Notice of Resignation as Enduring Guardian
For New South Wales
(Guardianship Regulation 2016, Schedule 1)
I, [your full name]: __________________________________________________
Of[your address]: __________________________________________________
__________________________________________________________________
Occupation:
_______________________________________________________
Phonenumber: ____________________________________________________
Dateofbirth: ______________________________________________________
Resign myappointmentasanEnduringGuardianof [appointors name]:
__________________________________________________________________
Of[appointor’s address] _____________________________________________
__________________________________________________________________
Havingbeenappointedbyaninstrumentofappointmentdated
_____________________________________________________ [insert if known]
Signature
___________________________ Date ________________________
Optional – signature on my behalf
TheEnduringGuardianinstructedmetosignthisresignationontheirbehalf.
SignatureonbehalfofEnduringGuardian ______________________________
Date _____________________________________________________________
Signer’sfullname __________________________________________________
Signer’s address ___________________________________________________
Signer’sphonenumber _____________________________________________
Witness certicate
I, [full name]:
_______________________________________________________
Of[address]: _______________________________________________________
Phonenumber: ____________________________________________________
Occupation:
Australianl
egalpractitioner
RegistraroftheNSWLocalCourt
Overseas-registeredforeignlawyer
ApprovedemployeeofNSWTrustee&Guardian
Certify that [Tick applicable boxes below, cross out those which do not apply]
_____________________________________________________________
[insert name of Enduring Guardian resigning appointment]
appearedtounderstandtheeffectofthisinstrumentandvoluntarily
executedtheinstrumentinmypresence.
T h e EnduringGuardianresigningappointmentvoluntarilyinstructed
[insert signer’s full name]
_____________________________________________________________
tosigntheinstrumentontheirbehalfandthatpersonexecuted
theinstrumentinmypresence.
Signature ___________________________ Date ________________________
App
ointor
Thepersonwhomakes
anEnduringGuardian
appointmentisknown
astheappointor.
Note:BeforetheEnduring
Guardiansignsherethey
mustarrangeforawitness
towatchthemsignthis
form.Thewitnessneeds
tocompletetheirdetails
opposite.Thewitness
cannotbetheEnduring
Guardian,orasubstitute
EnduringGuardian/s.
Thewitnessmustbean
Australianlegalpractitioner/
RegistraroftheNSWLocal
Court/overseas-registered
foreignlawyer or approved
employeeofNSWTrustee&
Guardian.Onlythese
personscanwitnessthe
executionofthis
resignation.
An Enduring Guardian
can resign at any
time by giving
written notice in this
formto 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.
NoticeofResignationasEnduringGuardianNewSouthWales Page1of1