Page 1 of 1 Acceptance of Appointment as Guardian - County ( 201) Form M IN THE CIRCUIT COURT OF THE STATE OF OREGON FOR THE COUNTY OF In the Matter of the Guardianship of: ) Case Number: ) ) ACCEPTANCE OF APPOINTMENT AS , ) GUARDIAN a minor. ) I, , am nominated to serve as Guardian in this matter. If appointed, I will accept said appointment and will fulfill the legal duties and obligations of that position. I further represent that I am qualified, willing, and able to serve as Guardian. Signature of proposed guardian Submitted by: Name Contact Address City, State, Zip Phone Number American LegalNet, Inc. www.FormsWorkFlow.com