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Appendix E: nomination of guardian for a minor.

NOMINATION OF GUARDIAN FOR A MINOR

I, --, the legal parent of the minor child -- who was born on --, am hereby declaring my wishes as to those individuals to be appointed the legal guardian of the person and property of my (daughter/son) in the event I am unable, physically or mentally, to care for my child.

I.

I nominate --, currently residing at -- (home address) to be the legal guardian of the person and property of my minor child -- (child's name). This nomination is based on the fact that a loving and parental relationship exists between -- and my (daughter/son), -- --. Furthermore, my (daughter/son) has lived with this adult and looks to her for guidance, support, and affection. It would be detrimental to my (daughter/son) to deprive (her/him) of this established relationship at a time when I am unable to provide the security and care necessary to my child's healthy development.

II.

In the event -- is unable to serve as a guardian or is disqualified by a court of law from serving; I nominate ( -- ) to serve as the guardian of the person and property of the minor child -- (name).

III.

Both the identity and whereabouts of the minor child's natural father are unknown to me. or

The minor child was conceived through alternative insemination by donor and has no natural father.

or

The minor child was conceived through alternative insemination by donor, and said donor has waived, in writing, any and all rights he may have to object to my nomination of a guardian.

IV.

I have purposefully not nominated my parents or siblings to be the guardians of my child in the event of my disability because they lack an established, close and warm relationship with my child, and I believe it would be detrimental to -- to remove (him/her) from -- (Child's name) and place (her/him) with adults who are, for all practical purposes strangers. Executed this -- day of --, 20 --, at --

--

Signature of Principal

CERTIFICATE OF ACKNOWLEDGMENT OF NOTARY PUBLIC
State of --)
 ) SS.
County of --)
On -- before me, --, personally
 (Date) (Notary)

appeared --
 Signer(s)

Personally known to me - OR - proved to me on the basis of
 satisfactory evidence to be the
 person(s) whose name(s) is/are
 subscribed to the within
 instrument and acknowledged to
 me that he/she/they executed the
 same in his/her/their authorized
 capacity(ies), and that by
 his/her/their signature(s) on
 the instrument the person(s), or
 the entity upon behalf of which
 the person(s) acted, executed the
 instrument.

 WITNESS my hand and official
 seal.

 --
 Notary's Signature


IMPORTANT NOTE: This sample legal document is provided for informational purposes only and may or may not be valid in your state. This sample legal document also may not include the particular provisions you need. We strongly recommend you consult a competent family or estate planning attorney who is familiar with these issues. This sample document in no way constitutes, and should not be relied upon, as legal advice.
COPYRIGHT 2003 National Center for Lesbian Rights
No portion of this article can be reproduced without the express written permission from the copyright holder.
Copyright 2003, Gale Group. All rights reserved. Gale Group is a Thomson Corporation Company.

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Publication:Life Lines: Documents to Protect You and Your Family in Times of Trouble
Geographic Code:1USA
Date:Jan 1, 2003
Words:499
Previous Article:Appendix D: authorization for consent to medical treatment of minor.
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