DIY Legal Forms

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Appointment of Conservator

I, [NAME OF TESTATOR], of [NAME OF TOWN, COUNTY, AND STATE], being of sound and disposing mind and memory, do hereby nominate, constitute and appoint [NAME OF CONSERVATOR], of [NAME OF TOWN, COUNTY, AND STATE], as Conservator of my person and estate if I am hereafter found to be incapable of managing my affairs.

I direct that no bond or other security shall be required of the said [NAME OF CONSERVATOR], as Conservator, for the faithful performance of the duties of such office.

IN WITNESS WHEREOF, I have hereunto set my hand and seal this [DATE].

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Print Name

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Print Name

Signed, sealed, published and declared by the above named ................., as and to be her Appointment of Conservator in the presence of us, who, in her presence and in the presence of each other, and at her request, have hereunto subscribed our names as witnesses the day and year first above written.

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STATE OF ................)

) ss. [DATE]

COUNTY OF ...............)

The within named [NAMES OF WITNESSES], witnesses to the foregoing Appointment of Conservator of ........................., who being duly sworn, depose and say that they subscribed said Appointment of Conservator as witnesses thereto, in the presence of each other and that the said ....................., signed said Appointment of Conservator in their presence and acknowledged that she had signed said Appointment of Conservator and declared the same to be her Appointment of Conservator, and deponents further say that at the time of the execution of said Appointment of Conservator, they believed said .................., to be of lawful age and of sound and disposing mind and memory and free from any undue influences or duress, and they make affidavit at her request.

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Subscribed and sworn to before me this [DATE].

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Notary Public

My commission expires: