INSTRUCTIONS
A petition for guardianship of a minor shall be in substantially the following form:
[CAPTION]
In the Matter of | In the __________ Court for |
__________________________ | ____________________________ |
(Name of minor) | (County) |
____________________________ | |
(docket reference) | |
INSTRUCTIONS
[ ] | Guardianship of | [ ] | Guardianship of | [ ] | Guardianship of |
Person | Property | Person and | |||
Property |
The petitioner, _______________, __________ whose address is (name) (age) ______________________________, and whose telephone number is ______________________________, represents to the court that:
NOTE: For purposes of this Form, "county" includes Baltimore City.
[ ] is not a beneficiary of the Department of Veterans Affairs.
(Check only one of the following boxes)
[ ] I have not been convicted of a crime listed in Code, Estates and Trusts Article, § 11-114.
[ ] I was convicted of such a crime, namely ______________ _______________________________________________________________.
The conviction occurred in _____(year)____, in the __________________(Name of court)________________, but the following good cause exists for me to be appointed as guardian: _____________________________________________________
_______________________________________________________________.
The name of the prospective guardian of the person is _____________________________________________________________ and that individual's age is __________. The relationship of that individual to the minor is _______________________________.
(Check only one of the following boxes)
[ ] __(Name of prospective guardian)__ has not been convicted of a crime listed in Code, Estates and Trusts Article, § 11-114.
[ ]__(Name of prospective guardian)__ was convicted of such a crime, namely ________________________________________________________. The conviction occurred in _____(year)____ in the __________________(Name of court)________________, but the following good cause exists for the individual to be appointed as guardian: __________________________________________________________________________________________________________________.
The name of the prospective guardian of the property is _____________________________________________________________ and that individual's age is __________. The relationship of that individual to the minor is _______________________________.
(Check only one of the following boxes)
[ ] __(Name of prospective guardian)__ has not been convicted of a crime listed in Code, Estates and Trusts Article, § 11-114.
[ ]__(Name of prospective guardian)__ was convicted of such a crime, namely ________________________________________________________. The conviction occurred in _____(year)____ in the __________________(Name of court)________________, but the following good cause exists for the individual to be appointed as guardian: __________________________________________________________________________________________________________________.
List of Interested Persons
Name | Address | Telephone | E-mail Address | |
Number | (if known) | |||
Parents: | ___________ | ___________ | ___________ | ___________ |
___________ | ___________ | ___________ | ___________ | |
Siblings: | ___________ | ___________ | ___________ | ___________ |
___________ | ___________ | ___________ | ___________ | |
___________ | ___________ | ___________ | ___________ | |
___________ | ___________ | ___________ | ___________ | |
Any Other Heirs at Law: | ___________ | ___________ | ___________ | ___________ |
Guardian (if appointed): | ___________ | ___________ | ___________ | ___________ |
Any Person Holding a Power | ||||
of Attorney of the Minor: | ___________ | ___________ | ___________ | ___________ |
Minor's Attorney: | ___________ | ___________ | ___________ | ___________ |
Any Other Person Who Has | ||||
Assumed Responsibility for the Minor: | ___________ | ___________ | ___________ | ___________ |
Any Government Agency | ||||
Paying Benefits to or for the Minor: | ___________ | ___________ | ___________ | ___________ |
Any Person Having an Interest | ||||
in the Property of the Minor: | ___________ | ___________ | ___________ | ___________ |
All Other Persons Exercising Control | ||||
over the Minor or the Minor's Property: | ___________ | ___________ | ___________ | ___________ |
A Person or Agency Eligible to Serve | ||||
as Guardian of the Person of the Minor: | ___________ | ___________ | ___________ | ___________ |
Names | Addresses | Approximate Dates |
_________________________ | _________________________ | _________________________ |
_________________________ | _________________________ | _________________________ |
_________________________ | _________________________ | _________________________ |
_________________________ | _________________________ | _________________________ |
Trustee, Custodian | |||
Names | Location | Addresses | , Agent, etc. |
_________________________ | _________________________ | _________________________ | _________________________ |
_________________________ | _________________________ | _________________________ | _________________________ |
_________________________ | _________________________ | _________________________ | _________________________ |
_________________________ | _________________________ | _________________________ | _________________________ |
WHEREFORE, Petitioner requests that this court issue an order to direct all interested persons to show cause why a guardian of the [ ] person [ ] property [ ] person and property of the minor should not be appointed, and (if applicable) _(Name of prospective guardian)_ should not be appointed as the guardian.
______________________________ | |
Attorney's Signature | |
______________________________ | ___ If There is No Attorney: ___ |
Attorney's Name | |
______________________________ | ______________________________ |
Attorney's Address | Petitioner's Address |
______________________________ | ______________________________ |
Attorney's Telephone Number | Petitioner's Telephone Number |
______________________________ | ______________________________ |
Attorney's E-mail Address | Petitioner's E-mail Address |
Petitioner solemnly affirms under the penalties of perjury that the contents of this document are true to the best of Petitioner's knowledge, information, and belief.
_____________________________
Petitioner's Name
_____________________________
Petitioner's Signature
ADDITIONAL INSTRUCTIONS
Md. R. Guard. & Fid. 10-111
HISTORICAL NOTES
2017 Orders
The October 10, 2017, order changed the word "jurisdiction" to the word "county" in section 2, added a "NOTE" pertaining to the use of the word "county," added language and boxes to check pertaining to a minor who may be a beneficiary of the Veterans Administration, divided Section 6 into two subsections, added language to Section 6 pertaining to a request for certain information about a conviction of a crime, changed the word "an" to the word "any" in Section 7, added, in Section 8, the words "and e-mail addresses, if known" and by updating a cross reference, deleted the requirement at the end of the form that a facsimile number be provided, and made stylistic changes.