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IN THE CIRCUIT COURT OF ___________ COUNTY, ILLINOIS
COUNTY DEPARTMENT - PROBATE
DIVISION
ESTATE
OF ) NO.
) ) DOCKET
)
A
DISABLED PERSON ) PAGE
PETITION TO APPOINT SUCCESSOR
GUARDIAN
NOW
COMES petitioner, _____________________________legal guardian of the person
of
_________________________,(hereinafter "the ward"), a disabled
person, and pursuant to 755 ILCS 5/11a-15 (1996) respectfully states as
follows:
1.
__________________________________________ was duly appointed legal plenary
guardian of the person of the ward on
_______________________by this court and has served in that capacity
continuously to the present.
2.
__________________________________has expressed a willingness to serve as
successor plenary guardian of the person of the ward.
3. The proposed successor guardian resides at
____________________________________________________________________________:
4.
The proposed successor guardian’s relationship to the ward
is___________________:
5.
The proposed successor guardian visits the ward _______ times
(weekly/monthly/annually).
6. The legal guardian believes it to be in the
best interests of the ward that
___________________________________________________ be appointed as successor
guardian of the person.
WHEREFORE, the legal guardian, respectfully prays:
1. _______________________________, legal
guardian is discharged as plenary guardian of person of
_______________________________________________.
2.
____________________________________________ is appointed successor plenary
guardian of the person of
____________________________________________.
3. Any other relief this Court deems just and
equitable.
Respectfully
submitted,
By: Legal
Guardian
REPORT
ON WARD
The ward is _____ years old and currently resides at
_____________________________________________________________________________. The ward has a diagnosis of
_______________________________________________________.
VERIFICATION UPON
AFFIRMATION
I
affirm under penalty of perjury that I am a the legal guardian of the ward ,
that I am familiar with the circumstances relating to the estate herein, that I
have read the foregoing, and that the facts and matters stated therein are true
and accurate.
_______________________________
Pro Se
Name:
Address:
Telephone # ( )
IN
THE CIRCUIT COURT OF __________ COUNTY, ILLINOIS
COUNTY DEPARTMENT - PROBATE
DIVISION
ESTATE
OF ) NO.
)
) DOCKET
)
A
DISABLED PERSON ) PAGE
ORDER APPOINTING SUCCESSOR
GUARDIAN
THIS
MATTER, coming to be heard on the Petition of the Legal Guardian to Appoint
Successor Guardian, due notice having been provided, and the Court being fully
advised in the premises, IT IS HEREBY ORDERED:
1. _____________________________________________
is discharged as Plenary Guardian of the Person of the ward and Letters of
Office heretofore issued are revoked.
2. _________________________________________
is appointed Successor Plenary Guardian of the person of ___________________________________ , and
Letters of Office shall accordingly issue forthwith.
ENTERED:
Pro Se
Name:
Address:
Telephone # ( )
IN THE CIRCUIT COURT OF _________COUNTY,
ILLINOIS
COUNTY DEPARTMENT - PROBATE
DIVISION
ESTATE
OF ) NO.
)
) DOCKET
)
A
DISABLED PERSON ) PAGE
AFFIDAVIT
I, ______________________________, under oath
state:
1. that I am the Proposed successor guardian in
the above-captioned case,
2. that I have attained the age of 18,
3. that I am a resident of the United States,
4. that I am of sound mind,
5. that I am not adjudged a disabled person,
6. that I have never been convicted of a felony,
7. that I was born on and am years of age,
8. that my current occupation is ,
9. that I am capable of providing an active and suitable program of
guardianship for the above-named disabled person.
Signed and sworn to before me
this day of , 20 .
Notary Public ________________
OATH AND BOND OF REPRESENTATIVE - NO
SURETY (Rev. 6-89)
IN THE CIRCUIT COURT OF COOK COUNTY,
ILLINOIS
COUNTY DEPARTMENT - PROBATE
DIVISION
ESTATE
OF ) NO.
)
) DOCKET
)
A
DISABLED PERSON ) PAGE
OATH AND BOND OF REPRESENTATIVE - NO
SURETY
I, , on oath
states that I will discharge faithfully the duties of the office of
representative, and it acknowledges that it is bound to the People of the State
of Illinois to the faithful discharge of those duties in an amount equal to
double the value from time to time of the personal estate.
____________________________________
APPROVED:
, 20
Judge
Signed
& sworn before me
, 20__
____________________________
(Clerk
of Court) (Notary Public)
Pro Se
Name:
Address:
Telephone # ( )