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PG -630 ( 2/17 )(cs) Probate Rule 15(c) & (d) ACCEPTANCE OF APPOINTMENT AS GUARDIAN OF A MINOR AS 13.26. 162 and 13.06.100 AND ACKNOWLEDGEMENT OF DUTIES IN THE SUPERIOR COURT FOR THE STATE OF ALASKA AT____________________ In the Matter of the Protective Proceeding of ) ) ) ) Minor ) Date of Birth . ) ) CASE NO. ACCEPTANCE OF APPOINTMENT AS GUARDIAN OF A MINOR AND ACKNOWLEDGEMENT OF DUTIES I, , accept the duties of guardian of the minor named above. I have read and understand the duties and powers of a guardian in Alaska Statute 13.26. 167 . I agree to perform, according to the law, the duties of guardian as provided in the guardianship order . I further understand that I must file an Annual Report on Guardianship of a Minor (form PG - 640) every year until the guardianship ends . Date Guardian’ s Signature Mailing Address City State ZIP Daytime Telephone

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