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IN THE CIRCUIT COURT FOR FLORIDA IN RE: GUARDIANSHIP OF COUNTY, PROBATE DIVISION File No. Division OATH OF GUARDIAN, DESIGNATION OF RESIDENT AGENT AND ACCEPTANCE STATE OF FLORIDA COUNTY OF I, 1. of 2. My place of residence is and my post office address is I hereby designate is not a member of The Florida Bar, a resident of place of residence office address is . , County, Florida, (Affiant), state under oath that: I will faithfully perform the duties of guardian (the Ward) according to law. who whose 3. is and whose post office address is as my agent for the service of process or notice in any action against me, either in my representative capacity, or personally, if the personal action accrued in the performance of my duties as such guardian. Affiant Sworn to and subscribed before me on personally known to me or who produced (yes or no) (type of identification) , , by Affiant, who is as identification. __________________________________ Notary Public State of Florida My Commission Expires: My Commission Number is: ACCEPTANCE I CERTIFY that I am a permanent resident of County, Florida, and my residence office address is indicated above. I hereby accept the foregoing designation as Resident Agent. Signed on , . (Affix Notarial Seal) [Print or Type Names Under All Signatures Lines] Resident Agent Bar Form No. G-3.076 © Florida Lawyers Support Services, Inc. January 1, 2017 American LegalNet, Inc. www.FormsWorkFlow.com