Declaration Of Notice Provided Regarding A Matter Of Guardianship And Or Conservatorship {PBGC29f}

Person Filing: Address (if not protected): City, State, Zip Code: Telephone: Email Address: Lawyer's Bar Number: Licensed Fiduciary Number: ____________________________________ Representing Self, without a Lawyer or Attorney for Petitioner OR FOR CLERK'S USE ONLY Respondent SUPERIOR COURT OF ARIZONA IN MARICOPA COUNTY In the Matter of: Case Number: PB DECLARATION OF NOTICE PROVIDED A Protected Adult or Minor Regarding A Matter of Guardianship and/or Conservatorship UNDER PENALTY OF PERJURY 1. DOCUMENTS PROVIDED: I provided copies of the following court documents to the persons named below. (Check only those that apply.) Petition for Permanent Temporary Guardian and Conservator (or) Guardian or Conservator (only) for Adult or Minor Appointment of a Affidavit of Person to be Appointed Consent of Parent to Appointment Notice of Hearing Other: Conservator's Account Consent of (other) Parent to Appointment Annual Report of Guardian Other: 2. TO WHOM I GAVE NOTICE: These are the people to whom I gave copies of all the documents indicated above. State the relationship between the person who has or will have the guardian and/or conservator, and the person you gave the copies to. (If this is about a petition to appoint a guardian and/or conservator for an adult, be sure to include the court-appointed attorney and the court investigator among those to whom you give notice and list below. Use extra paper if necessary.) A. B. C. D. Person Given Notice (Name): Relation to Protected Person: Date Mailed or Delivered: Method of Delivery: (Check at least one box and complete the information below) Personal service (File "Acceptance of Service" or affidavit of process server or sheriff) 1st class mail, postage prepaid Certified mail (if applicable, attach green return receipt card to this paper) Hand delivery by: (name) PBGC29f-092612 American LegalNet, Inc. www.FormsWorkFlow.com ©Superior Court of Arizona in Maricopa County ALL RIGHTS RESERVED NOT Page 1 of 2 Case Number PB: A. B. C. D. Person Given Notice (Name): Relation to Protected Person: Date Mailed or Delivered: Method of Delivery: (Check at least one box and complete the information below) Personal service (File "Acceptance of Service" or affidavit of process server or sheriff) 1st class mail, postage prepaid Certified mail (if applicable, attach green return receipt card to this paper) Hand delivery by: (name) Person Given Notice (Name): Relation to Protected Person: Date Mailed or Delivered: Method of Delivery: (Check at least one box and complete the information below) Personal service (File "Acceptance of Service" or affidavit of process server or sheriff) 1st class mail, postage prepaid Certified mail (if applicable, attach green return receipt card to this paper) Hand delivery by: (name) Person Given Notice (Name): Relation to Protected Person: Date Mailed or Delivered: Method of Delivery: (Check at least one box and complete the information below) Personal service (File "Acceptance of Service" or affidavit of process server or sheriff) 1st class mail, postage prepaid Certified mail (if applicable, attach green return receipt card to this paper) Hand delivery by: (name) Person Given Notice (Name): Relation to Protected Person: Date Mailed or Delivered: Method of Delivery: (Check at least one box and complete the information below) Personal service (File "Acceptance of Service" or affidavit of process server or sheriff) 1st class mail, postage prepaid Certified mail (if applicable, attach green return receipt card to this paper) Hand delivery by: (name) A. B. C. D. A. B. C. D. A. B. C. D. UNDER PENALTY OF PERJURY By signing this document I state to the Court under penalty of perjury that the information presented is true and correct to the best of my knowledge and belief. Date Signature Printed Name ©Superior Court of Arizona in Maricopa County ALL RIGHTS RESERVED NOT Page 2 of 2 PBGC29f-092612 American LegalNet, Inc. www.FormsWorkFlow.com