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Designation Of In-State Agent 9 - Washington

Designation Of In-State Agent Form. This is a Washington form and can be used in Guardianship Superior Court King Local County .
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1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 DESIGNATION OF IN-STATE AGENT- 1 12/2005 REVISED GUARDIANSHIP FORMS American LegalNet, Inc. www.USCourtForms.com IN THE SUPERIOR COURT OF THE STATE OF WASHINGTON IN AND FOR THE COUNTY OF KING In the Guardianship of: ____________________, ) ) ) ) ) ) ) Case No.: DESIGNATION OF IN-STATE AGENT (DES) An Incapacitated Person. COMES NOW _______________(name), the duly appointed Guardian of _________, and hereby designates:_____________________ to serve as my in-state agent should service of process be necessary. The contact information of the in-state agent is as follows: Address: Telephone: E-mail: ____________________________ ____________________________ ____________________________ (home)______________________ (cell)________________________ (work)_______________________ ____________________________ /// /// /// 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 Both ___________________ as Guardian and ______________ as designated instate agent, understand the position of designated in-state agent cannot be resigned or forfeited without a prior order from the court. I DECLARE UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT. Signed at ________________, Washington, ___________, ____200__. Signature of Guardian Printed Name Address Telephone/Fax Number City, State, Zip Code Email Address I DECLARE UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT. Signed at ________________, Washington, ___________, ____200__. Signature Designated In-State Agent Printed Name Address Telephone/Fax Number City, State, Zip Code Email Address DESIGNATION OF IN-STATE AGENT- 2 12/2005 REVISED GUARDIANSHIP FORMS American LegalNet, Inc. www.USCourtForms.com
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