Fill and Sign the Name of Guardian Accept the Appointment of Guardian for the above Form

JDF 821 R8-17 AFFIDAVIT OF ACCEPTANCE OF APPOINTMENT BY WRITTEN INSTRUMENT AS GUARDIAN FOR MINOR © 2017 Colorado Judicial Department for use in the Courts of Colorado Page 1 of 2 District Court Denver Probate Court_________________________________ County, ColoradoCourt Address:In the Interests of:Minor COURT USE ONLY Attorney or Party Without Attorney (Name and Address): Phone Number: E-mail:FAX Number: Atty. Reg. #:Case Number:Division Courtroom AFFIDAVIT OF ACCEPTANCE OF APPOINTMENT BY WRITTEN INSTRUMENT AS GUARDIAN FOR MINOR PURSUANT TO § 15-14-202, C.R.S. I, (name of Guardian), accept the appointment of Guardian for the above named unmarried Minor who is years of age and born on (date). 1.Information about the Appointed Guardian:Name: Relationship to Minor: Address: City: State: Zip Code: Home Phone #: Email Address: Work Phone #:2.The appointment was made by Will or other signed writing by ___________________________(the Minor’s parent) on ___________________ (date):Appointment by Will:Certified copy of will is attached.orFiled in this Court on (date) in the following case number: orFiled in (County) in (State) in the following case number: . Appointment by other signed writing:Original signed writing is attached and is signed by the parent or guardian. 3. The parents of the Minor are and .both parents are deceased. (Name) was the last parent to die and at that time was a resident of ______________________________________ (name of County/State). (Name) is deceased and (name) survives, but has been adjudicated incapacitated and order is attached. both parents are alive and have been adjudicated incapacitated. Attach orders adjudicating incapacity.4.No other Guardian for the Minor has been appointed. JDF 821 R8-17 AFFIDAVIT OF ACCEPTANCE OF APPOINTMENT BY WRITTEN INSTRUMENT AS GUARDIAN FOR MINOR © 2017 Colorado Judicial Department for use in the Courts of Colorado Page 2 of 2 5. I submit personally to the jurisdiction of this Court in any proceeding relating to this guardianship that may be instituted by any interested person. Notice of any such proceeding may be mailed to me by ordinary mail at my address stated above, or at such other address as I may later report to the Court. By checking this box, I am acknowledging I am filling in the blanks and not changing anything else on the form. By checking this box, I am acknowledging that I have made a change to the original content of this form.(Checking this box requires you to remove JDF number and copyright at the bottom of the form.) VERIFICATION AND ACKNOWLEDGMENT I swear/affirm under oath, and under penalty of perjury, that I have read the foregoing Affidavit of Acceptance of Appointment by Written Instrument as Guardian for Minor Pursuant to §15-14-202, C.R.S. and that the statements set forth therein are true and correct to the best of my knowledge and belief. ____________________________________________ Signature of Guardian DateThe foregoing instrument was subscribed and affirmed, or sworn before me in the County of ________________, State of Colorado, this ____day of ____________, 20___, by the Guardian.. My Commission Expires: ________________ ____________________________________ __________________________________________Signature of Attorney Notary Public/Deputy Clerk Certificate of Service I certify that on (date) a copy of this Affidavit was served on each of the following: Name of Person You are Sending this Document To (Interested Persons)Relationship to MinorAddressManner of Service* *Insert hand delivery, first class U.S. Mail, certified U.S. Mail, E-filed, or Fax.Date: ________________________________ ______________________________________ Signature of Person Certifying Service Note: Notice of this Affidavit of Acceptance of Appointment must be given to the appointing parent or Guardian, if living, the Minor, if he/she is 12 years of age or older, and a person other than the parent or Guardian having care and custody of the Minor.Any person receiving this Affidavit may cause this appointment to terminate by filing a written objection to this appointment within 35 days after receipt of the Affidavit. However, filing of an objection will not preclude the appointment of this or another suitable guardian by the Court in a proper proceeding. The minor, if 12 years of age or older, can consent or refuse to consent to the appointment of the Guardian within 35 days after receipt of the Affidavit. The Verified Consent of Minor (JDF 826) must be filed with the Court.