Fill and Sign the Enter the Name of the State of Wisconsin Circuit Court for Form

GN-3190, 05/14 Signature Bond (Guardianship) §54.46(4) , W isconsin Statutes This form shall not be modified. It may be supplemented with additional mat erial. Page 1 of 1 STATE OF WISCONSIN, CIRCUIT COURT, COUNTY IN THE MATTER OF Name Amended Signature Bond (Guardianship) Date of Birth Case No. I/we [Names(s)] , principal(s) and [Names(s)] , surety(ies) are liable to the Circuit Court in the sum of $ for which payment we bind ourselves and my/our estate(s), jointly and severally. If the principal faithfully performs duties as temporary guardian of estate; guardian of estate; conservator then this bond obligation shall be void; otherwise it shall remain in full force and ef fect. Witnessed By: Signature Signature (Seal) Signature of Principal (Seal ) Signature of Principal I, being sworn as a surety, state that I am an adult resident of Wisconsin, residing in County. I am financially responsible for the actions of the principal(s) in the amount of th is bond. I shall provide satisfactory evidence to the designated court officer . State of County of Subscribed and sworn to before me on Notary Public/Court Official Name Printed or Typed My commission/term expires: Surety Address Surety Address Satisfactory evidence as to financial responsibility of surety has been reviewed by the designated court officer. Designated Court Official BOND APPROVED BY: Court Official Print or Type Name if not eSigned Date Name of Attorney Address Telephone Number Bar Number