DECLARATION OF APPOINTMENT OF GUARDIAN FOR MY CHILDREN IN THE EVENT OF MY DEATH OR INCAPACITY I, ____________________, make this Declaration to appoint as guardian for my child or children, listed as follows, in the event of my death or incapacity: ________________________ ________________________ ________________________ ________________________ ________________________ ________________________ (add blanks as appropriate) I designate ______________ to serve as guardian of the person of my (child or children), __________ as first alternate guardian of the person of my (child or children), __________ as second alternate guardian of the person of my (child or children), and __________ as third alternate guardian of the person of my (child or children). (If applicable) I designate __________ to serve as guardian of the estate of my (child or children), __________ as first alternate guardian of the estate of my (child or children), __________ as second alternate guardian of the estate of my (child or children), and __________ as third alternate guardian of the estate of my (child or children). If any guardian or alternate guardian dies, does not qualify, or resigns, the next named alternate guardian becomes guardian of my (child or children). Signed this ___ day of __________, 20___. _________________________________________ Declarant _________________________________________ _________________________________________ Witness Witness SELF-PROVING AFFIDAVIT Before me, the undersigned authority, on this date personally appeared the declarant, and ____________ and ____________ as witnesses, and all being duly sworn, the declarant said that the above instrument was his or her Declaration of Appointment of Guardian for the Declarant's Children in the Event of Declarant's Death or Incapacity and that the declarant had made and executed it for the purposes expressed in the declaration. The witnesses declared to me that they are each 14 years of age or older, that they saw the declarant sign the declaration, that they signed the declaration as witnesses, and that the declarant appeared to them to be of sound mind. _________________________________________ Declarant _________________________________________ _________________________________________ Affiant Affiant DECLARATION OF APPOINTMENT OF GUARDIAN FOR MY CHILDREN IN THE EVENT OF MY DEATH PAGE 1 American LegalNet, Inc. www.FormsWorkflow.com Subscribed and sworn to before me by the above named declarant and affiants on this ____ day of __________, 20__. _________________________________________ Notary Public in and for the State of Texas My Commission expires:_____________________ DECLARATION OF APPOINTMENT OF GUARDIAN FOR MY CHILDREN IN THE EVENT OF MY DEATH PAGE 2 American LegalNet, Inc. www.FormsWorkflow.com