Fill and Sign the Declaration Guardian 497327884 Form

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: _______________ Self-Proving Affidavit [may be used at any time and must be used if a person or persons are disqualified to serve as guardian] I, ________________________ , as declarant, after being duly sworn, declare to the undersigned witnesses and to the undersigned authority that this instrument is my Declaration of Guardian in the Event of Later Incapacity or Need of Guardian, and that I willingly make and execute 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 _______ . ______________________________________ Signature of 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 Guardian in the Event of Later Incapacity or Need of Guardian 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___. ___________________________________ Notary Public in and for the State of Texas My commission expires: ______________ Declaration of Guardian in the Event of Later Incapacity or Need of Guardian Page 2