DIY Legal Forms

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Acknowledgment by Guardian

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

) s.s.:

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

On this [date] before me personally came [name], to me known and known to me to be the guardian (ad litem) of [name], an infant, and to be the individual described in and who executed the foregoing instrument as such guardian (ad litem), and she duly acknowledged to me that she executed the same as the act and deed of such infant and as such guardian (ad litem) and for the uses and purposes mentioned therein.

[signature]

Notary Public

Witness my hand and official seal.

Signature ________________________
Notary

My commission expires: _____

(Seal)