Fill and Sign the Texas Guardian Form

NOTICE OF CONFIDENTIALITY RIGHTS: IF YOU ARE A NATURAL PERSON, YOU MAY REMOVE OR STRIKE ANY OF THE FOLLOWING INFORMATION FROM THIS INSTRUMENT BEFORE IT IS FILED FOR RECORD IN THE PUBLIC RECORDS: YOUR SOCIAL SECURITY NUMBER OR YOUR DRIVER’S LICENSE NUMBER. REVOCATION OF DECLARATION OF GUARDIAN IN THE EVENT OF LATER INCAPACITY OR NEED OF GUARDIAN I, ___________________________________________________________________________, executed a Declaration of Guardian In the Event of Later Incapacity or Need of Guardian on the _____ day o f __________________________________, 20_____, in which I designated ______________________________________________________________ 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. Further, I designated _______________________________________________________________ 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. Pursuant to Probate Code Section 1104.210, which provides that I may revoke this designation in the same manner as a will may be revoked as provided for in Section 253.002 of the Probate code (which provides that "A written will, or a clause or devise in a written will, may not be - 1 - revoked, except by a subsequent will, codicil, or declaration in writing that is executed with like formalities, or by the testator destroying or canceling the same, or causing it to be destroyed or canceled in the testator's presence.”), I hereby execute this written revocation of my Declaration. Signed this ________ day of _____________________________________________, 20 _____. ______________________________________________________________________________ Declarant ______________________________________________________________________________ Witness ______________________________________________________________________________ Witness SELF–PROVING AFFIDAVIT Before me, the undersigned authority, on this date personally appeared the declarant, and __________________________________________________________________________ and ___________________________________________________________________________ as witnesses, and all being duly sworn, the declarant said that the above instrument was his or her Declaration of Guardian and that the declarant had made and executed it for the purposes expressed in the declaration. The witnesses declared to me that they are each 14 years of age or older, that they saw the declarant sign the declaration, that they signed the declaration as witnesses, and that the declarant appeared to them to be of sound mind. ______________________________________________________________________________ Declarant ______________________________________________________________________________ Affiant ______________________________________________________________________________ Affiant - 2 - Subscribed and sworn to before me by the above named declarant and affiants on this ____ day of _______________________________________________, 20_______. ______________________________________________________________________________ Notary Public in and for the State of Texas My Commission expires:___________________ - 3 -