Fillable Revocation of Appointment of Enduring Guardian (New South Wales)

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Revocation of Appointment of Enduring Guardian (New South Wales)

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Country of origin: AUSTRALIA
File type: PDF

Australia forms for New South Wales

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Revocation of Appointment of Enduring Guardian
For New South Wales
(Guardianship Regulation 2016, Schedule 1)
I, [your full name]: __________________________________________________
Of[your address]: __________________________________________________
__________________________________________________________________
Occupation:
_______________________________________________________
Phonenumber: ____________________________________________________
Dateofbirth: ______________________________________________________
Revoke theappointmentof [insert the name of each Enduring Guardian]
__________________________________________________________________
___________________________________________
asmyEnduringGuardian/s.
IunderstandthatthisrevocationwillnotbeeffectiveunlesstheEnduring
Guardianhasbeengiven/isgivenwrittennoticeoftherevocation.
Dateoforiginalinstrumentofappointment ______________________________
[insert if known]
Signature
___________________________ Date ________________________
Optional – signature on my behalf
Theappointorinstructedmetosignthisrevocationontheirbehalf.
Signatureonbehalfofappointor ______________________________________
Date _____________________________________________________________
Signer’sfullname __________________________________________________
Signer’s address ___________________________________________________
Signer’sphonenumber _____________________________________________
Witness certicate
I, [your full name]:
__________________________________________________
Of[your address]: __________________________________________________
Phonenumber: ____________________________________________________
Occupation:
Australianl
egalp
ractitioner
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 appointor revoking appointment]
appearedtounderstandtheeffectofthisrevocationandvoluntarily
executedtherevocationinmypresence.
Theappointorrevokingtheappointmentvoluntarilyinstructed
[insert signer’s full name]
_____________________________________________________________
tosigntherevocationontheirbehalfandthatpersonexecuted
therevocationinmypresence.
Signature ___________________________ Date ________________________
Appointor –
Thepersonwhomakes
anEnduringGuardian
appointmentisknown
astheappointor.
Theappointormusthave
capacityinordertorevoke
theappointmentoftheir
EnduringGuardian.
Note:Beforetheappointor
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Enduring
Guardian/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thisrevocation.
RevocationofAppointmentofEnduringGuardianNewSouthWales Page1of1
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Revocation of Appointment of Enduring Guardian (New South Wales)

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Completed 22 January 2022

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