DECLARATION OF GUARDIAN
IN THE EVENT OF LATER INCAPACITY OR NEED OF GUARDIAN

I, __________, make this Declaration of Guardian, to operate if the need for a guardian for me later arises.

1. I designate __________ to serve as guardian of my person, __________ as first alternate guardian of my person, __________ as second alternate guardian of my person, and __________ as third alternate guardian of my person.

2. I designate __________ to serve as guardian of my estate, __________ as first alternate guardian of my estate, __________ as second alternate guardian of my estate, and __________ as third alternate guardian of my estate.

3. If any guardian or alternate guardian dies, does not qualify, or resigns, the next named alternate guardian becomes my guardian.

4. I expressly disqualify the following persons from serving as guardian of my person: __________, __________, and __________.

5. I expressly disqualify the following persons from serving as guardian of my estate: __________, __________, and __________.

Signed this _______ day of ______________, 20_____.

______________________________________
Declarant

Witness	Witness

State of Texas

County of ______________________

This instrument was acknowledged before me on the ____ day of __________________, 20__ by ____________________ (Declarant).

__________________________________________
Notary Public in and for the State of Texas

____________________________________
Notary’s printed name

My Commission expires:
___________________________________________