Application To Pay Or Deliver Estate Of An Incompetent Adult Without Appointment Of A Guardian Of Estate Form - Probate Court Of Cuyahoga County, Ohio

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PROBATE COURT OF CUYAHOGA COUNTY
 
 
 
Anthony J. Russo, Presiding Judge
Laura J. Gallagher, Judge
IN THE MATTER OF THE GUARDIANSHIP OF _________________________________________
CASE NUMBER: _____________________________
APPLICATION TO PAY OR DELIVER ESTATE OF AN INCOMPETENT ADULT WITHOUT
APPOINTMENT OF A GUARDIAN OF ESTATE
Now comes the undersigned and represents that __he is Guardian of the Person of _________________________,
aged _______years, who resides at_____________________________________________________________________,
who was on the _________day of ___________________, 20______, adjudge an incompetent person by the probate
Court of Cuyahoga County.The Guardian of the Person further represents that the above named person is the owner of, or
entitled to receive property not exceeding in value the sum of $25,000.00, described as follows:___________________
__________________________________________________________________________________________________
_________________________________________________________________________________________________.
The Guardian of the Person further represents that the above listed property constitutes the entire estate of the
person and that __he has no legally appointed Guardian of Estate.
The Guardian of the Person further represents that the funds or property received will be deposited or used for the
benefit of the ward as follows:
______ Funds to be deposited and held in a depository authorized to receive fiduciary funds; Verification of
Receipt and Deposit, Form 22.3 shall be filed with the Court within thirty days.
______Funds to be released to the Guardian of the Person and expended for the benefit of the ward as follows:
_____________________________________________________________________________________
____________________________________________________________________________________.
__________________________________________
____________________________________________
Attorney for Guardian
Guardian of Person
_______________________________________ ___
____________________________________________
Typed or printed name
Typed or printed name
__________________________________________
____________________________________________
Address
Address
__________________________________________________________
_____________________________________________________________
City
State
Zip
City
State
Zip
_________________________________________________________
_____________________________________________________________
Telephone Number (include area code)
Telephone Number (include area code)
________________________________________________________
Registration Number

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