certified Mail, E-Served or Faxed. ___________________________________________Signature Note:The Petitioner must contact the Court to set a date and time for a hearing.