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Complete Home and Office Legal Guide (Chestnut) (1993).ISO
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2300b.sam
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1993-08-01
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64 lines
Whereas, Thomas Gregory is the parent and guardian of the
following child(ren):
April Mae, Franklin George
I designate Kenneth Wilson of Hanover, Maine to act as guardian of
the minor child(ren) stated above upon my incapacity to so act.
Should Kenneth Wilson be unable or unwilling to serve, I nominate
Candy Flemyng of Jupiter, Florida to act as the guardian of the
minor children in the place of Kenneth Wilson.
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 Indiana
COUNTY OF Quayle
Before me, the undersigned authority personally appeared the above
signatory (signatories) who acknowledged to me execution of this
durable power of attorney.
___________________________________________________________