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251 2018 Nevada Supreme Court Page 1 of 2 226 Individual Consent and Waiver (Guardianship) COURT CODE: Your Name: Address: City, State, ZipTelephone:Email Address:Self-Represented DISTRICT COURT COUNTY, NEVADA In the Matter of the Guardianship of the: Person EstatePerson and Estate of: (name of person alleged to need a guardian) A Proposed Protected Person. CASE NO.: DEPT: CONSENT AND WAIVER I, (name of person signing) , am the (your relationship to the proposed protected person) of the above-named proposed protected person who is the subject of the above-captioned guardianship matter. (initial the sections below that you agree with; you can initial one or both) Do not mark an 223x224 226 your consent is invalid without your initials next to one or both statements. I consent to (name of proposed guardian) and (second proposed guardian, or 223n/a224) being appointed as legal guardian(s) of the above-named person. American LegalNet, Inc. www.FormsWorkFlow.com 251 2018 Nevada Supreme Court Page 2 of 2 226 Individual Consent and Waiver (Guardianship) I waive personal service of the Petition for Appointment of Guardian(s) and the Citation to Appear and Show Cause regarding the Petition for Appointment of Guardian(s) in this case. I acknowledge that I have received a copy of the Petition for Appointment of Guardian(s) and the Citation to Appear and Show Cause regarding the Petition for Appointment of Guardian(s) in this case. DATED (month) (day) , 20. STATE OF ) ) COUNTY OF ) This instrument was acknowledged before me on (date) , 20 by (name of person signing) . SIGNATURE OF NOTARIAL OFFICER (Signature) (Printed Name) American LegalNet, Inc. www.FormsWorkFlow.com