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State. ___ Zip Cote: _._ Email Address: <br />The Petitioner shall provide the persens listed in paragraphs k, 9, 14 and 13 — 16 (Respondent's spouse, <br />nominee, current Guardian or Conservator, parents, adult children or an adult relative, person who had <br />primary care and control of the Respondent and any legal representatives, if applicable) with notice of the <br />time and place for hearing on this Petition in accordancewith Colorado Rules of Probate Procedures and <br />pursuant to §73- 14404, C.R.S. <br />In addition, I request that the Court: <br />VERIFICATION AND ACKNOWLEDGMENT <br />swearlaffirm under oath that I have read the foregoing Petition and that the statements set forth therein are true <br />and correct to the hest of my knowledge. <br />Date: /(P <br />S' n'at re of Petitioner <br />S Sgri)ec ar.d af°irrred, or sworn to before In the County of 'ice c. "uf state of <br />[k,rlr , ,12 this 1f'` days of m 20 <br />Mv Commission Ex <br />21 <br />