Free Nomination for Appointment of Guardian - West Virginia

IN THE ____________ COURT OF ____________________ COUNTY, WEST VIRGINIA IN THE MATTER OF: ________________________________________ ________________________________________ ________________________________________ Minor(s) Under the Age of 18 Years NOMINATION FOR APPOINTMENT OF GUARDIAN I, ________________________________, a minor named in this proceeding, am over the age of fourteen years, being born on ________________________ _______, _____________,
Month Day Year

Civil Action No. ______-______-______

and further being a resident of _______________________ County, West Virginia, do hereby nominate and request the appointment of _______________________________ as guardian of: (initial one or both) _________ My person _________ My estate Dated this ________ day of _______________________, 20_______.

______________________________ MINOR STATE OF WEST VIRGINIA COUNTY OF ________________, to-wit: Taken, subscribed, and sworn or affirmed before me this ________ day of _______________________, 20_______. My commission expires: . ______________________________ Notary Public

Infant Guardianship ­ Form 3 / 6-04