Fillable MINORS CHOICE OF GUARDIAN (Vermont Judiciary)

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MINORS CHOICE OF GUARDIAN (Vermont Judiciary)

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Form PMG78 – Minor’s Choice of Guardian (8/14) Page 1 of 1
STATE OF VERMONT
SUPERIOR COURT
PROBATE DIVISION
Unit
Docket No.
In re Guardianship of :
MINOR’S CHOICE OF GUARDIAN
I am a minor over the age of fourteen and I am the subject of this guardianship proceeding. I respectfully
request that the Court appoint the following person to be my guardian:
Name of Proposed Guardian
Guardian’s Mailing Address
Guardian’s Telephone Number
Dated
Signature of Minor
ACKNOWLEDGEMENT
The above named minor appeared before me and acknowledged this to be his/her choice of guardian.
Dated:
Signed
Probate Judge
CONSENT TO APPOINTMENT
I consent to be appointed as the guardian of the above named minor.
Dated
Signature of Guardian
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Completed 30 July 2020

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