WPCN 2 ZB;0 _HP LaserJet IIIXN\  PXP#XxP7XP#Lrhd/G/D/ioI&G Letterhead/ GMK/Date/io0#XxP 7XP# XX  XX  X # *0 x 7#t Ikard & Golden, p.c.   #X*0 x 7X#!attorneys & counselors  L 8"X#f*0 x 7#4Frank N. Ikard, Jr. *l%823 Congress AvenueH $DCorrespondence: ʘAlvin J. Golden *(Suite 910& $DP. O. Box 684367 ZGlenn M. Karisch *z%Austin, Texas 78701$BAustin, Texas 787684367 Jerry Frank Jones (Of Counsel) *T'512/4726695 $DFax 512/4723669 #^T*0 x7^#* Board Certified ʨEstate Planning & Probate Law%email: karisch@io.com#f*0 x7#$DWriters Direct Line 8#^T P7^P#Texas Board of Legal Specialization http://www.io.com/user/karisch/ikard&golden.html#f P7P#ʠ $E512/4724542    XX ` hp x (#%#XxP7XP# ,$ 3 1, 4 XN\  PXPx9 Z6Times New Roman RegularXXxP7XPH` AZ0Univers (WN) RegularX D\  P Px9 Z6Times New Roman Regular XxP7XPH` AZ0Univers (WN) RegularX D\  P Px9 Z6Times New Roman Regular XxP7XPH` AZ0Univers (WN) RegularXXN\  PXPx9 Z6Times New Roman RegularXXxP7XPH` AZ0Univers (WN) RegularX D\  P Px9 Z6Times New Roman Regular XxP 7XPH` AZ0Univers (WN) RegularXXxP 7XPH` AZ0Univers (WN) RegularX *0 x 7* `(CG TimesScalableX*0 x 7X* `(CG TimesScalableXf*0 x 7* `(CG TimesScalable^T*0 x7^* `(CG TimesScalable^f*0 x7* `(CG TimesScalable^T P7^PG  Z 2CG Times (WN) Regular^f P7PG  Z 2CG Times (WN) RegularXxP7XPH` AZ0Univers (WN) RegularX2DL3|x# D\  P P#GUARDIAN-CHILDREN  W#XxP7XP## D\  P P# DECLARATION OF APPOINTMENT OF GUARDIAN FOR MY CHILDREN IN THE EVENT OF MY DEATH#XxP7XP#`!(#G#XN\  PXP#PAGE #XxP7XP# W DECLARATION OF APPOINTMENT OF GUARDIAN FOR MY CHILDREN IN THE EVENT OF MY DEATH# D\  P P#  I, ____________________, make this Declaration to appoint as guardian for my child or children, listed as follows, in the event of my death: ________________________ ________________________ ________________________ ________________________ ________________________ ________________________  (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 __________, 19___. _________________________________________ Declarant __________________________________________________________________________________ Witness` ` ` hhhWitness !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 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` ` ` hhhAffiant Subscribed and sworn to before me by the above named declarant and affiants on this ____ day of __________, 19__. ` ` ` hhh_________________________________________ ` ` ` hhhNotary Public in and for the State of Texas ` ` ` hhhMy Commission expires:_____________________ #XxP 7XP#