Form SG-9 - Confirmation affidavit of standby guardian
SURROGATE'S COURT OF THE STATE OF NEW YORK
COUNTY OF ________
________x
Proceeding for the Appointment of a Standby Guardian for CONFIRMATION AFFIDAVIT
OF STANDBY GUARDIAN
________
An Infant. File No. ________
________x
STATE OF NEW YORK )
) ss.:
COUNTY OF ________ )
The undersigned, Standby Guardian, being duly sworn, says:
1. I was appointed standby guardian of the above named infant by this Court by decree dated ________
2. There has been [ ] no material change [ ] a material change in the circumstances of the infant since the filing of the petition. [If any material changes, so specify]
3. The petitioner has [ ] died [ ] been incapacitated [ ] made a written consent where by I am now entitled to receive letters of Guardianship.
4. I have never been named as a subject of an indicated report filed pursuant to Title 6 of Article 6 of the Social Services Law, or have been the subject of or the respondent in a child protective proceeding commenced under Article 10 of the Family Court Act, which proceeding resulted in an order finding that the child is an abused or neglected child, except: [Explain in detail].
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____________
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5. OATH OF GUARDIAN: I am over eighteen years of age and a citizen of the United States, domiciled in the State of New York; that I will well, faithfully and honestly discharge the duties as guardian. I am acquainted with the estate of the infant and have read the statement contained in the petition filed with the Court as to the estimated value of same, and believe same to be correct. I am not ineligible to receive letters.
6. DESIGNATION OF CLERK FOR SERVICE OF PROCESS: I hereby designate the Clerk of the Surrogate's Court of ________ County, and his or her successor in office, as a person on whom service of any process issuing from such Surrogate's Court may be made, in like manner and with like effect as if it were served personally upon me whenever I cannot be found and served within the State of New York after due diligence is used.
My domicile is: ____________
(Street/Number) (City, Village/Town) (State) (Zip)
______________
Signature of Proposed Guardian
STATE OF NEW YORK )
) ss.:
COUNTY OF ________ )
On ________, 19 ________, before me personally appeared ________ to me known and known to to be the person described in and who executed the foregoing instrument, and duly acknowledged to me that ________ he executed the same.
______________
Notary Public
______________
Name of Attorney
Commission Expires: ________
(Affix Notary Stamp or Seal) Address
________
Telephone Number