Fill and Sign the Wisconsin Foreign Form

STATE OF WISCONSIN, CIRCUIT COURT,       COUNTY For Official Use IN THE MATTER OF             Petition for Receipt and Acceptance of Foreign Guardianship to Transfer Guardianship to Wisconsin       Date of Birth Case No.       UNDER OATH, I STATE THAT: 1. My name, residence and current address is:       2. Any relationship that I have to the foreign ward (other than as foreign guardian) is:       . 3. This Petition for Receipt and Acceptance of a Foreign Guardianship to Transfer Guardianship to Wisconsin is being filed in the circuit court of the county in which the foreign ward resides or intends to reside. 4. FOREIGN (OUTSIDE WISCONSIN) GUARDIANSHIP A. The address of the court that issued the foreign guardianship order is:       B. The name, age, principal residence, and current address of the foreign ward is:       C. The name and address of the guardian(s) appointed for the foreign ward is:       D. A certified copy of the foreign guardianship order is attached to this petition, including: 1) All attachments that describe the duties and powers of the foreign guardian; 2) All amendments or modifications to the foreign guardianship order that were entered after issuance of the original foreign guardianship order, including any order to transfer the foreign guardianship. E. A listing of any other guardianship petitions for the foreign ward that are pending or that have been filed in any jurisdiction at any time within 24 months before the filing of this petition, and the names and addresses of the courts in which the petitions have been filed, is as follows: See attached.       . GN-3800, 04/07 Petition for Receipt and Acceptance of a Foreign Guardianship §§54.30(2), 54.34 (3), 54.38 (1m), 54.40, 54.44 (1)(c), 54.46 (1m) and (1r), Wisconsin Statutes This form shall not be modified. It may be supplemented with additional material. Page 1 of 3 Petition for Receipt and Acceptance of Foreign Guardianship to Transfer Guardianship to Wisconsin Page 2 of 3 Case No. F. The name and address of any spouse of the foreign ward and any adult children, parents, or adult siblings of the foreign ward. If there are none, then the name and address of at least one adult who is next closest in degree of kinship to the foreign ward, if available, is as follows: See attached. NAME RELATIONSHIP POST-OFFICE ADDRESS                   G. The name and address of any person other than the foreign guardian who is responsible for the care or custody of the foreign ward is:       H. The name and address of any legal counsel of the foreign ward, including the name of any guardian ad litem appointed by the foreign court is as follows:       . 5. TRANSFER OF THE FOREIGN GUARDIANSHIP TO WISCONSIN A. The reason for the transfer is as follows:       B. The foreign guardian is presently in good standing with the foreign court. C. The foreign guardian is not moving or has not moved from the foreign jurisdiction in order to avoid or circumvent the provisions of the foreign guardianship order. D. The transfer of the foreign guardianship is in the best interests of the ward. 6. FOREIGN WARD’S PROPERTY, LOCATION, ESTIMATED VALUE, SOURCE AND AMOUNT OF ANY OTHER ANTICIPATED INCOME OR RECEIPTS A. The approximate value of foreign ward’s property is: See attached. General Description Amounts Location Cash/Bank Accounts: $             Real estate: $             Other Liquid Assets: $             Other Assets : $             B. Assets of individual previously derived from or benefits of individual now due and payable from U.S. Department of Veterans Affairs are: None.       See attached . C. The individual is receiving public benefits, including medical assistance, SSI, SSDI or long term community options program benefits: No Yes, type and amount:       GN-3800, 04/07 Petition for Receipt and Acceptance of Foreign Guardianship to Transfer Guardianship to Wisconsin §§54.30(2), 54.34 (3), 54.38 (1m), 54.40, 54.44 (1)(c), 54.46 (1m) and (1r), Wisconsin Statutes This form shall not be modified. It may be supplemented with additional material. Page 2 of 3 Petition for Receipt and Acceptance of Foreign Guardianship to Transfer Guardianship to Wisconsin Page 3 of 3 Case No. D. Any other claim, income, compensation, pension, insurance or allowance to which the individual may be entitled is: None. as follows: See attached. General Description Amounts (monthly) Social security $       Pension       $       Disability       $       Investment Income       $       Other source       $       Other source       $       7. MODIFICATION OF GUARDIANSHIP A Petition for Review and Modification of Guardianship relating to the terms of the foreign guardianship is attached. I REQUEST THAT THE COURT: 1. Grant this Petition for Receipt and Acceptance of Foreign Guardianship to Transfer Guardianship to Wisconsin. 2. Modify the provisions of the foreign guardianship as necessary to conform the foreign guardianship order to the requirements of chapter 54 and other requirements of this state. Subscribed and sworn to before me on       Notary Public/Court Official My commission expires:       Signature of Petitioner       Name Printed or Typed       Current Address       Name of Attorney       Address       Telephone Number       Bar Number       GN-3800, 04/07 Petition for Receipt and Acceptance of Foreign Guardianship to Transfer Guardianship to Wisconsin §§54.30(2), 54.34 (3), 54.38 (1m), 54.40, 54.44 (1)(c), 54.46 (1m) and (1r), Wisconsin Statutes This form shall not be modified. It may be supplemented with additional material. Page 3 of 3