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ODistrict Court ❑Denver Probate Court <br />Jefferson County, Colorado <br />Court Address: <br />100 Jefferson County Parkway <br />Golden, Colorado 80401 (303)271 -6135 <br />ADDENDUM 1 <br />In the Interests of: <br />IRENE C. COULTER <br />AkCOURT USE ONLY.• <br />Respondent <br />John A. Berman, Reg. No. 6695 <br />Case Number: <br />1660 Lincoln Street, Suite 1750 <br />Denver, Colorado 80264 -1701 <br />(303) 832 -7645 phone <br />(303) 832 -1188 fax <br />lab@jaberman.com email I <br />Division Courtroom <br />VERIFIED PETITION FOR APPOINTMENT OF CONSERVATOR FOR ADULT <br />1. The Petitioner is <br />❑ a 'person who would be adversely affected by lack of effective management of the Respondent's <br />property and business. <br />0 a person who is interested in the estate, financial affairs, or welfare of the Respondent. <br />❑ the Respondent (the person to be protected.) <br />This is a Petition for: <br />ElPermanent Conservator. <br />If you are seeking a Special Conservator, select one of the two boxes below: <br />❑ Special Conservator (emergency situation only to preserve and apply the property of the Respondent <br />as may be required for the support of the Respondent or individuals who are in fact dependent upon <br />the Respondent), pursuant to §15- 14- 406(7), C.R.S.) <br />❑ Special Conservator (to assist in the accomplishment of a protective arrangement or other authorized <br />single transaction), pursuant to §15 -14- 412(3), C.R.S.) <br />2. Information about the Petitioner: <br />Name: Paula Coulter Relationship to Respondent: Daughter, Attorney in fact, Nominee as Conservator <br />Address: 1041 Field Street <br />City: Lakewood State: CO Zip Code: 80215 Email Address: paulacoulteracomcast. net <br />Home Phone #: (303) 238 -9197 Work Phone #: <br />3. Information about the Respondent: <br />Name: Irene C. Coulter Age: 88 Date of BHh: 2/1/1922 <br />Address: 555 S. Pierce. Unit 111 <br />City: Lakewood State: CO Zip Code: 80226 County of Residence: Jefferson <br />Ulf this appointment is made, the Respondent's dwelling will change to: <br />JDF 876 4108 PETITION FOR APPOINTMENT OF CONSERVATOR FOR ADULT Page 1 of 5 <br />17 <br />