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Waiver Of Process Renunciation And Consent To Appointment Of Guaridan (SCPA Article 17-A) GMD-3 - New York

Waiver Of Process Renunciation And Consent To Appointment Of Guaridan (SCPA Article 17-A) Form. This is a New York form and can be used in Guardianship Surrogates Court Statewide .
 Fillable pdf Last Modified 6/16/2005
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SURROGATE'S COURT OF THE STATE OF NEW YORK COUNTY OF ______________________________ --------------------------------------------------------------------X Proceeding for the Appointm ent of a Guardian for W AIVER OF PROCESS RENUNCIATION AND CONSENT TO APPOINTM ENT OF A GUARDIAN File No. _______________________________ Pursuant to SCPA Article 17-A --------------------------------------------------------------------X The undersigned _____________________________________________________, whose perm anent address is _________________________________________________________________________________________________ (Street and Num ber) (City, Village, Town) _________________________________________________________________________________________________ (State) (Zip Code) and who is a com petent person over the age of eighteen (18) years and whose interest in the above-nam ed proceeding is as follows: [Check appropriate interest] [ [ [ ] Parent of the above-nam ed alleged [ ] Spouse of the above-nam ed alleged [ ] intellectually disabled person [ ] intellectually disabled person [ ] developm entally disabled person. ] developm entally disabled person. [ ] developm entally disabled ] An adult child of the above-nam ed alleged [ person. ] intellectually disabled person [ ] An adult brother/sister of the above-nam ed alleged [ [ ] intellectually disabled person ] developm entally disabled person [ ] Other [Specify] _____________________________________________________________________________ hereby personally appears in this proceeding and 1. renounces all right to apply as a guardian under Article 17-A of the SCPA 2. waives the issuance and service of process in this m atter, and 3. consents that _________________________________________________________ be nam ed the Guardian(s) of the [ [ [ [ ] ] ] ] person property person and property lim ited guardianship of the property and that _____________________________________________________________________ be nam ed the Standby Guardian of the [ [ [ [ ] ] ] ] person property person and property lim ited guardianship of the property GMD-3 (7/2016) -1American LegalNet, Inc. www.FormsWorkFlow.com and that ___________________________________________________________________ be nam ed the First Alternate Standby Guardian of the [ [ [ [ ] ] ] ] person property person and property lim ited guardianship of the property and that ___________________________________________________________________ be nam ed the Second Alternate Standby Guardian of the [ [ [ [ ] ] ] ] person property person and property lim ited guardianship of the property and that such letters m ay be granted to said person(s) or to any other person(s) entitled thereto without notice to the undersigned. _______________________________________ (Signature) Date: ____________________________ _______________________________________ (Print Nam e) STATE OF ____________________) ss.: COUNTY OF___________________) On __________________________________________________________, _________, before me personally came _________________________________________________________________________________________________to m e known to be the person described in and who executed the foregoing instrum ent. Such person duly swore to such instrum ent before m e and duly acknowledged that he/she executed the sam e. _______________________________________ Notary Public Com m ission Expires: (Affix Notary Stam p or Seal) American LegalNet, Inc. www.FormsWorkFlow.com
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