Fill - Free fillable Form 102: IN THE TRIAL COURT CHEYENNE AND (Cheyenne and Arapaho Tribes) PDF form

IN THE TRIAL COURT CHEYENNE

AND ARAPAHO TRIBES P.O. BOX

102

CONCHO, OKLAHOMA 73022

In The Matter Of The Guardianship Of: )

)

________________________________ ) Case No. _______________

DOB: __________________________ )

ROLL: _________________________ )

An Alleged Incapacitated Person

PETITION FOR GUARDIANSHIP

COMES NOW, _________________________________, and for his/her cause

of action alleges and states as follows:

I.

That I am the Petitioner(s) and a resident of ___________________County, State

of __________________________ and reside at the following address:______________

________________________________________________________________________

II.

That the Petitioner(s) relationship to _________________________ is that of

__________________________ and as such the Petitioner is in a position to care for

ward’s physical well-being or supervise his/her placement in an appropriate health

treatment facility.

III.

That ______________________ is an enrolled member of the Cheyenne and

Arapaho Tribes and currently resides in the County of __________________, State of

____________________________ with a current mailing address of ________________

________________________________________________________________________

And is therefore subject to the jurisdiction of the Trial Court of the Cheyenne and

Arapaho Tribes.

IV.

That ____________________________________is of an advanced age or is

unable to make competent decisions concerning his/her everyday needs, in regard to

his/her health and well-being or his/her financial affairs. (Attach medical statement

signed by physician.)

V.

That ______________________________________ possesses a considerable

sum of property:

Trust Land ______Yes or _____ No

I.I.M. Account ______Yes or _____No

and would be easy prey to designing and scheming persons who would want to take

financial advantage of him/her.

VI.

I,_________________________________, do hereby state that there is/is not

any other Guardianship case filed in any other Court .

That it is necessary that a guardian be appointed for the person and estate for

the following reasons:______________________________________________________

________________________________________________________________________

VII.

The following is a list of the names of persons, complete with addresses who have

An interest in this action:

MOTHER: ____________________________________________________________

FATHER: ____________________________________________________________

SPOUSE: ____________________________________________________________

BROTHER: ____________________________________________________________

SISTER: ____________________________________________________________

ADULT CHILD: _________________________________________________________

Wherefore, the Petitioner(s) prays that he/she be appointed guardian of the person

And estate of _________________________ and that the Trial Court set a hearing date

on the merits of this matter; that notice be sent to all interested parties and for such other

relief as the Trial Court may deem proper and fit.

Dated this _________day of __________________________, 20____.

__________________________________

Petitioner’s Name

VERIFICATION

I,_________________________________being of lawful age and being duly

Sworn, state and verify that I am the Petitioner in this action and that I have read and

understand the contents of this Petition and that the statements and the allegations are true

and correct to the best of my knowledge.

___________________________________

Petitioner’s Name

____________________________________

Address

____________________________________

City/State/Zip Code

____________________________________

Area Code/Telephone Number

State of Oklahoma

ss.

County of ________________

Subscribed and sworn to before me this ________ day of ___________________

20 _____.

(SEAL) ____________________________________

Notary Public

SWORN AFFIDAVIT

Time:_________________Date:______________________Place:___________________

I, ___________________________________the undersigned, being duly sworn,

deposes and says:_________________________________________________________

________________________________________________________________________

I have read the above statement and attest that it is a true and accurate account of

the events which have led to the filing of this Petition for Guardianship. I have given this

statement freely, voluntarily and under oath.

____________________________________

State of Oklahoma

ss

County of ________________

Subscribed and sworn to before me this _____ day__________________20_____.

My commission expires: ___________________________________

Notary Public

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Fillable Form 102: IN THE TRIAL COURT CHEYENNE AND (Cheyenne and Arapaho Tribes)

Fill Online, Printable, Fillable, Blank Form 102: IN THE TRIAL COURT CHEYENNE AND (Cheyenne and Arapaho Tribes) Form

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