Form AOC-747 "Petition/Application for Emergency Appointment of Fiduciary for Disabled Persons" - Kentucky

What Is Form AOC-747?

This is a legal form that was released by the Kentucky Court of Justice - a government authority operating within Kentucky. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on July 1, 2003;
  • The latest edition provided by the Kentucky Court of Justice;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form AOC-747 by clicking the link below or browse more documents and templates provided by the Kentucky Court of Justice.

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Download Form AOC-747 "Petition/Application for Emergency Appointment of Fiduciary for Disabled Persons" - Kentucky

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AOC-747 Doc. Code: PEF
Case No. ____________________
Rev. 7-03
Page 1 of 2
l e x
Court
____________________
District
e t
j u s t i t i a
Commonwealth of Kentucky
County
____________________
Court of Justice
www.courts.ky.gov
PETITION/APPLICATION FOR
Division ____________________
EMERGENCY APPOINTMENT
KRS 387.740; 387.720; 395.130
OF FIDUCIARY FOR DISABLED PERSONS
COMMONWEALTH OF KENTUCKY ex rel
_____________________________________________________________
PETITIONER
VS.
_____________________________________________________________
RESPONDENT
1.
Comes Petitioner and requests appointment as emergency limited q guardian OR q conservator for
Respondent for the purpose of: ________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
2.
Petitioner states his/her relationship to Respondent is: ____________________________________ and his/her
qualifications for appointment are: ______________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
3.
Petitioner offers as surety on his/her bond the following: ____________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
4.
Respondent is ________ years of age and resides at:
_________________________________________________________________________________________
5.
The person or facility having custody of the Respondent is (name and address):
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
6.
A petition for a Determination of Disability was filed on _________________________, 2_______.
7.
Respondent’s q Durable Power of Attorney OR q Health Care Surrogate is:
Name: ____________________________________________________________________________________
Address: __________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
Affidavit(s) are attached setting forth facts, including any danger alleged as imminent, and reasons necessitating
8.
such appointment.
AOC-747 Doc. Code: PEF
Case No. ____________________
Rev. 7-03
Page 1 of 2
l e x
Court
____________________
District
e t
j u s t i t i a
Commonwealth of Kentucky
County
____________________
Court of Justice
www.courts.ky.gov
PETITION/APPLICATION FOR
Division ____________________
EMERGENCY APPOINTMENT
KRS 387.740; 387.720; 395.130
OF FIDUCIARY FOR DISABLED PERSONS
COMMONWEALTH OF KENTUCKY ex rel
_____________________________________________________________
PETITIONER
VS.
_____________________________________________________________
RESPONDENT
1.
Comes Petitioner and requests appointment as emergency limited q guardian OR q conservator for
Respondent for the purpose of: ________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
2.
Petitioner states his/her relationship to Respondent is: ____________________________________ and his/her
qualifications for appointment are: ______________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
3.
Petitioner offers as surety on his/her bond the following: ____________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
4.
Respondent is ________ years of age and resides at:
_________________________________________________________________________________________
5.
The person or facility having custody of the Respondent is (name and address):
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
6.
A petition for a Determination of Disability was filed on _________________________, 2_______.
7.
Respondent’s q Durable Power of Attorney OR q Health Care Surrogate is:
Name: ____________________________________________________________________________________
Address: __________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
Affidavit(s) are attached setting forth facts, including any danger alleged as imminent, and reasons necessitating
8.
such appointment.
AOC-747
Rev. 7-03
Page 2 of 2
9.
Respondent’s next of kin is/are:
Name: ____________________________________________________________________________________
Address: __________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
Relationship: ____________________________________
Name: ____________________________________________________________________________________
Address: __________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
Relationship: ____________________________________
WHEREFORE, Petitioner respectfully requests that a hearing be held within one (1) week of the filing of this Application.
Petitioner’s Name: _______________________________________________________________________________
Address: _______________________________________________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________
Telephone Number: ___________________________
Social Security No. ___________________________
_______________________________, ______
____________________________________________
Date
Petitioner’s Signature
SUBSCRIBED and SWORN to before me this ___________ day of _______________________________, 2_______.
My Commission expires:____________________________.
____________________________________________
____________________________________________
County, Kentucky
Name/Title
WAIVER OF NOTICE AND REQUEST
FOR APPOINTMENT OF FIDUCIARY
The undersigned hereby waive notice of hearing and the right to appointment and request the Court to make the
appointment herein applied for:
_______________________________________
_______________________________________
_______________________________________
_______________________________________
_______________________________________
_______________________________________
_______________________________________
_______________________________________
To be completed if Applicant is represented by counsel:
Attorney’s Name: ________________________________________________________________________________
Address: ______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
Telephone Number: ___________________________
______________________________, _______
____________________________________________
Date
Attorney Signature
Distribution:
Petitioner/Attorney
County Attorney
Respondent/Attorney
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