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Application for Appointment of Emergency Guardian of Alleged Incompetent
Guardianship of
Case number
Applicant name
Residence or legal settlement address
Reason the prospective ward is incompetent line 1
Reason the prospective ward is incompetent line 2
Reason the prospective ward is incompetent line 3
Proposed ward date of birth
Present location of the ward
Applicant relationship to the ward
Personal property amount
Real estate amount
Annual rent amount
Other annual income amount
Total estimated estate amount
Bond amount offered
Guardian appointment and limited guardianship selections
The ward may be taken proper care of
The ward's property may be taken proper care of
Person and estate
Estate only
Person only
Case number page 2
Attorney typed or printed name
Attorney address
Attorney city, state and zip
Attorney telephone number including area code
Attorney registration number
Applicant typed or printed name
Applicant address
Applicant city, state and zip
Applicant telephone number including area code