Confidential Information Sheet For Adult

251 2018 Nevada Supreme Court Page 1 of 2 226 Confidential Information Sheet (Adult) COURT CODE: Your Name: Address: City, State, Zip:Telephone:Email Address:Self-Represented DISTRICT COURT COUNTY, NEVADA In the Matter of the Guardianship of the: PersonEstatePerson and Estateof: (name of adult alleged to need a guardian) A Proposed Protected Person. CASE NO.: DEPT: CONFIDENTIAL INFORMATION SHEET 226 GUARDIANSHIP First Guardian (full legal name): Identification Attached (check one and attach a copy): Social Security NumberValid Driver222s License NumberValid ID Card NumberValid Passport NumberTaxpayer IdentificationNumberValid Tribal Identification CardNumberSecond Guardian (full legal name, or 223n/a224 if none): Identification Attached (check one and attach a copy): Social Security NumberValid Driver222s License NumberValid ID Card NumberValid Passport NumberTaxpayer IdentificationNumberValid Tribal Identification CardNumberAdult (name of adult who needs a guardian): Identification Attached (check one and attach a copy): Social Security NumberValid Driver222s License NumberValid ID Card NumberValid Passport NumberTaxpayer IdentificationNumberValid Tribal Identification CardNumber American LegalNet, Inc. www.FormsWorkFlow.com Page 2 of 2 226 Confidential Information Sheet (Adult) Placement Of Adult: Location Of Guardian(s): Independently With Guardian Family/Friends Host Family Supportive Adult Residence / Assisted Living Skilled Nursing Home Licensed Group Home Secured Facility Out of State Other Nevada Other State (list): Proposed Guardian(s) Relationship to the Adult: Relative Public Guardian Private: License Number: Other Adult222s Gender: Adult222s Date Of Birth: Male Female Date of Birth: Submitted by: (Attach copies of the identification indicated for each guardian and the adult) (Signature) (Printed Name) American LegalNet, Inc. www.FormsWorkFlow.com