Free CG 910M - West Virginia

IN THE CIRCUIT COURT OF _______________ COUNTY, WEST VIRGINIA
For Clerk's Use Only IN RE: ___________________________________________, DATE FILED: ____________________________________ A PROTECTED PERSON CASE NUMBER ___________ - G - __________

PETITION FOR PERMISSION TO RESIGN AS CONSERVATOR/GUARDIAN
[West Virginia Code: § 44A-4-3]

NOW COMES the Petitioner in the above captioned cause, __________________________________________, who is a [check applicable office] __________ conservator __________ guardian for ____________________________ _______________________________, a protected person, and hereby respectfully petitions the Court for permission to resign such office(s). The facts, circumstances and reasons in support of this petition are as follows [insert reason or reasons for resignation]: ___________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ ________________________________________________________________. [Attach additional pages, if necessary.] Respectfully presented this _______ day of _________________________________, 20_______.

____________________________________________________ CONSERVATOR/GUARDIAN'S SIGNATURE

[NOTE:

This form must be completed and filed with the Circuit Court having jurisdiction of the Protected Person or the case at least sixty (60) days prior to the effective date of the resignation.]

SCA-CG 910M / 6-94

Petition for Permission to Resign as Conservator/Guardian