IN THE CIRCUIT COURT OF THE TENTH JUDICIAL CIRCUIT

________________________ COUNTY, ILLINOIS

Estate of

__________________________________ Case No.: ___________________________

PETITION FOR GUARDIANSHIP OF A MINOR(S)

__________________________________, a reputable citizen of Illinois, on oath states:

1. Each of the following named person(s) is a minor;

Name: _____________________________________________________________________

Date of Birth: _______________________________________________________________

Residential Address: _________________________________________________________

County: ____________________________________________________________________

Name: _____________________________________________________________________

Date of Birth: _______________________________________________________________

Residential Address: _________________________________________________________

County: ____________________________________________________________________

2. No Order of Court has been entered in any jurisdiction concerning the Guardianship of

the Minor.

A case is pending concerning the minor or the parents of the minor. The case number

is ____________________ and was filed in ____________________ and a copy of the

order awarding Guardianship is attached hereto:

The following person(s) have been designated _______________________________

(attach a copy to the document)

3. The person to have custody of the minor is _______________________________ whose

address is _______________________________________________________________

4. The name and address of the nearest adult relatives of the minor(s) are:

Name: _____________________________________________________________________

Relationship: _______________________________________________________________

Address: ___________________________________________________________________

Name: _____________________________________________________________________

Relationship: _______________________________________________________________

Address: ___________________________________________________________________

5. Approximate value of the minor’s personal estate; $ _____________________________

Amount of minor’s anticipated gross annual income and other receipts $ _____________

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6. It is necessary or convenient that a guardian of the Estate Person Estate and

Person of the appointed because, _____________________________________________

___________________________________________________________________________

7. Petitioner asks that _______________________ age __________ years __________ is

qualified and willing to act, appointed as guardian of the person of the minor. That

_______________________ age __________ years __________ is qualified and willing

to act, appointed as guardian of the person of the minor.

Name: _______________________________ Petitioner: ____________________________

Attorney #: ___________________________ Address: _____________________________

Attorney for: __________________________ Signed and Sworn to me this _________ day

Address: _____________________________ of ______________________, 20 _________

City/State/Zip: ________________________ _____________________________________

Telephone: ___________________________ Notary Public – Circuit Court Clerk

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