FORM GC-238 Ct Adult Petition to Appt

Legal Form NumberFORM GC-238
Date01 January 2022
SectionAZ GC Forms Annotated

FORM GC-238

(Attorney's name, State Bar No.)

(Attorney's law firm name)

(Law firm bar number)

(Address)

(Phone number)

(Attorney or firm's e-mail address)

Attorney for: __________

SUPERIOR COURT OF ARIZONA, __________ COUNTY

In the Matter of the Conservatorship for:

an Adult.

NO. __________

PETITION FOR APPOINTMENT OF CONSERVATOR

Pursuant to A.R.S. § 14-5404, Petitioner, (name), states:

1. Pursuant to A.R.S. § 14-5403, venue for this conservatorship is in this county because (subject person's name) [resides in this county] [does not reside in Arizona but has property in this county].

2. Pursuant to A.R.S. § 14-12203, this court has jurisdiction to appoint a conservator because [Arizona is (subject person's name)'s home state] [identify jurisdictional statement under statute].

3. Petitioner is interested in this matter because ________________.

4. The name, age, current residence, and address of (subject person's name) are:

Name:

Age:

Current Residence:

Permanent Address:

[(Subject person's name) is a (child of a) (spouse of a) veteran.]

5. Pursuant to A.R.S. § 14-5410(A), (nominee's name), whose address and telephone number are __________, has priority for appointment as conservator because [he] [she] [they] [it] is (state the nominee's priority) and is willing to act on behalf of (subject person's name).

6. The nominated conservator is [filing the affidavit required by A.R.S. § 14-5106(A)] [a financial institution or a public fiduciary and is excused from completing the affidavit required by A.R.S. § 14-5106(A)].

7. [(Subject person's name) currently has no guardian] [The current guardian's name and address are _____________].

8. [(Subject person's name) currently has no conservator.] [The current conservator, whose name and address are _____________, is not effectively performing the duties of a conservator and the welfare of (subject person's name) requires action.]

9. The name(s) and address(es) of the nearest relative(s) of (subject person's name) known to Petitioner are:

a. Name:

Address:

Relationship:

b. [Repeat as necessary.]

10. (Subject person's name) owns the following property, with an estimated current fair market value:

Cash (i.e. checking, savings, certificates of deposit, etc.)

$

Marketable securities (i.e., stocks, bonds, brokerage accounts, etc.)

$

Insurance or annuity

$

Other personal property

$

Real property

$

TOTAL

Annual Income

Social security or other government benefits

$

Pension(s) or retirement benefits

$

...

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