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- 1. What is your name?
- 2. Is this Statement of Guardianship going to be executed by you and your spouse?
- 3. What is your spouse's name?
- 4. Where do you live (number and street)?
- 5. In what City do you live?
- 6. In what State do you live?
- 7. What is the name of the person you are appointing as the Guardian?
- 8. Do you also wish to appoint the spouse of [7] as a Guardian?
- 9. What is the spouse's name?
- 10. What is the address of the guardian(s), (number and street)?
- 11. In what City do the guardian(s) live?
- 12. In what State do the guardian(s) live?
- 13. Do you wish the guardianship to be for more than one child?
- 14. What is the child's name?
- 15. What are your children's names?
- 16. Do you wish the guardian(s) to have the normal complete control pursuant to the laws in the State of [12]?
- 17. Do you wish the guardian(s) to be able to advise and give consent concerning medical matters?
- 18. Do you wish the guardian(s) to be able to determine the clothing, food and shelter of your child?
- 19. Do you wish the guardian(s) to be able to determine the clothing, food and shelter of your children?
- 20. Do you wish the guardian to be able to specify the type and kind of childcare?
- 21. Is there another power that you want the guardian(s) to have?
- 22. What is that power? ("The right to _________________").
- 23. Is there another power that you want the guardian(s) to have?
- 24. What is that power? ("The right to _________________").
- 25. Is there another power that you want the guardian(s) to have?
- 26. What is that power? ("The right to _________________").
- 27. All of the questions have been asked. The program will now compile your document and enable you to print it.