IN THE PROBATE DIVISION, CIRCUIT COURT, ST. LOUIS COUNTY, MISSOURI
In the matter of
____________________________________________
No.__________________________
Minor
PETITION FOR APPOINTMENT OF A CONSERVATOR OF MINOR
Come(s) now _______________________________________________________________________________
(use full name(s) of person(s) requesting conservatorship)
of full age, and state that he / she / they wish to be appointed as conservator(s) of the following child who is domiciled in
St. Louis County
Other ____________________________________________________________________
(list county where domiciled)
Full Name of Child _____________________________________________
Date of Birth _____________________
Present residence and post office address: ________________________________________________________________
Most recent addresses for the three (3) years prior to the filing of this petition*:
1. ______________________________________________________________________________________________
2. ______________________________________________________________________________________________
3. ______________________________________________________________________________________________
*If unknown, please provide an explanation as to the efforts made to ascertain them.
NOTE: A copy of the birth certificate for the minor must be submitted.
The nature, extent and estimated value of the minor’s assets located in St. Louis County, State of Missouri, and
any assets located outside the State of Missouri as far as is known to petitioner(s) is set forth in Exhibit A attached hereto
and incorporated herein by this reference.
The minor is a qualified beneficiary of a trust for which the purpose is:
________________________________________________________________________________________________.
The name(s) and address(es) of the trustee(s) is / are set forth in Exhibit B attached hereto and incorporated herein by this
reference.
The reasons why the appointment of a conservator(s) is sought are:
________________________________________________________________________________________________.
If the proposed conservator(s) is / are a non-resident of Missouri, attached hereto and incorporated herein by this
reference as Exhibit C is the proposed conservator(s) designation of resident agent and the agent’s consent to act.
CCPR013
1
For Court's Use Only:
KALCN - Ptn Appt Conservator Minor