Form PC-2.4 "Notice" - Rhode Island

What Is Form PC-2.4?

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

Form Details:

  • Released on July 1, 2017;
  • The latest edition provided by the Rhode Island Probate Court;
  • 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 PC-2.4 by clicking the link below or browse more documents and templates provided by the Rhode Island Probate Court.

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Download Form PC-2.4 "Notice" - Rhode Island

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State of Rhode Island and Providence Plantations
DATE FILED
Probate Court
NOTICE
This notice should be served at once and returned to the clerk of the court.
FOR
COURT USE ONLY
RIGL 33-15-17.1
&
RIGL 33-15-47
STATE OF RHODE ISLAND
Select County
County of
PROBATE COURT OF THE
Select City or Town
Estate of
City or Town of
Alias
No.
To:
Estate of:
No:
Greeting:
A petition for Limited Guardianship/Guardianship has been filed in the Probate Court of the City/Town of:
Select City or Town
Petitioner Name:
has requested that the Probate Court appoint a limited
guardian/guardian for you.
A hearing regarding this Petition shall be held:
On (date):
At (time):
at the Probate Court for the town of:
Select City or Town
Address:
The Petitioner requests that the Probate Court consider the qualification of the following individual as guardian:
A guardian ad litem will be appointed by the Probate Court to visit you to explain the process and inform you of your rights.
You have the right to attend the hearing to contest the petition, to request the powers of the guardian be limited, or to object to the
appointment of a particular individual guardian. If you wish to contest the petition, you have the right to be represented by an attorney, at
state expense, if you are indigent.
If the petition is granted and a guardian is appointed, the Probate Court may give the guardian power to make decisions about
one or more of the following: Your health care; your money; where you live; and with whom you associate.
Copies of this notice will be mailed to:
The administrator of any care or treatment facility where you live or receive primary services; your spouse; and heirs at law; any
individual or entity known to petitioner to be regularly supplying protection services to you.
CERTIFICATION OF SERVICE
I certify that I hand-delivered and read this Notice to:
(name of recipient)
on the
day of
,
.
(day)
(month)
(year)
Name of
Certifier
Signature of
Date
CERTIFIER SIGN HERE
Certifier
Street
Address
City/Town
State
Zip
Phone
Code
Number
PC-2.4 (Rev. 07/17)
Page 1 of 2
State of Rhode Island and Providence Plantations
DATE FILED
Probate Court
NOTICE
This notice should be served at once and returned to the clerk of the court.
FOR
COURT USE ONLY
RIGL 33-15-17.1
&
RIGL 33-15-47
STATE OF RHODE ISLAND
Select County
County of
PROBATE COURT OF THE
Select City or Town
Estate of
City or Town of
Alias
No.
To:
Estate of:
No:
Greeting:
A petition for Limited Guardianship/Guardianship has been filed in the Probate Court of the City/Town of:
Select City or Town
Petitioner Name:
has requested that the Probate Court appoint a limited
guardian/guardian for you.
A hearing regarding this Petition shall be held:
On (date):
At (time):
at the Probate Court for the town of:
Select City or Town
Address:
The Petitioner requests that the Probate Court consider the qualification of the following individual as guardian:
A guardian ad litem will be appointed by the Probate Court to visit you to explain the process and inform you of your rights.
You have the right to attend the hearing to contest the petition, to request the powers of the guardian be limited, or to object to the
appointment of a particular individual guardian. If you wish to contest the petition, you have the right to be represented by an attorney, at
state expense, if you are indigent.
If the petition is granted and a guardian is appointed, the Probate Court may give the guardian power to make decisions about
one or more of the following: Your health care; your money; where you live; and with whom you associate.
Copies of this notice will be mailed to:
The administrator of any care or treatment facility where you live or receive primary services; your spouse; and heirs at law; any
individual or entity known to petitioner to be regularly supplying protection services to you.
CERTIFICATION OF SERVICE
I certify that I hand-delivered and read this Notice to:
(name of recipient)
on the
day of
,
.
(day)
(month)
(year)
Name of
Certifier
Signature of
Date
CERTIFIER SIGN HERE
Certifier
Street
Address
City/Town
State
Zip
Phone
Code
Number
PC-2.4 (Rev. 07/17)
Page 1 of 2
CERTIFICATION OF NOTICE
I certify that, as required by Rhode Island General Laws section 33-15-17.1(e), I mailed a copy of this Notice to the following persons, at
the addresses listed, on the
day of
,
.
(day)
(month)
(year)
Name
Relationship
Address
Name of
Certifier
Signature of
Date
CERTIFIER SIGN HERE
Certifier
Street
Address
City/Town
State
Zip
Phone
Code
Number
Notary:
Name of
State
County
Notary
On
day of
, 20
the certifier, known to me or proved through satisfactory evidence, signed the
document in my presence and swore or affirmed the statement(s) in the documents is/are truthful and accurate.
Signature of Notary Public
Date
NOTARY SIGN HERE
Commission ID#
Commission Expiration Date
Notary Seal
WITNESS
FOR COURT USE ONLY
Judge of the Probate Court of the
of
this
day of
.
Name of
Probate Clerk
Signature of
Date
PROBATE CLERK SIGN HERE
Probate Clerk
PC-2.4 (Rev. 07/17)
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