Petition To Appoint A Guardian For A Minor Form - County Of Winnebago, Illinois Page 2
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26. _______________________________, the biological father of the above-mentioned minor:
a)
has consented to the appointment of ______________________________ as guardian;
b)
is unwilling and/or unable to make and carry out the day-to-day child care decisions
concerning the minor;
c)
has a last known address of _______________________________________________________
d)
Is deceased; or _________________________________________________________________
e)
has had his parental rights terminated (a copy of the Order is attached and herein incorporated); or
f)
is unknown.
7. a)
Petitioner is unaware of another appointment of a guardian for the minor or of any juvenile,
adoption, parentage, dissolution or guardianship court action concerning the minor.
b)
There are other court actions involving the minor pending in case number ________________, in
the county of ______________________, State of _________________.
8. a)
This guardian was designated by a parent of the minor in (i) a written instrument dated
____________________, (ii) a will admitted to probate on _________________, a copy of
which is attached to or made a part of this petition.
b)
Petitioner is unaware of any designation of guardian by a parent of the minor.
9. It is in the minor’s best interest that ____________________________________ be appointed guardian of
(proposed guardian name)
_____________________________ because: _________________________________________________
(person, estate or person & estate)
__________________________________________________________________________________________________________
__________________________________________________________________________________________________________
__________________________________________________________________________________________________________
Accordingly, Petitioner asks that ____________________________________________________, residing at
(
)
name of person qualified and willing to act as guardian
______________________________________________________________, who is qualified and willing to
(complete address)
act, be appointed as guardian of ___________________________________________________________
(person, estate or person & estate)
Under penalties as provided by law pursuant to Section 1-109 of the Code of Civil Procedure, the undersigned
certifies that the statements set forth in this instrument are true and correct, except as to matters therein stated
to be on information and belief and as to such matters the undersigned certifies as aforesaid that they verily
believe the same to be true.
__________________________________________
Petitioner’s Signature
Page 2 of 2
CC – 120 V1
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