Free Application for Appointment of Guardian (an Alleged Incompetent) - Ohio

PROBATE COURT OF ________________ COUNTY, OHIO
_________________, Judge GUARDIANSHIP OF ____________________________________________________ CASE NO. __________________________

APPLICATION FOR APPOINTMENT OF GUARDIAN OF ALLEGED INCOMPETENT
[R.C. 2111.03]

Applicant represents to the Court that ________________________________ aged ______ years, resides or has a legal settlement at ________________________in _____________ County, Ohio and that the prospective ward is incompetent by reason of (R.C. 2111.01(D)) _______________ ______________________________________________________________________________. A Statement of Expert Evaluation is attached. (Form 17.1) A list of Next of Kin of Proposed Ward is also attached. (Form 15.0) The whole estate of the prospective ward is estimated as follows: Personal Property....................$ ________________________ Real Estate............................$________________________ Annual Rents.........................$ ________________________ Other annual income................$ ________________________ Applicant represents that the applicant is not an administrator, executor or other fiduciary of the estate wherein the alleged incompetent is interested. Applicant offers the attached bond in the amount of $ __________________. Applicant further represents that a guardian of the alleged incompetent is necessary in order that the ward the ward's property may be taken proper care of and asks that a guardian be appointed. TYPE OF GUARDIANSHIP APPLIED FOR IS [check the applicable boxes] non-limited limited person and estate estate only person only

If limited guardianship is applied for, the limited powers requested are ______________________________________________________________________________ ______________________________________________________________________________.
FORM 17.0 ­ APPLICATION FOR APPOINTMENT OF GUARDIAN (AN ALLEGED INCOMPETENT) Eff. Date March 1, 2008

CASE NO.__________________
The time period requested is indefinite definite to ________________________________

______________________________________________________________________________. Applicant's relationship to alleged incompetent is ______________________________________ ______________________________________________________________________________. 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.) ______________________________________________________________________________ ______________________________________________________________________________.

____________________________________ Attorney for Applicant ____________________________________ Type or Print Name ____________________________________ Address __________________________________ City State Zip ____________________________________ Phone number (include area code) ____________________________________ Attorney Registration Number

____________________________________ Applicant ____________________________________ Type or Print Name ____________________________________ Age ____________________________________ Address __________________________________ City State Zip __________________________________ Phone number (include area code)

FORM 17.0 ­ APPLICATION FOR APPOINTMENT OF GUARDIAN (AN ALLEGED INCOMPETENT) Eff. Date March 1, 2008