Appointment of Guardianship Form

Appointment of Guardianship Form
Name
First NameLast Name
Address
Street Address
Street Address Line 2
CityState / Province
Postal / Zip Code
I {name}, resident of and accommodate at {address} make, publish and declare this Parental Appointment of Guardian, revoking all prior appointments at any time made by me.
Below are my children and their dates of birth:
Appointed Guardian
First NameLast Name
Should any child(ren) of mine be under the age of 18 as of the date of my death, I appoint {name} as his/her/their legal guardian.
No Guardian shall be required to file or furnish any bond, surety or other security in any jurisdiction.
IN WITNESS WHEREOF, I, sign my name to this instrument as a Parental Nomination of Guardian this day of {date}, and being first duly sworn, do hereby declare to the undersigned authority that I sign and execute this instrument, that I sign it willingly, that I execute it as my free and voluntary act and deed for the purposes therein expressed, and that I am at least eighteen years of age, of sound mind, and under no constraint, duress, fraud or undue influence. I also have affixed my initials on the bottom of each of the preceding pages hereof.
Date
MonthDayYear
Date
Parent Signature
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Witness Name
First NameLast Name
Witness Address
Street Address
Street Address Line 2
CityState / Province
Postal / Zip Code
Second Witness Name
First NameLast Name
Second Witness Address
Street Address
Street Address Line 2
CityState / Province
Postal / Zip Code
We, {witnessName} and {secondWitness}, the witnesses, sign our names to this instrument, and, being first duly sworn, do each hereby declare to the undersigned authority that {name}, signed and executed this Parental Nomination of Guardian and that she signed it willingly, and that each of us, in the presence and hearing of the Signor, and each other, hereby sign this Parental Nomination of Guardian as a witness to the Parent’s signing, and that that to the best of each of our knowledge the Testatrix is at least eighteen years of age, of sound mind, and under no constraint, duress, fraud or undue influence.
Witness Signature
Clear
Second Witness Signature
Clear

Notary Name
Subscribed, sworn to and acknowledged before me by the said {name}, and subscribed and sworn to before me by the said {witnessName} and {secondWitness}, as witnesses, this day of {date}.
Notary Signature
Clear
Should be Empty: