#2300 #2301/#2302 The child(ren) have: Two present parents/legal guardians One present parent/legal guardian #if#2301 @001 State the name of the first parent @002 State the name of the second parent @400 State the child(rens) names: @404 Enter name of guardian: @405 Enter the city, state of residence of guardian: @408 State the name of alternate guardian: @407 Enter the city, state of residence of alternate guardian: #endif #if#2302 @003 Enter the name of the parent: @401 Enter the child(rens) names: @406 Enter the name of the guardian: @407 Enter the city, state of residence of the guardian: @408 State the name of alternate guardian: @410 Enter the city, state of residence of alternate guardian: #endif #2303 @490 Enter the State where designation signed: @491 Enter the County where designation signed: #end control section #2300 /* Para. 2300: Designation of guardians */ DESIGNATION OF GUARDIANS AND DURABLE POWER OF ATTORNEY #2301 /* Para. 2301: Two parents */ Whereas, @001 and @002, are the parent and natural guardians of the following child(ren): @400 I designate @404 of @405 to act as guardian of the minor child(ren) stated above upon my incapacity to so act. Should @404 be unable or unwilling to serve, I nominate @408 of @409 to act as the guardian of the minor children in the place of @404. #2302 /* Para. 2302: Single parent */ Whereas, @003 is the parent and guardian of the following child(ren): @401 I designate @406 of @407 to act as guardian of the minor child(ren) stated above upon my incapacity to so act. Should @406 be unable or unwilling to serve, I nominate @408 of @410 to act as the guardian of the minor children in the place of @406. #2303 /* Para. 2303: End- kids guardianship */ Upon my disability, the designated guardian shall have the following authority: a) residential custody of the minor child(ren); b) to approve medical treatment of any kind or type or to disapprove the same within the bounds of the law; c) to designate schooling for the minor children, and access to any and all of their educational records; d) to generally act in loco parentis. In the event that I am the custodian of any property for the minor children under the Uniform Transfer to Minor's Act, or the Uniform Gifts to Minors Act or similar statute, I designate the guardian or successor guardian to act as custodian for all such custodial property. In the event that formal legal proceedings are commenced to establish a guardian for the child, it is my desire that the guardians mentioned herein have priority in appointment. The failure to list an individual as a guardian or successor guardian is intentional. Dated: __________________________ ________________________________________________________________ Principal(s) STATE OF @490 COUNTY OF @491 Before me, the undersigned authority personally appeared the above signatory (signatories) who acknowledged to me execution of this durable power of attorney. ___________________________________________________________