Parental Nomination Of Guardian

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PARENTAL NOMINATION OF GUARDIAN
I, ___________________________(name), resident of and domiciled at
_______________________(address)
_______________________(city),
_______________________(county), Massachusetts,
_______________________(zip code) make, publish and declare this Parental
Appointment of Guardian, revoking all prior appointments at any time heretofore
made by me.
Listed below are my children and their dates of birth:
___________________
_____________
___________________
_____________
___________________
_____________
___________________
_____________
Should any child(ren) of mine be under the age of 18 as of the date of my
death, I appoint: ________________________________________(name of
person to be appointed guardian) as his/her/their legal guardian.
No Guardian shall be required to file or furnish any bond, surety or other security
in any jurisdiction.
IN WITNESS WHEREOF, I, _______________(name of parent), sign
my name to this instrument as a Parental Nomination of Guardian this _______
day of _______, 20__, and being first duly sworn, do hereby declare to the
undersigned authority that I sign and execute this instrument, that I sign it
willingly, that I execute it as my free and voluntary act and deed for the purposes
therein expressed, and that I am at least eighteen years of age, of sound mind, and
under no constraint, duress, fraud or undue influence. I also have affixed my
initials on the bottom of each of the preceding pages hereof.
_____________________
Name of parent
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