New York Guardianship Form 2New York Guardianship Form 2New York Guardianship Form 2
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SURROGATE’S COURT OF THE STATE OF NEW YORK
COUNTY OF ________________________________
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Proceeding for the Appointm ent of a
Guardian for

Filing Fee Paid
$ ___________
__________ Certs $ ___________
__________ Certs $ ___________
$ _________ Bond, $ ___________
Receipt No: ________ No:________
PETITION FOR
APPOINTM ENT OF GUARDIAN OF
[ ] PERSON AND PROPERTY
[ ] PROPERTY ONLY

______________________________________________

an Infant.
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File No._______________________

TO THE SURROGATE’S COURT, COUNTY OF ________________________
It is respectfully alleged:
1.
The name, permanent address, date of birth and telephone number of the petitioner, and the petitioner’s relationship to the
infant are as follows:
Name:_________________________________________________ Telephone Number:____________________________________
Permanent Address:_______