Waiver Of Citation Renunciation And Consent To Appointment Of Standby Guardian {SG-3}

-8- COUNTY OF --------------------------------------------------------------------------X Proceeding for the Appointment of a Standby Guardian for An Infant. -------------------------------------------------------------------------- X WAIVER OF CITATION (Street Address) (City/Town/Village) (County) (State) (Zip) am a competent person over the age of eighteen years. My interest in the above entitled proceeding is as Dated (Signature) (Print Name) STATE OF NEW YORK ) ss.: COUNTY OF ) On , 20, before me personally appeared to me known and known to me to be the same person described in and who executed the foregoing instrument, and duly acknowledged that he executed the same. Notary Public Name of Attorney Commission Expires: (Affix Notary Stamp or Seal) Address Telephone Number SG-3 American LegalNet, Inc. www.FormsWorkFlow.com