Confidential Information Resignation of Guardian or Temporary Custodian
PC-583CI
CONNECTICUT PROBATE COURTS
CONFIDENTIAL INFORMATION/
Resignation of Guardian or
Temporary Custodian
PC-583CI REV. 8/19
CONFIDENTIAL
The social security numbers of the following persons are required in connection with this proceeding.
1)
Proposed successor guardian(s):
2)
Proposed successor custodian(s):
Probate Court Name
District Number
In the Matter of
,minor child
Instructi
ons:
1) A person who files a PC-583 to petition the court for resignation of a guardian or temporary custodian
must file this form to provide the court with confidential social security numbers. Since the social
security number is confidential, this form must be filed separately from the PC-583 and will not
be included in the public records of the court.
2)
For more information, see Probate Court Rules of Procedure, section 17.2.
3) Type or print in ink.
RECEIVED:
a. Name _______________________________________________________________
Maiden Name (if applicable) _______________________________________________
Social Security Number ________________________
b.
Name _______________________________________________________________
Maiden Name (if applicable) ________________________________________________
Social Security Number ________________________
a.
Name _____________________________________________________________
Maiden Name (if applicable) ______________________________________________
Social Security Number ________________________
b.
Name _____________________________________________________________
Maiden Name (if applicable) ______________________________________________
Social Security Number _______________________
