WPC  M!kYMJƻGy&dQ|fJti)Kר'xTFopzN<_*56u%"|l=_c QđQ`ӃJ%XU0{r̊U)m[2W]6+~42&eq AJwJ)P}٠9x8'+By_sPx{$:yIb +&6E; r?> "m[Lp:bIMꭷF!LPbxқMfǝ۬EG }GG]E!l*+i̅OLdbn+z},|C|mj pؠU$nej]橅w`,U: %6 1m<n 0_f 1uUN:4e # 72gN^ w m)\  `"TmsRmn 12ptS2X$35;CKS[ag11.(a)(i)(A)(I)a)i)A)3|a)\  `"TmsRmn 12ptS2XXt\  PP;XP(7$XXXX    3#37=CIQYag1.a.i.(1)(a)(i)1)a)(hH  Z 6Times New Roman Regular,~( HP LaserJet 4 Plus (Copy 2),,,,,,0i)0k( U !XJXXX     _X# XXXJ (43ProbateCourtFormNo.70  PetitiontoAppointaGuardian > foraMentallyDisableAdult  STATEOFVERMONTO(#PROBATECOURT F DISTRICTOF^,SS.P(#DOCKETNO.^ 2 INRETHEGUARDIANSHIPOF  Z ^  F OF^  2  @ggPETITIONTOAPPOINTAGUARDIANFORAMENTALLYDISABLEDADULT     Theundersignedrepresentsthatitisnecessarythataguardianbeappointedforthefollowing   person: ~    Name `    Residence     p   DateofBirth x  Age V    ^ `    ^ h      p   ^   x  ^ .~ whoiscurrentlylocatedat^ V   Insupportofthispetitiontheundersignedprovidesthefollowing: .   2   1  .3   ` Thepetitioner'sinterestintheproposedwardis^    2   2  .3   ` Anearrelativeoftheproposedwardis    Name `    Address f   ^ `    ^ >   2   3  .3   ` Theproposedwardisallegedtobe !f     ` ^_____mentallyill h     _____mentallyretarded ">"   2   4  .3   ` Specificreasonswithsupportingfactswhyguardianshipisrequested.(Attachsheets $ $ ifneeded.) %!%   ^ '"'   2   5  .3   ` Thepetitionerrequeststhefollowingpowers.(Checkapplicablepowers.) b)$)   _____ ` a. toexercisegeneralsupervisionovertheward; :+&+   _____ ` b.0 toapproveorwithholdapprovalofanycontract,exceptfornecessities,which &,v', thewardmakes;-b(- (# (#   _____ ` c.0 toapproveorwithholdapprovalofrequesttosellorinanywayencumberthe  ward'spersonalorrealproperty; (# (#   _____ ` d.0 toexercisegeneralsupervisionovertheward'sincomeandresources; (# (#   _____ ` e.0 toconsenttosurgeryorothermedicalprocedures,subjecttotheprovisions t of14V.S.A.3075andanyconstitutionalrightofthewardtorefuse ` treatment;L  (# (#   _____ ` f.0 toreceive,suefor,andrecoverdebtsanddemandsduetheward,tomaintain 8  anddefendactionsorsuitsfortherecoveryorprotectionoftheward's $ t propertyorperson,settleaccounts,demands,claims,andactionsatlaworin  ` equityagainsttheward,includingactionsforinjuriestothepropertyor  L  personoftheward,andtocompromise,release,anddischargethesameon  8  thosetermsastheguardiandeemsjustandbeneficialtotheward.$  (# (#   2   6  .3   ` Proposedguardian:?(#Relationshiptoproposedward     Name ` ^""[(#^     Address ^ p   Iconsenttobeappointedguardianoftheaboverespondent: H Dated:_________________   h   Signed_______________________________  p    `     h      p   ProposedGuardian  \   IhaveattachedtheentryfeeandFormsNo.73andNo.75. 4   Theundersignedunderstandsthatthecourtmustorderanevaluationoftheproposedward   tobeperformedbyaqualifiedmentalhealthprofessionalwhichmustbecompletedandfiledwith  thecourtwithin30daysofthefilingofthepetitionwiththecourt,andIsuggesttothecourtthatthe  followingqualifiedpersonperformtheexamination.     `     h Name    ^ X     `     h Address  ^ D! Dated:_________________   h Signed____________________________,Petitioner $X"    `     h   PrintName p ________________________________ $D #    `     h   Address p ________________________________ %0!$    `     h   ____________________________________________ &"%    `     h   Telephone(________)_________________________ '#& Insertbelowthenameoftheattorneyfortheward,ifknown: )$( ^(name,address&telephonenumber) h+&* .2 "C:\estplan\FORM722C:\estplan\FORM72/