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Guardianship (Minor) Questionnaire

Please fill out as much relevant information below as possible. If you are not comfortable sending certain information over the Internet then feel free to call us with the data.

Guardian:

Name: Drivers License #:
Address: Dates at Address: From:
City:
 To:
State: Zip: Name of Employer:
E-mail Address:
Phone: Was/Is in Military: Yes No
Work Phone: Dates in Military: From:
Social Security #: To:
Date of Birth: Ethnicity:
Passport #: Valid I.D. card #:


Has petitioner been judicially determined to have committed abuse, neglect, or exploitation of a child, spouse, parent, or other Person? Yes No
Has Petitioner been convicted of a felony? Yes No
If so, describe the conviction:
Was Petitioner placed on parole? Yes No
Was Petitioner placed on probation? Yes No

Co-Guardian:

Name: Drivers License #:
Address: Dates at Address: From:
City:
 To:
State: Zip: Name of Employer:
E-mail Address:
Phone: Was/Is in Military: Yes No
Work Phone: Dates in Military: From:
Social Security #: To:
Date of Birth: Ethnicity:


Has Co-petitioner been judicially determined to have committed abuse, neglect, or exploitation of a child, spouse, parent, or other Person? Yes No
Has Co-Petitioner been convicted of a felony? Yes No
If so, describe the conviction:
Was Co-Petitioner placed on parole? Yes No
Was Co-Petitioner placed on probation? Yes No

Natural Mother:

Name: Drivers License #:
Address: Dates at Address: From:
City:
 To:
State: Zip: Name of Employer:
E-mail Address:
Phone: Was/Is in Military: Yes No
Work Phone: Dates in Military: From:
Social Security #: To:
Date of Birth: Ethnicity:

Natural Father:

Name: Drivers License #:
Address: Dates at Address: From:
City:
 To:
State: Zip: Name of Employer:
E-mail Address:
Phone: Was/Is in Military: Yes No
Work Phone: Dates in Military: From:
Social Security #: To:
Date of Birth: Ethnicity:

Resident Witness:

Name: Relationship:
Address: Lived at Addr. since:
City:
 Lived in NV since:
State: Zip: Known party since:
Phone:    

Ward(s):

1) - Name: Drivers License #:
Address: Dates at Address: From:
City:
 To:
State: Zip: Name of Employer:
E-mail Address:
Phone: Was/Is in Military: Yes No
Work Phone: Dates in Military: From:
Social Security #: To:
Date of Birth: Ethnicity:
Passport #: Valid I.D. card #:
Assets:  
Value:  
These funds will be safeguarded by: Being placed into a blocked account;
or: A bond which the petitioner will obtain in an amount equal to the liquid Assets described above.
Is proposed ward a party to any pending criminal or civil Litigation? Yes No
Is guardianship sought for the purpose of initiating Litigation? Yes No
Petitioners relationship to proposed ward:
Co-Petitioners relationship to proposed ward:
Petitioners are competent and capable of acting as guardian of the proposed ward, and hereby consent to act in this capacity: Person only
Estate only
Person and estate
The name and address of any person or care provider having the care and control of the proposed ward is:
(name/address of care provider)
The proposed ward is a resident of the state of:
Has the proposed ward’s parent or legal guardian executed a written nomination of guardian?
Is there a current order concerning custody of the proposed ward?
If there is an order; the order is from the state of :
and was filed on approximately (date):
(if the order was not issued by this Court, a
copy of the order must be filed with the petition)
Do Petitioners believe the proposed ward will need a Guardianship when he or she becomes 18 years of age? Yes No
Is the guardianship sought as a result of an investigation conducted pursuant to chapter 432b of the Nevada Revised Statutes? Yes No
If so, the name of the case worker is:
The juvenile case number is:
Has Petitioner been appointed as guardian over the proposed ward in a state other than Nevada?
(If petitioner has been appointed Guardian over the proposed ward in another state, petitioner will file an exemplified copy of the guardianship order with this court.)
Yes No
The general guardianship is needed for the proposed ward because:
Names and addresses of friends and relatives that need to be notified of Guardianship:  
Name: Relationship: Address:
Name: Relationship: Address:
Name: Relationship: Address:
Name: Relationship: Address:


2) - Name: Drivers License #:
Address: Dates at Address: From:
City:
 To:
State: Zip: Name of Employer:
E-mail Address:
Phone: Was/Is in Military: Yes No
Work Phone: Dates in Military: From:
Social Security #: To:
Date of Birth: Ethnicity:
Assets:  
Value:  
These funds will be safeguarded by: Being placed into a blocked account;
or: A bond which the petitioner will obtain in an amount equal to the liquid Assets described above.
Is proposed ward a party to any pending criminal or civil Litigation? Yes No
Is guardianship sought for the purpose of initiating Litigation? Yes No
Petitioners relationship to proposed ward:
Co-Petitioners relationship to proposed ward:
Petitioners are competent and capable of acting as guardian of the proposed ward, and hereby consent to act in this capacity: Person only
Estate only
Person and estate
The name and address of any person or care provider having the care and control of the proposed ward is:
(name/address of care provider)
The proposed ward is a resident of the state of:
Has the proposed ward’s parent or legal guardian executed a written nomination of guardian?
Is there a current order concerning custody of the proposed ward?
If there is an order; the order is from the state of :
and was filed on approximately (date):
(if the order was not issued by this Court, a
copy of the order must be filed with the petition)
Do Petitioners believe the proposed ward will need a Guardianship when he or she becomes 18 years of age? Yes No
Is the guardianship sought as a result of an investigation conducted pursuant to chapter 432b of the Nevada Revised Statutes? Yes No
If so, the name of the case worker is:
The juvenile case number is:
Has Petitioner been appointed as guardian over the proposed ward in a state other than Nevada?
(If petitioner has been appointed Guardian over the proposed ward in another state, petitioner will file an exemplified copy of the guardianship order with this court.)
Yes No
The general guardianship is needed for the proposed ward because:
Names and addresses of friends and relatives that need to be notified of Guardianship:  
Name: Relationship: Address:
Name: Relationship: Address:
Name: Relationship: Address:
Name: Relationship: Address:
 

Please tell us how you found us:

 
Call us: (702) 636-HELP (4357)
WE ALWAYS RETURN PHONE CALLS 		We are a paralegal service and cannot offer legal advice.
If you need advice, we can refer you to an attorney.

 

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