Petitioner asks that:
(a) Name _______________________________ whose address is ______________________________________
___________________________________________________________________ (if an individual add) age
_______ years, occupation _____________ qualified and willing to act, be appointed as guardian of the (estate)
(estate and person) of the minor;
(b) Name ___________________________ whose address is ___________________________________________
_____________________________________________________________________________ age _____ years,
occupation ________________________________________qualified and willing to act, be appointed as guardian
of the person of the minor.
__________________________________________
Petitioner
Address ___________________________________
__________________________________________
Signed and Sworn to before me
_________________________ 20 ____
_______________________________
Notary Public
NOMINATION
I, a minor 14 years of age or more, nominate ________________________________________ as guardian
of my (estate) (estate and person) and _____________________________ as guardian of my person.
___________________________ 20 ____
____________________________________
(minor)
Name _______________________________________
Attorney for __________________________________
Address _____________________________________
City ________________________________________
Telephone ___________________________________
____________________________________________________________________________________________________
LASALLE COUNTY CIRCUIT CLERK
OTTAWA, ILLINOIS