PAG99 Motion to Terminate or Modify Adult Guardianship (09/2014) Page 1 of 2
STATE OF VERMONT
SUPERIOR COURT
PROBATE DIVISION
Unit
Docket No.:
In re Guardianship of :
MOTION TO TERMINATE or MODIFY ADULT GUARDIANSHIP
I, _________________________________________
request that the court: (check one)
Name of Petitioner
Terminate the guardianship of the respondent.
Modify the guardianship of the respondent as follows:
.
In support of this request, I state:
1. My relationship to the Respondent is: _____________________________________________
2. By order of this Court dated _________________________________, the Court appointed
Date of Order
__________________________________________ with the following guardianship powers:
Name of Guardian
Check all that apply
to have general supervision over the Respondent, including care, habilitation,
education, employment and choosing or changing where the Respondent lives,
subject to the requirements of 14 V.S. A. §§2691, 3073 and 3074;
to seek, approve or refuse medical or dental treatment, subject to the provisions of
14 V.S.A. §3075 and any constitutional right of the Respondent to refuse
treatment;
to supervise Respondent’s income and resources;
to approve or withhold approval of any contract Respondent wishes to make,
except a contract for basic needs;
to approve or withhold approval of the sale, lease or encumbrance of
Respondent’s real property subject to the provisions of 14 V.S.A. §2881 2891;
to seek legal advice and to start or defend against a court action in Respondent’s
name.
PAG99 Motion to Terminate or Modify Adult Guardianship (09/2014) Page 2 of 2
1. The reasons for my request are as follows: Briefly describe the reasons why the
guardianship should be modified or terminated.
Dated
Signature of Petitioner
Petitioner’s Name Printed
Petitioner’s Address
Petitioner’s Phone Number