PROBATE COURT OF __________________ COUNTY, OHIO
IN THE MATTER OF THE 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), ____________________________________________
___________________________________________________________________________________
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 ___________________________________, 20____
The limited powers requested are: __________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
Applicant attaches affidavit pursuant to R.C. 3109.27.
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.)
____________________________________________________________________________________
____________________________________________________________________________________
16.0 APPLICATION FOR APPOINTMENT OF GUARDIAN OF MINOR