Declaration Of Appointment Of Guardian For My Children In The Event Of My Death Or Incapacity Form

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DECLARATION OF APPOINTMENT OF GUARDIAN FOR
MY CHILDREN IN THE EVENT OF MY DEATH OR INCAPACITY
I, ____________________, make this Declaration to appoint as guardian for my child or children,
listed as follows, in the event of my death or incapacity:
________________________ ________________________
________________________ ________________________
________________________ ________________________
(add blanks as appropriate)
I designate ______________ to serve as guardian of the person of my (child or children), __________
as first alternate guardian of the person of my (child or children), __________ as second alternate guardian of
the person of my (child or children), and __________ as third alternate guardian of the person of my (child or
children).
(If applicable) I designate __________ to serve as guardian of the estate of my (child or children),
__________ as first alternate guardian of the estate of my (child or children), __________ as second alternate
guardian of the estate of my (child or children), and __________ as third alternate guardian of the estate of my
(child or children).
If any guardian or alternate guardian dies, does not qualify, or resigns, the next named alternate
guardian becomes guardian of my (child or children).
I, ____________________, as declarant, after being duly sworn, declare to the undersigned witnesses
and to the undersigned authority that this instrument is my Declaration of Appointment of Guardian for My
Children in the Event of My Death or Incapacity, and that I have made and executed it for the purposes
expressed in the declaration. I now sign this declaration in the presence of the attesting witnesses and the
undersigned authority on this ____ day of ___________________, 20___.
_________________________________________
Declarant
The undersigned, _________________________ and _________________________, each being 14
years of age or older, after being duly sworn, declare to the declarant and to the undersigned authority that the
declarant declared to us that this instrument is the declarant's Declaration of Appointment of Guardian for the
Declarant's Children in the Event of Declarant's Death or Incapacity and that the declarant executed it for the
purposes expressed in the declaration. The declarant then signed this declaration and we believe the declarant
to be of sound mind. We now sign our names as attesting witnesses on this ____ day of
___________________, 20___.
______________________________________
_________________________________________
Witness
Witness
Subscribed and sworn to before me by the above named declarant, and affiants, this ____ day of
___________________, 20___.
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DECLARATION OF APPOINTMENT OF GUARDIAN FOR MY CHILDREN IN THE EVENT OF MY DEATH

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