FORM #529GC (01/2019) 62-5-309(C) STATE OF SOUTH CAROLINA ) ) COUNTY OF ) ) ) IN THE MATTER OF: ) PROBATE COURT USE ONLY , ) ) IN THE PROBATE COURT a ward. ) CASE NUMBER - GC - - ) ) ) SPECIAL POWER OF ATTORNEY DELEGATING POWERS OF GUARDIAN Name of Guardian: Name of Co-Guardian: I/We, the above-named Guardian or Co-Guardians, were appointed by this Court on, 20 to serve in that capacity for , a ward. To the extent of the power granted to me/us pursuant to S.C. Code Ann. 247 62-5-309, subject to the rights and powers retained by the Ward, and except as modified by order of the Court, I/we hereby delegate the powers vested in me/us regarding the care and custody of to . The delegation of this authority is for the period from to , but for no more than sixty (60) days from the date of this document. This delegation terminates automatically in sixty (60) days, unless I/we notify the Court sooner. The original of this document is on file with the County Probate Court, as required by S.C. Code Ann. 247 62-5-309(C). A copy of my/our Certificate of Appointment as Guardian or Co-Guardian is attached to this Special Power of Attorney. Executed this day of , 20. SWORN to before me this day of Guardian Signature: , 20 . Print Name: Address: Print Name: Preferred Telephone: Notary Public for: Secondary Telephone: (State) Email: My Commission Expires: (Date) Executed this day of , 20. SWORN to before me this day of Guardian Signature: , 20 . Print Name: Address: Print Name: Preferred Telephone: Notary Public for: Secondary Telephone: (State) Email: American LegalNet, Inc. www.FormsWorkFlow.com FORM #529GC (01/2019) 62-5-309(C) My Commission Expires: (Date) ACCEPTANCE I, , accept the appointment given through this Special Power of Attorney Delegating Powers of Guardian. By accepting this appointment I acknowledge that I am submitting myself to the jurisdiction of the Court, and that I have the same duties and responsibilities towards as if I had been appointed as Guardian directly by the Court. Executed this day of , 20. SWORN to before me this day of Signature: , 20 . Print Name: Address: Print Name: Preferred Telephone: Notary Public for: Secondary Telephone: (State) Email: My Commission Expires: (Date) Relationship to Ward: American LegalNet, Inc. www.FormsWorkFlow.com