Petition For Protective Order/appointment Of Conservator - State Of South Carolina Probate Court

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STATE OF SOUTH CAROLINA
)
)
IN THE PROBATE COURT
COUNTY OF:
_____________________________
)
)
IN THE MATTER OF: __________________________
)
CASE NUMBER: _________________________________
____________________________________________
PETITION FOR:
Petitioner
vs.
MINOR
ADULT
PROTECTIVE ORDER
APPOINTMENT OF CONSERVATOR
____________________________________________
Respondent(s)
Petitioner: ________________________________________________________________________________________
1. Give your relationship to the alleged incapacitated person, if any, and your interest in this proceeding.
2. Information -- Minor/Allegedly Incapacitated Person
Name:
Age:
Date of Birth:
Last Four Digits of
Social Security Number:
XXX-XX-
Address:
City/State/Zip:
Telephone (Home):
(Office/other):
To my knowledge, the above-named
DOES
DOES NOT have a Will
To my knowledge, the above-named
DOES
DOES NOT have a Power of Attorney
3. Venue for this proceeding is proper in this county because the above minor/alleged incapacitated person:
resides in this county
does not reside in this county but has property in this county
4. The name and address of the above person’s guardian, if any, is:
5. Information -- Family (list nearest relative first) of minor/alleged incapacitated person, including dates of birth of
minors:
Name
Date of Birth
Address
Relationship
(use additional sheet if necessary)
FORM #540PC (4/13)
Page 1 of 3
62-5-401, 62-5-404, 62-5-407, 62-5-410, 62-5-411,
62-5-412, 62-5-413, 62-5-414

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