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Complete Home & Office Legal Guide
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Complete Home and Office Legal Guide (Chestnut) (1993).ISO
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1993-08-01
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Whereas, ______________ is the parent and guardian of the
following child(ren):
_____________________________________________________________
I designate ______________ of _______, _____ to act as guardian of
the minor child(ren) stated above upon my incapacity to so act.
Should ______________ be unable or unwilling to serve, I nominate
_____________ of__________, _______ to act as the guardian of the
minor children in the place of _________________.
Upon my disability, the designated guardian shall have the
following authority:
a) residential custody of the minor child(ren);
b) to approve medical treatment of any kind or type or to
disapprove the same within the bounds of the law;
c) to designate schooling for the minor children, and access to
any and all of their educational records;
d) to generally act in loco parentis.
In the event that I am the custodian of any property for the minor
children under the Uniform Transfer to Minor's Act, or the Uniform
Gifts to Minors Act or similar statute, I designate the guardian
or successor guardian to act as custodian for all such custodial
property.
In the event that formal legal proceedings are commenced to
establish a guardian for the child, it is my desire that the
guardians mentioned herein have priority in appointment.
The failure to list an individual as a guardian or successor
guardian is intentional.
Dated: __________________________
________________________________________________________________
Principal(s)
STATE OF __________
COUNTY OF _________
Before me, the undersigned authority personally appeared the above
signatory (signatories) who acknowledged to me execution of this
durable power of attorney.
___________________________________________________________