WPC ϗ3fmǢc7)_0| lnW"4HŇ?hJUr2gM7R+idϑyO\Z`TBu8^g@Xs:e~G'Bf\KV[O>.-0W|"/b*T!' kl-rm'8GxUYbc.x1f<<~#Q#>E&'}&"fN&+[i=6_XgkVv*u:%{$5ؑтI騰Z8$ %+(?o,ӰA˲ccTv:>/̛6$08ն2 3d o!`HA۶wh'")Uh n5[Q~{,6ق~uGwWe[.5gt.Ĺ##N/jf1#t} ?vwU: %6 1m<n 0(f 1u4UNe e#o 720Nb^ dwpt mv)\  `"TmsRmn 12ptS2X$35;CKS[ag11.(a)(i)(A)(I)a)i)A)3|a)\  `"TmsRmn 12ptS2XXt\  PP;XP($3#37=CIQYag1.a.i.(1)(a)(i)1)a),~(ddt(hH  Z 6Times New Roman Regular HP LaserJet 4 Plus (Copy 2),,,,,,0i)Kk( U !  _ XqXXX    ProbateCourtFormNo.74  PetitiontoAppointVoluntary > GuardianforanInfirmPerson  STATEOFVERMONTO(#PROBATECOURT F DISTRICTOF^,SS.P(#DOCKETNO.^ 2 INRETHEGUARDIANSHIPOF  Z ^  F OF^,VERMONT  2  @PETITIONTOAPPOINTVOLUNTARYGUARDIANFORANINFIRMPERSON     Theundersignedpetitionerrequeststhatthecourtappointaguardiantoassistinthe   managementofmyaffairs.IstatethatIammorethan18yearsofageandIamnotmentallyillor ~  mentallyretarded. j    Ihaveattachedtheentryfee. B   Irequestthatthecourtappointasmyguardian: j   Name `     h Residence   p   Relationship B   ^ `     h ^     p   ^    Irequestthattheguardianhavethefollowingpowers.(Checkapplicablepowers.)    򀀀x ` 1. Toexercisegeneralsupervisionovertheward; z   򀀀x ` 2.0 Toapproveorwithholdapprovalofanycontract,exceptfornecessities, f whichthewardmakes;R (# (#   򀀀x ` 3.0 Toapproveorwithholdapprovalofrequesttosellorinanywayencumber > theward'spersonalorrealproperty;* z (# (#   򀀀x ` 4.0 Toexercisegeneralsupervisionovertheward'sincomeandresources;!f  (# (#   򀀀x ` 5.0 Toconsenttosurgeryorothermedicalprocedures,subjecttotheprovisions "R! of14_V.S.A._Ԁ3075andanyconstitutionalrightofthewardtorefuse ">" treatment;#*# (# (#   򀀀x ` 6.0 Toreceive,suefor,andrecoverdebtsanddemandsduetheward,tomaintain $ $ anddefendactionsorsuitsfortherecoveryorprotectionoftheward's %!% propertyorperson,settleaccounts,demands,claims,andactionsatlaworin &!& equityagainsttheward,includingactionsforinjuriestothepropertyor '"' personoftheward,andtocompromise,release,anddischargethesameon v(#( thosetermsastheguardiandeemsjustandbeneficialtotheward.b)$) (# (#   :+&+ _Checkoneofthefollowing:    _____ ` 1. Iwillphysicallyappearbeforethecourt;or    _____ ` 2.0 Iwillnotbeabletophysicallyappearbeforethecourt,butthepetitionis ` accompaniedbyaletterfromaphysicianorqualifiedmentalhealth L  professionalstatingthatIunderstandthenature,extentandconsequencesof 8  theguardianshiprequestedandtheprocedureforrevokingtheguardianship.$ t (# (# Dated:_________________   h Signed____________________________,Petitioner  L     `     h PrintName  ________________________________  8     `     h Address  ________________________________ $     `     h ____________________________________________      `     h Telephone(________)_________________________     Iconsenttobeappointedguardianoftheabovepetitioner:   Dated:_________________   h   Signed_______________________________ \    `     h     ProposedGuardian H .: *C:\estplan\FORM74.RWK:C:\estplan\FORM74.RWK/