DIY Legal Forms

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Acknowledgment by Committee or Conservator for Incompetent

STATE OF ----------)

) s.s.:

COUNTY OF ---------)

On this [date] before me personally came [name], to me known as the individual described in and who executed the foregoing instrument and known to me to be the Committee [or, Conservator] of [name], an incompetent (Conservatee). The individual by said Committee [or, Conservator] executed the foregoing instrument and acknowledged to me that he executed the same as the act and deed of the incompetent (Conservatee) pursuant to the order of the [court, county] therein recited.

[signature]

Notary Public

Witness my hand and official seal.

Signature ________________________
Notary

My commission expires: _____

(Seal)