Fill and Sign the Designation of Resident Form

Superior Court of Washington County of In the Guardianship of: _______________________________, Incapacitated Person No. Designation of and Consent by In-State (Resident) Agent (APRSAG) Not being a resident of the State of Washington, I designate the following person, a resident of the above county and whose mailing address is shown below, as my resident agent for service of process in these proceedings: Agent’s Name: _________________________________________________________ Agent’s Mailing Address _________________________________________________________ _________________________________________________________ City, State, Zip: _________________________________________________________ *Phone Number(s): Business ____________________ Personal ______________________ *If you do not want your personal phone number on this public form, you may list your telephone number on a separate form which may be available to parties and the court, as well as its staff and volunteers, but will not be made available to the public. Use Form WPF GDN 03.0100, Guardianship Confidential Information form (Telephone Numbers), for this purpose. Dated: _____________________ Signed: _____________________________ ______________ [ ]Petitioner [ ] Guardian [ ]WSBA[ ]CPG# I consent to so serve. Dated: _____________________ Signed: _____________________________________________ Agent’s Name, Designee Designation/Consent by In-State Agent (APRSAG) - Page 1 of 1 WPF GDN 04.0300 (01/2009) RCW 11.88.020