Notice of Resignation as Enduring Guardian
For New South Wales
(Guardianship Regulation 2016, Schedule 1)
I, [your full name]: __________________________________________________
Of[your address]: __________________________________________________
__________________________________________________________________
Occupation:
_______________________________________________________
Phonenumber: ____________________________________________________
Dateofbirth: ______________________________________________________
Resign myappointmentasanEnduringGuardianof [appointor’s name]:
__________________________________________________________________
Of[appointor’s address] _____________________________________________
__________________________________________________________________
Havingbeenappointedbyaninstrumentofappointmentdated
_____________________________________________________ [insert if known]
Signature
___________________________ Date ________________________
Optional – signature on my behalf
TheEnduringGuardianinstructedmetosignthisresignationontheirbehalf.
SignatureonbehalfofEnduringGuardian ______________________________
Date _____________________________________________________________
Signer’sfullname __________________________________________________
Signer’s address ___________________________________________________
Signer’sphonenumber _____________________________________________
Witness certicate
I, [full name]:
_______________________________________________________
Of[address]: _______________________________________________________
Phonenumber: ____________________________________________________
Occupation:
Australianl
egalpractitioner
RegistraroftheNSWLocalCourt
Overseas-registeredforeignlawyer
ApprovedemployeeofNSWTrustee&Guardian
Certify that [Tick applicable boxes below, cross out those which do not apply]
_____________________________________________________________
[insert name of Enduring Guardian resigning appointment]
appearedtounderstandtheeffectofthisinstrumentandvoluntarily
executedtheinstrumentinmypresence.
T h e EnduringGuardianresigningappointmentvoluntarilyinstructed
[insert signer’s full name]
_____________________________________________________________
tosigntheinstrumentontheirbehalfandthatpersonexecuted
theinstrumentinmypresence.
Signature ___________________________ Date ________________________
App
ointor –
Thepersonwhomakes
anEnduringGuardian
appointmentisknown
astheappointor.
Note:BeforetheEnduring
Guardiansignsherethey
mustarrangeforawitness
towatchthemsignthis
form.Thewitnessneeds
tocompletetheirdetails
opposite.Thewitness
cannotbetheEnduring
Guardian,orasubstitute
EnduringGuardian/s.
Thewitnessmustbean
Australianlegalpractitioner/
RegistraroftheNSWLocal
Court/overseas-registered
foreignlawyer or approved
employeeofNSWTrustee&
Guardian.Onlythese
personscanwitnessthe
executionofthis
resignation.
An Enduring Guardian
can resign at any
time by giving
written notice in this
formto the person
who appointed the
Enduring Guardian.
However, an Enduring
Guardian for a person
who has lost the
capacity to make
personal decisions
may only resign
with the approval
of the NSW Civil
& Administrative
Tribunal.
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