Free Petition For Appointment of a Guardian and Conservator - Missouri

IN THE PROBATE DIVISION, CIRCUIT COURT, ST. LOUIS COUNTY, MISSOURI

In the matter of

__________________________________________
Respondent

No._____________________

PETITION FOR APPOINTMENT OF A GUARDIAN AND CONSERVATOR
Comes now _____________________________________ and states that the above named respondent, age _____, whose domicile is St. Louis County, Missouri, and whose present residence and post office address is ______________________________________________________________________________, is incapacitated and
Street Address City State Zip

disabled. The respondent owns property having an estimated value of: Real Property - $_________________________ Personal Property - $_____________________

Has the respondent executed a durable power of attorney? ____________________________________________ Petitioner is the _______________________________________ of the respondent and requests that letters
(relationship)

of guardianship be granted to ________________________________________________________, whose address is _______________________________________________________________ and who is not now guardian or Street Address City State Zip conservator for any wards or protectees (except as follows): _________________________________
(Name)

_____________________________________________
Street Address

_____________________________________________
City State Zip

[For Guardianship of Person or Conservatorship of Estate ­ per 475.060(10) R.S.Mo. 1983]. The reasons why the appointment of a guardian is sought are: _____________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________

[For Guardianship of Person Only ­ per 475.060(9) R.S.Mo. 1983]. The specific physical or mental conditions which prevent the respondent from being able to care for person are: _________________________________________

[For Conservatorship of Estate Only ­ per 475.061(1) R.S.Mo. 1983]. The specific physical or mental conditions which prevent the respondent from being able to manage financial resources are: ____________________________

____________________________________________________________________________________________________________

__________________________________________________________________________________________________

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The following are listed pursuant to the provisions of 475.060 and 475.075 R.S.Mo. 1983:
NAME & RELATIONSHIP AGE (if applicable) POST OFFICE ADDRESS (Include Zip Code)

__________________________________
Spouse (indicate if deceased)

____________________________________ ____________________________________

__________________________________
Mother (indicate if deceased)

____________________________________ ____________________________________

__________________________________
Father (if deceased)

____________________________________ ____________________________________

__________________________________
Son/Daughter (Grandson/Granddaughter)

_______________
Age

____________________________________ ____________________________________

__________________________________
Son/Daughter (Grandson/Granddaughter)

_______________
Age

____________________________________ ____________________________________

__________________________________
Son/Daughter (Grandson/Granddaughter)

_______________
Age

____________________________________ ____________________________________

__________________________________
Son/Daughter (Grandson/Granddaughter)

_______________
Age

____________________________________ ____________________________________ ____________________________________ ____________________________________

Nearest Known Relative Relationship - __________________________________________ ______________________________________________________

NOTE: If the respondent has no spouse, mother, father or children, the names of the nearest known relatives who are over the age of eighteen must be listed above. _______________________________________
Person having custody of respondent

____________________________________ ____________________________________ ____________________________________ ____________________________________
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_______________________________________
Name of any guardian/conservator in this or any other State

Petitioner prays that a hearing and inquiry be held and the court appoint __________________________ __________________________________________________________________________________________ Guardian of the Person and Conservator of the Estate for the respondent. Petitioner states that the foregoing is made on this _____ day of ____________, ______, under oath or affirmation, and its representations are true and correct to the best of petitioner's knowledge and belief, subject to penalties of making a false affidavit or declaration. _______________________________________
Attorney's Signature

__________________________________________
Petitioner's Signature

_______________________________________
Attorney's Name (Typed)

__________________________________________
Petitioner's Name (Typed)

_______________________________________
Street Address

__________________________________________
Street Address

_______________________________________
City State Zip Code

__________________________________________
City State Zip Code

_______________________________________
Phone Number With Area Code

__________________________________________
Phone Number with Area Code

_______________________________________
Missouri Bar Number

_______________________________________
Attorney's Signature

__________________________________________
Petitioner's Signature

_______________________________________
Attorney's Name (Typed)

__________________________________________
Petitioner's Name (Typed)

_______________________________________
Street Address

__________________________________________
Street Address

_______________________________________
City State Zip Code

__________________________________________
City State Zip Code

_______________________________________
Phone Number With Area Code

__________________________________________
Phone Number with Area Code

_______________________________________
Missouri Bar Number

Serve notice on respondent at: _________________________________________________________________ __________________________________________________________________________________________ Send Fee Bills to: _______________________________ Publish Notice of Letters in _____________________ Minute Notices to: Attorney _____________________________________ Fiduciary____________________
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