The Legal Innovation & Technology Lab's Form Explorer ^Beta @ Suffolk Law School Last updated 2023-04-02

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Here is the text we could read:

Name

Address

City, State, Zip

Phone

This is a tier 2 case.

If you do not respond to this
document within applicable time
limits, judgment could be entered
against you as requested.

Check your email. You will receive information and
documents at this email address.

I am [ ] Petitioner

[ ] Petitioner’s Attorney (Utah Bar #:__________)

In the District Court of Utah

__________ Judicial District ________________ County

Court Address ______________________________________________________

In the Matter of Protection for

Petition to Appoint a Conservator
for a Minor

___________________________________
a minor

_______________________________
Case Number

_______________________________
Judge

I request that the court appoint ___________________________________ (name

of proposed conservator) as conservator for ________________________________
(name of minor).

I am interested in the minor’s estate, affairs, or welfare, or would be adversely
affected by lack of effective management of the minor’s property and affairs.

The court has jurisdiction under Section 75-1-302 and Section 75-5-402.

The court has venue because the minor: (Choose one.)

[ ] resides in this county;

[ ] does not reside in this state but has property in this county.

Petition to Appoint a Conservator for a Minor

Approved Board of District Court Judges September 11, 2013
Revised February 8, 2021

Page 1 of 5

The interested persons who must be served are described in Schedule A, which
is attached. Service of notice of the time and place of the hearing will occur as
described in Schedule A.

The conservator proposed in this petition is: (Choose all that apply. Attach a complete,
legible copy of any nomination or court order checked below.)

[ ] already appointed by another court to care for the minor’s affairs.

[ ] nominated in writing by another person already appointed by a court to care

for the minor’s affairs.

[ ] nominated by the minor, who is at least 14 years of age and has sufficient

mental capacity to make an intelligent choice. This nomination was made in
writing or by some other method conforming to the requirements of Utah
Code Section 75-5-410.

[ ] the minor’s parent.

[ ] nominated in the will of the minor’s deceased parent or someone chosen by

the person nominated in the will.

[ ] a relative with whom the minor has resided for more than six months before

this petition was filed, or someone nominated by that relative.

[ ] a person nominated by whoever is caring for or paying benefits to the minor.

[ ] is ___________________________________________________________.

(describe any other relationship to the minor)

The court should appoint the proposed conservator because: (Choose one.)

[ ] the proposed conservator is highest in priority established by statute.

[ ] there is good cause not to follow the statutory priority because:

List any other guardianship or conservatorship orders or pending cases
regarding the minor. (If there are no other orders or proceedings, enter “none.”)

Petition to Appoint a Conservator for a Minor

Approved Board of District Court Judges September 11, 2013
Revised February 8, 2021

Page 2 of 5

10.

Information about the minor’s nearest relative known to me:

11.

Information about the minor’s guardian:

Information about the minor:

ame

ddress

hone

mail

ity, State, Zip

ocial Security Number

ate of Birth

river License Number

ity, State, Zip

ame

ddress

hone

mail

ame

ddress

hone

mail

ity, State, Zip

Petition to Appoint a Conservator for a Minor

Approved Board of District Court Judges September 11, 2013
Revised February 8, 2021

Page 3 of 5

13.

Information about the proposed conservator’s next of kin or other contact person:

14.

The estimated value of the minor’s assets is:

General Description

Estimated Value

Bank and credit union accounts

Personal property
Other:

Total $

Unknown
[ ]

[ ]

Petition to Appoint a Conservator for a Minor

Approved Board of District Court Judges September 11, 2013
Revised February 8, 2021

Page 4 of 5

12.

Information about the proposed conservator:

ame

ddress

hone

mail

ity, State, Zip

ocial Security Number

ate of Birth

river License Number

ame

ddress

hone

mail

ity, State, Zip

15.

The minor’s estimated monthly income from all sources is:

General Description

Estimated Monthly
Amount

Social Security benefits
Other:

Total $

Unknown
[ ]

[ ]

16.

The minor:(Choose all that apply.)

[ ] owns property that requires management or protection which cannot

otherwise be provided;

minority; or

[ ] has or may have business affairs which may be jeopardized or prevented by

[ ] funds are needed for the minor’s support and education, and protection is

necessary or desirable to obtain or provide funds.

17.

I request that the court:

 schedule a hearing on this petition;

 give notice as required by Utah Code Section 75-5-405;

 enter an order appointing _________________________________ (name) as

conservator to serve: (Choose one.)

[ ] without bond;

[ ] with bond in the amount of $___________;

 grant to the conservator the authority allowed by Section 75-5-408;



issue a Letter of Conservatorship to the conservator describing the
conservator’s authority.

declare under criminal penalty under the law of Utah that everything stated in this document is true.

Signed at ______________________________________________________ (city, and state or country).

Signature ►

Printed Name

Petition to Appoint a Conservator for a Minor

Approved Board of District Court Judges September 11, 2013
Revised February 8, 2021

Page 5 of 5

Date

Petition to Appoint a Conservator for a Minor

This info page is part of the LIT Lab's Form Explorer project. It is not associated with the Utah state courts. To learn more about the project, check out our about page.

Downloads: You can download both the original form (last checked 2023-03) and the machine-processed form with normalized data fields.

About This Form:

Sourced from legacy.utcourts.gov (2023-03)
Page(s): 5
Fields(s): 135
Average fields per page: 27
Reading Level: Grade 13
LIST Grouping(s): GO-00-00-00-00.

Use our Rate My PDF tool to learn more. Go beyond the above insights and learn more about this or any pdf form at RateMyPDF.com, includes: counts of difficult words used, passive voice decetion, and suggestions for how to make the form more usable.

Identified Data Fields:

We have done our best to automaticly identify and name form fields according to our naming conventions. When possible, we've used names tied to our question library. See e.g., user1_name. If we think we've found a match to a question in our library, it is highlighted in green. Novel names are auto generated. So, you will probably need to edit some of them if you're trying to stick to the convention.

Here are the fields we could identify.

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We've done our best to group similar variables togther to avoid overwhelming the user.

Suggested Screen 0:

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users1_address_line_one
city_state_zip
users1_phone_number
email
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The Legal Innovation & Technology Lab's Form Explorer Beta @ Suffolk Law School Last updated 2023-04-02

Petition to Appoint a Conservator for a Minor

About This Form:

Identified Data Fields:

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The Legal Innovation & Technology Lab's Form Explorer ^Beta @ Suffolk Law School Last updated 2023-04-02