Free AOC-745 - Kentucky

AOC-745 Rev. 3-03 Page 1 of 2

Doc. Code: AAF
01/9/2007 11:49 am
Ver. 1.01

Case No.
Leave blank if unknown

Court APPLICATION FOR APPOINTMENT OF FIDUCIARY FOR DISABLED PERSONS County

District

Commonwealth of Kentucky Court of Justice www.kycourts.net KRS 387.530(2); 387.720; 395.130 COMMONWEALTH OF KENTUCKY VS.

PETITIONER

RESPONDENT * * * * * * * * * 1. Comes now and requests to be appointed as , Applicant herein, for Respondent.

2. Applicant states his/her relationship to Respondent is __________________________________________________. 3. Applicant states his/her qualifications for appointment are as follows: ______________________________________

_____________________________________________________________________________________________ _____________________________________________________________________________________________ 4. Applicant offers as surety on his/her bond the following: ________________________________________________ _____________________________________________________________________________________________ 5. Respondent owns the following estate, including government benefits, insurance entitlements, and anticipated yearly income (state if none or unknown): ESTATE Real Property Personal Property Yearly Income Source of yearly Income 6. Applicant states that all statements in the foregoing are true. Applicant's Name: _______________________________________________________________________________ Address: _______________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________ Telephone Number: _____________________________ Date: __________________, 2_____. _____________________________________ Applicant's Signature ,2 . My commission expires , VALUE $

Subscribed and sworn to before me on 2_____.

________________________________________________ Name/Title

Print

Reset Form

AOC-745 Rev. 3-03 Page 2 of 2 WAIVER OF NOTICE AND REQUEST FOR APPOINTMENT OF FIDUCIARY

Case No. _______________________

The undersigned hereby waive notice of hearing and the right to appointment and request the Court to make the appointment herein applied for:

To be completed if Applicant is represented by counsel: Attorney's Name _________________________________________________________________________________ Address _______________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ Telephone Number ______________________________ ____________________________________________ Attorney Signature

Print

Reset Form