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| Guardian of Minor Children, Conditional |
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Whereas, ______________________ and ___________________, are the parent and natural guardians 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) Approve medical treatment of any kind or type or to disapprove the same within the bounds of the law; c) Designate schooling for the minor children, and access to any and all of their educational records; d) 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. _____________________________________________________________________ Notary Commission Expires: |
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