Form 16.0 - Application For Appointment Of Guardian Of Minor - Clermont County
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2PROBATE COURT OF CLERMONT COUNTY, OHIO
JAMES A. SHRIVER, JUDGE
GUARDIANSHIP OF
CASE NO.
APPLICATION FOR APPOINTMENT OF GUARDIAN OF MINOR
(R. C. 2111.03 (C))
Applicant, a resident of
County, Ohio, hereby applies for the appointment of
(himself) (herself) or some suitable person as guardian of the following minor and represents
that the applicant is not an administrator, executor, or other fiduciary of an estate wherein the
minor is interested.
Name of Minor
Age
Date of Birth
Residence or Legal Settlement
Attached is a list of the next of kin of the minor. (Form 15.0)
A guardian is necessary because (R.C. 2111.06),
THE TYPE OF GUARDIANSHIP APPLIED FOR IS
Non-limited
Limited
Person and Estate
Estate Only
Person Only
IF THE APPLICATION IS FOR LIMITED GUARDIANSHIP,
The length (time period) of the guardianship requested is:
Indefinite
Definite to
,
The limited powers requested are:
Applicant attaches affidavit pursuant to R.C. 3127.23.
Applicant represents that grounds exist for the Court to exercise its Jurisdiction. (Applies
to guardianship of person only. R.C. 3109.22).
The Applicant has (not) been charged with or convicted of a crime involving theft, physical
violence, or sexual, alcohol or substance abuse except as follows (if applicable, state date
and place of each charge or each conviction).
Page 1 of 2
FORM 16.0 - APPLICATION FOR APPOINTMENT OF GUARDIAN OF MINOR
08/10/17
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