FORM GC-248 Ct Adult Petition to Approve Settlement & Appt

• Legal Form Number: FORM GC-248
• Date: 01 January 2022
• Section: AZ GC Forms Annotated

FORM GC-248

(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 APPROVAL OF SETTLEMENT OF CLAIM AND APPOINTMENT OF [SPECIAL] CONSERVATOR

Pursuant to A.R.S. §§ 14-5404 [, -5409] and -5424(D), Petitioner, (name), states:

1. Pursuant to A.R.S. § 14-5403, venue for this conservatorship is in this county because (subject person's name), the person allegedly in need of protection, [resides] [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] 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, whose name and address are _____________, is not effectively performing the duties of guardian and the welfare of (subject person's name) requires immediate action].

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 immediate action.]

7. 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.]

8. (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	$
Compensation or allowance	$
Dividends or interest	$
Other	$
TOTAL	$

9. Pursuant to A.R.S. § 14-5401(A)(2), the appointment of a conservator or other protective order is necessary because (a) (subject person's name) is unable to manage [his] [her] [their] estate and affairs effectively because of mental illness, mental deficiency, mental disorder, physical illness or disability, chronic use of drugs, chronic intoxication, confinement, detention by foreign power or disappearance and (b) [his] [her] [their] property will be wasted or dissipated unless proper management is provided or it is necessary or desirable to obtain or provide funds for [his] [her]...