STATE OF SOUTH CAROLINA	)
)	IN THE PROBATE COURT
COUNTY OF:	)
)	APPLICATION FOR DISCHARGE
IN THE MATTER OF:	)
)	CASE NUMBER:

GUARDIANSHIP

CONSERVATORSHIP

Applicant:

1.	Give your relationship, if any, and your interest in this proceeding:

2.	RELIEF SOUGHT:

A	Termination/Discharge because (check all that apply):
Ward / Protected Person died on .

Obituary attached
.
Death Certificate attached
Protected Person has reached the age of eighteen or has been emancipated by Court Order.

Birth Certificate attached

Court Order attached

Other:

Guardian/Conservator was adjudicated incapacitated on , by

.

Certificate of Appointment or Fiduciary Letters or Court Order attached.

3.	I request that the Court: (check all that apply)

A.	Consider and approve the final accounting.
B.	Discharge, or set forth the conditions of the termination of the appointment of the
Guardian/Conservator and the release of the Fiduciary's bond, if any.
C.	Terminate the office.
D.	Other:
E.	Issue an Order of same, together with such other Orders as the law may require and as the
Court may deem applicable and proper.

4.	By copy of this petition, notice has been given to all interested persons as required by law.

SWORN to before me this	day of	Signature:
, 20
Name:
Address:
Notary Public for South Carolina
Telephone (O):
My Commission Expires:
(H):

ORDER TO SEND VISITOR

(Guardianship Only)

IT IS HEREBY ORDERED that be sent as visitor to the place where the incapacitated person resides to observe conditions and report in writing to the Court (Form #531PC) prior to the hearing date set below.

Executed this day of , 20 .

, Probate Court Judge

ORDER FOR HEARING

IT IS HEREBY ORDERED that a hearing on this matter be set for:

DATE:
TIME:
PLACE:

Pursuant to 62-1-401, the petitioner is ordered to give notice of this hearing at least twenty (20) days prior to the hearing date.

Executed this day ,of 20 .

, Probate Court Judge

FORM #571PC (2/13)	Page 2 of 2

FORM #571PC (2/13)	Page 1 of 2

62-5-103, 62-5-306, 62-5-307, 62-5-405, 62-5-406,

62-5-415, 62-5-416, 62-5-419, 62-5-430

STATE OF SOUTH CAROLINA

Rosengrant, Deb

2013-02-19