Free County, Colorado - Colorado

District Court Denver Probate Court __________________________________ County, Colorado Court Address:

In the Interests of:

Protected Person Attorney or Party Without Attorney (name and address):

COURT USE ONLY Case Number:

Phone Number: FAX Number:

E-mail: Atty. Reg. #:

Division

Courtroom

PETITION FOR APPOINTMENT OF CO-CONSERVATOR SUCCESSOR CONSERVATOR PURSUANT TO §15-14-112(1) - (3), C.R.S.
The Petitioner makes the following statements: 1. Petitioner, _____________________________ (name), is an interested person. State relationship to

Protected Person: ____________________________________________________________________ 2. 3. Letters of Conservatorship were issued on ______________________________ (date). The previously appointed conservator, _______________________________________ (full name), has: joined in this petition. tendered a resignation approved by the Court on ________________________ (date). died _______________________ (date of death). been removed by order of the Court issued on _________________________ (date). other: ___________________________________________________________________________. For the following good cause ____________________________________________________, Petitioner requests appointment of a co-conservator or successor conservator and nominates: Full Name: __________________________________________________________________________ Address: ____________________________________________________________________________ Telephone Number: ___________________________ Email: __________________________________ The nominee is 21 years of age or older. State relationship to protected person: nominated in writing by protected person. spouse. parent of protected person. agent under power of attorney. adult child. adult with whom Protected Person has resided. other: ___________________________________________________________________________ 5. The Petitioner hereby adopts the statements in the original petition for appointment that led to the appointment of the current conservator Petitioner requests that the nominee be appointed as co-conservator or successor conservator and that Letters of Conservatorship be issued forthwith after the following event: _____________________________________________________________________________________ ___________________________________________________________________________________ ____________________________________________________________________________________
JDF 879 1/08 PETITION FOR APPOINTMENT OF CO-CONSERVATOR OR SUCCESSOR CONSERVATOR Page 1 of 2

4.

6.

______________________________________
Signature of Conservator Date

As the Petitioner, I swear/affirm under oath that I have read the foregoing Petition and that the statements set forth therein are true and correct to the best of my knowledge.

____________________________________
Signature of Attorney for Petitioner Date

______________________________________ Signature of Petitioner Date

Subscribed and affirmed, or sworn to before me in the County of _________________________, State of ________________, this ___________ day of _______________, 20 _______.

My Commission Expires: ____________________

______________________________________ Notary Public/Clerk

CERTIFICATE OF SERVICE
I certify that on ________________________ (date) a copy of this Petition for Appointment of Co-Conservator or Successor Conservator was served on each of the following:
Full Name Relationship to Protected Person Address Manner of Service*

*Insert one of the following: Hand Delivery, First-Class Mail, Certified Mail, E-Served or Faxed.
___________________________________________
Signature

Note:
The Petitioner must contact the Court to set a date and time for a hearing.

JDF 879

1/08 PETITION FOR APPOINTMENT OF CO-CONSERVATOR OR SUCCESSOR CONSERVATOR

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