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In the Matter of the Estate of CIRCUIT (McLean County)

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BROWSE MCLEAN COUNTY (IL) FORMS

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Rev. 06/20
STATE OF ILLINOIS,
CIRCUIT COURT
McLEAN COUNTY
PETITION TO TERMINATE
ADULT GUARDIANSHIP
FOR COURT USE ONLY
_______________________
Case Number
Petitioner, ___________________________________, pursuant to 755 ILCS
5/11a-20, petitions the court to terminate a guardianship and in support thereof,
states as follows:
1. On or about ______________________(insert date of guardianship),
the court found that __________________________was a disabled adult and appointed
a guardian of the person/estate/person and estate (circle one).
2. The names and addresses of the guardian(s) are:
Guardian’s Name:
Address:
________________________________________________
________________________________________________
________________________________________________
Co-Guardian’s Name:
Address:
________________________________________________
________________________________________________
________________________________________________
3. The names and addresses of the Petitioner(s) are:
____ The same as the above (if the guardian(s) are the petitioner(s)).
OR
Petitioner’s Name: ________________________________________________
Address: ________________________________________________
________________________________________________
In the Matter of the Estate of
____________________________________________
Disabled Person.
(First, Middle, Last Name)
2
Petition to Terminate Adult Guardianship
Co-Petitioner:
Address:
________________________________________________
________________________________________________
________________________________________________
4. The guardianship is no longer needed for the following reasons (select
all that apply):
___
Death. The ward died on ___________________________(date of death).
___ The Ward is no longer in Illinois. The ward has moved to the State of
_________________, and guardianship has been obtained in that state.
___ The Ward has regained capacity and can perform the tasks necessary
for the care of his/her person or the management of his/her estate.
___
The Ward, in conjunction with legal counsel, has executed an
appropriate Mental Health Treatment Preference Declaration, Illinois
Healthcare Power of Attorney or Property Power of Attorney that allow
an appropriate person to assist him/her in the management of his/her
affairs.
___ The Assets of the Ward have been depleted and the Ward is a Medicaid
recipient with less than $2000 in financial assets and his/her finances
are monitored by the Illinois Department of Human Services.
___ Other (explain the reasons the guardianship is no longer
needed).
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
_____________________________________________________________________________.
5.
Supporting documentation for the Petition to Terminate Adult
Guardianship, such as death certificate, certified copy of guardianship order from
another state, medical reports or other evaluations, financial records, or Powers of
Attorneys, are attached.
3
Petition to Terminate Adult Guardianship
Based upon the above, Petitioner(s) request that the court terminate the
guardianship.
___________________________________ X _____________________________________
Name of Petitioner/Attorney for Petitioner Signature of Petitioner/Attorney for Petitioner
_____________________________________________________________________________
Address, City, State and Zip Code
___________________________________
Email Address
______________________________
Telephone Number
_____________________________
Attorney’s A
RDC number
CERTIFICATION
I/We, the undersigned, certify under penalties as provided by law pursuant to 735
ILCS 5/1-109 and Supreme Court Rule 137 that the statements set forth in this
instrument are true and correct.
_______________________________
Petitioner
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In the Matter of the Estate of CIRCUIT (McLean County)

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Completed 18 July 2020

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