Acceptance Of Appointment As Temporary Guardian

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IN THE SUPERIOR COURT FOR THE STATE OF ALASKA
AT____________________
In the Matter of the Protective Proceeding of
)
)
)
)
,
)
Ward.
)
)
CASE NO.
ACCEPTANCE OF APPOINTMENT AS TEMPORARY GUARDIAN
AND ACKNOWLEDGEMENT OF DUTIES
I,
, accept the duties of temporary guardian of the
ward named above.
I have read and understand the duties and powers of a guardian in Alaska Statute 13.26.316
(and the powers and duties of a conservator in AS 13.26.500 - .575 if I also have conservator
powers). I understand that I am being granted only the powers set forth in the court’s order
appointing me temporary guardian. I solemnly swear to perform the duties set forth in my
appointment order.
I understand that I must complete at least one hour of education on guardianship (and
Affirmation
conservatorship) and file the PG-120
form with the court within 30 days after my
appointment.
I further understand that I must file any reports the court asks me to file.
I understand that my temporary appointment will end when a long-term guardian is appointed
for the ward or when the petition for a long-term guardian is dismissed.
Date
Guardian’s Signature
Mailing Address
City
State
ZIP
Daytime Telephone
Verification
I state on oath or affirm that I have read the above Acceptance and that all statements made in
it are true to the best of my knowledge and belief.
Date
Guardian’s Signature
Subscribed and sworn to or affirmed before me at
, Alaska
on
.
Date
(SEAL)
Clerk of Court, Notary Public, or other
person authorized to administer oaths.
My commission expires:
PG-433 (2/17)(cs)
Probate Rule 16(c)
ACCEPTANCE OF APPOINTMENT AS TEMPORARY GUARDIAN
AS 13.26.261

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