Guardianship Petition Application Page 4

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4. Names and ages of other children in your home at the present time:
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
5. Has proposed Guardian or Spouse ever been arrested? If so, for what and where was the arrest?
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
6. List all adults and children currently living in proposed guardian’s home, including petitioner(s) and
minor: **(See below)
NAME____________________________AGE______________RELATIONSHIP TO GUARDIAN
_________________________________________________________________________________
_________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
(**ALL ADULTS 18 YRS OR OLDER MUST CONSENT TO A CRIMINAL BACKGROUND
CHECK)
7. Reason for this Guardianship: (Explain fully)
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
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