WPC3 2q ZB0 E  XN\  PXPXN\  PXP(9 Z6Times New Roman RegularXXxP7XPH` AZ0Univers (WN) RegularX *0 x7* `(CG TimesScalableX*0 x7X* `(CG TimesScalableXf*0 x7* `(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) RegularXxP 7XPH` AZ0Univers (WN) RegularXXxP 7XPH` AZ0Univers (WN) RegularX D\  P  P(9 Z6Times New Roman Regular XxP 7XPH` AZ0Univers (WN) RegularX D\  P  P(9 Z6Times New Roman Regular XxP7XPH` AZ0Univers (WN) RegularXXN\  PXP(9 Z6Times New Roman RegularXXxP7XPH` AZ0Univers (WN) RegularXXxP7XPH` AZ0Univers (WN) RegularX#XxP 7XP#Lrhd/G/D/ioI&G Letterhead/ GMK/Date/io0#XxP7XP# XX  XX  X # *0 x7#*Ikard & Golden, p.c.   #X*0 x7X#*attorneys & counselors  L 8"X#f*0 x7#8"Frank N. Ikard, Jr. **823 Congress Avenueʐ$$NCorrespondence: 8"Alvin J. Golden **Suite 910ʐ$$NP. O. Box 684367 8"Glenn M. Karisch **Austin, Texas 78701ʐ$$NAustin, Texas 787684367 8"Jerry Frank Jones (Of Counsel) **512/4726695ʐ$$NFax 512/4723669 8"#^T*0 x7^#* Board Certified 8"Estate Planning & Probate Law*email: karisch@io.com#f*0 x7#ʐ$$NWriters Direct Line 8"#^T P7^P#Texas Board of Legal Specialization*http://www.io.com/user/karisch/ikard&golden.html#f P7P#ʐ$$N512/4724542    XX ` hp x (#%#XxP 7XP# * 3 1, 4 2+Lrhd/G/D/ioI&G Letterhead/ GMK/Date/io0#XxP7XP# XX  XX  X # *0 x7#*Ikard & Golden, p.c.   #X*0 x7X#*attorneys & counselors  L 8"X#f*0 x7#8"Frank N. Ikard, Jr. **823 Congress Avenueʐ$$NCorrespondence: 8"Alvin J. Golden **Suite 910ʐ$$NP. O. Box 684367 8"Glenn M. Karisch **Austin, Texas 78701ʐ$$NAustin, Texas 787684367 8"Jerry Frank Jones (Of Counsel) **512/4726695ʐ$$NFax 512/4723669 8"#^T*0 x7^#* Board Certified 8"Estate Planning & Probate Law*email: karisch@io.com#f*0 x7#ʐ$$NWriters Direct Line 8"#^T P7^P#Texas Board of Legal Specialization*http://www.io.com/user/karisch/ikard&golden.html#f P7P#ʐ$$N512/4724542    XX ` hp x (#%#XxP 7XP# * 3 1, 4 3|x# D\  P  P#GUARDIAN-CHILDREN  a#XxP 7XP## D\  P  P# DECLARATION OF APPOINTMENT OF GUARDIAN FOR MY CHILDREN IN THE EVENT OF MY DEATH#XxP7XP#`d!(#G#XN\  PXP#PAGE #XxP7XP# a 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` ` ` 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 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` ` ` hhhAffiant Subscribed and sworn to before me by the above named declarant and affiants on this ____ day of __________, 20__. ` ` ` hhh_________________________________________ ` ` ` hhhNotary Public in and for the State of Texas ` ` ` hhhMy Commission expires:_____________________ #XxP7XP#