FOR COURT USE ONLY MARIN COUNTY SUPERIOR COURT 3501 Civic Center Drive P.O. Box 4988 San Rafael, CA 94913-4988 RE THE GUARDIANSHIP OF: DECLARATION OF PROPOSED GUARDIAN'S VIEWING OF FILM CASE NUMBER: I, _____________________________________________________, hereby acknowledge that I viewed the film, "A Real Challenge - the ABC's of Guardianships". I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. DATE PROPOSED GUARDIAN'S SIGNATURE Distribution: Original - Court File; (1) Copy - Family Court Services; (1) Copy - Proposed Guardian FL033 / PR033 DECLARATION OF PROPOSED GUARDIAN'S VIEWING OF FILM Rev. 1/23/15 American LegalNet, Inc. www.FormsWorkFlow.com