PROBATE COURT OF ________________ COUNTY, OHIO
________________, JUDGE
GUARDIANSHIP OF__________________________________________________
CASE NO. _______________________
APPLICATION FOR APPOINTMENT OF GUARDIAN
OF ALLEGED INCOMPETENT
[R.C. 2111.03]
Applicant represents to the Court that __________________________________________ resides or has a legal
settlement at ________________________________________ in __________________ County, Ohio and that
the prospective ward is incompetent by reason of (R.C. 2111.01(D))
_____________________________________
__________________________________________________________________________________________.
The proposed ward’s date of birth is _____________________________________________________________.
A Statement of Expert Evaluation is attached. (Form 17.1)
A list of Next of Kin of Proposed Ward is also attached. (Form 15.0)
The whole estate of the prospective ward is estimated as follows:
Personal Property…………….….. $________________________
Real Estate……………………...... $________________________
Annual Rents………………….......$________________________
Other annual income………….…. $________________________
Applicant represents that the applicant is not an administrator, executor or other fiduciary of the estate wherein
the alleged incompetent is interested.
Applicant offers the attached bond in the amount of $ ________________________.
Applicant further represents that a guardian of the alleged incompetent is necessary in order that
the ward
ward's property may be taken proper care of and asks that a guardian be appointed.
TYPE OF GUARDIANSHIP APPLIED FOR IS
[check the applicable boxes]
non-limited
limited
person and estate
estate only
person only
If limited guardianship is applied for, the limited powers requested are
__________________________________________________________________________________________
__________________________________________________________________________________________.
FORM 17.0 – APPLICATION FOR APPOINTMENT OF GUARDIAN
(AN ALLEGED INCOMPETENT)
Amended: January 1, 2013
Discard all previous versions of this form