Free 853 - Kentucky

AOC-853 Rev. 5-04 Page 1 of 1

Doc. Code: AAM
08/22/2007 10:50 am Ver. 1.01

Case No.______________________ Court___________________________

Commonwealth of Kentucky Court of Justice www.kycourts.net KRS 387.025

APPLICATION FOR APPOINTMENT AS GUARDIAN/CONSERVATOR FOR MINOR

County_________________________

In Re: estate of _________________________________________________________, a unmarried minor under the age of 18. Comes now the applicant, _______________________________________________________________, affiant herein,and applies to be appointed as [ ] guardian, [ ] limited guardian, or [ ] conservator of the above-named minor. In support of this application, applicant states as follows: 1. My address is _______________________________________________________________________________ _______________________________________________________________________________________ _______________________________________________________________________________________. 2. 3. 4. 5. 6. My birthdate is ______________________________________________________________________. My relationship to minor, if any, is ________________________________________________________________. I [ ] have/ [ ] have not been convicted of a crime. If yes, please explain _________________________________________________________________________. My qualifications for this appointment are _________________________________________________________ _______________________________________________________________________________________. Applicant [ ] waives [ ] does not waive notice of appointment hearing. completed waiver at the bottom of form. If waived, applicant has

Applicant states that all the statements above are true and correct. ___________________________, 2________ Date ____________________________________________ Applicant's Signature

Subscribed and sworn to before me on this date __________________________________________, 2________. _____________________________________________ Name/Title __________________________________________________________________________________________________________ Attorney Name and Address (if any)

WAIVER OF NOTICE AND REQUEST FOR APPOINTMENT OF GUARDIAN
The undersigned, being under no legal disability, hereby waive notice of hearing on the appointment of guardian/limited guardian/conservator and request the court to make the requested appointment. A minor age 14 or older may waive notice if present in person at hearing on application. Court may dispense with notice requirements if gross amount of estate is less than $5,000. KRS 387.025; KRS 395.016. ____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________ _____________________________________________ _____________________________________________

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