Petition For Appointment Of *guardian Of The Person And/or Conservator Of The Estate Of Minor Form Page 2

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SELECTION OF *GUARDIAN AND/OR CONSERVATOR BY MINOR
______________________________, the within named minor, over 14 years of age, hereby
requests that ________________________________, may be appointed as _h__*guardian of the person
and/or conservator of the estate.
________________________________________________________________________________________
(minor’s signature)
(address)
________________________________________________________________________________________
________________________________________________________________________________________
WAIVER OF RIGHT TO BE APPOINTED *GUARDAIN AND/OR CONSERVATOR
I, _________________________, the undersigned father and I, __________________ the
undersigned mother, of ___________________________, minor, hereby waive my right to be appointed
*guardian and/or conservator of said minor, and hereby request the appointment of
________________________________________, as such *guardian and/or conservator.
The foregoing is made under oath and affirmation and its representations are true and
correct to the best knowledge and belief of the undersigned, subject to the penalties for making
a false affidavit or declaration.
________________________________________________________________________________________
(father’s signature)
(address)
________________________________________________________________________________________
(mother’s signature)
(address)
________________________________________________________________________________________
________________________________________________________________________________________
AFFIDAVIT OF CUSTODY
(MUST BE FILLED OUT ON ALL CASES FOR GUARDIAN OF THE PERSON)
Comes now Affiant, and having been duly sworn upon his/her oath states:
1. That the child’s present address is ___________________________________________;
and that the names and addresses of the persons with whom the child has lived in past six months
are:
_________________________________________________________________________________________
(name)
(address)
(period of time)
_________________________________________________________________________________________
(name)
(address)
(period of time)
2. That the Affiant has not participated in any capacity in any other litigation concerning
the custody of the same child in this or any other state.
3. That Affiant has no information of any custody proceeding concerning the child pending
in a court of this or any other state.
4. That Affiant knows of knows of no other persons not a party to the proceeding who has
physical custody of the child or claims to have custody or visitation rights with
respect to the child.
The foregoing is made under oath and affirmation and its representations are true and
correct to the best knowledge and belief of the undersigned, subject to the penalties for
making a false affidavit or declaration.
_______________________________________
Affiant’s Signature
_______________________________________
Affiant’s Signature

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