Declaration Of Guardian In The Event Of Later Incapacity Or Need Of Guardian

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Declaration of Guardian in the Event of
Later Incapacity or Need of Guardian
I, ______________________, make this Declaration of Guardian, to operate if the need
for a guardian for me later arises.
1. I designate ___________________ to serve as guardian of my person,
_______________________ as first alternate guardian of my person,
_______________________ as second alternate guardian of my person, and
_______________________ as third alternate guardian of my person.
2. I designate ___________________ to serve as guardian of my estate,
______________________ as first alternate guardian of my estate, _____________________ as
second alternate guardian of my estate, and ____________________ as third alternate guardian
of my estate.
3. If any guardian or alternate guardian dies, does not qualify, or resigns, the next named
alternate guardian becomes my guardian.
4. I expressly disqualify the following persons from serving as guardian of my person:
_____________________, ________________________, and _________________________.
5. I expressly disqualify the following persons from serving as guardian of my estate:
_____________________, ________________________, and _________________________.
Signature and Acknowledgment
[may be used if no persons are disqualified to serve as guardian]
________________________________________
Signature of Declarant
State of _______________
County of _____________
This instrument was acknowledged before me on the ____ day of _______________, 20___, by
_________________________________ (Declarant).
__________________________________
Notary Public in and for the State of Texas
Notary’s printed name: ________________
My commission expires: _______________

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