Conn. Gen. Stat. § 45a-624c

Current with legislation from the 2024 Regular and Special Sessions.

Section 45a-624c - Written statement that designation of standby guardian in full force and effect

The written statement referred to in section 45a-624 shall be in substantially the following form:

STATEMENT THAT DESIGNATION OF A STANDBY GUARDIANIS IN FULL FORCE AND EFFECT

STATE OF	}	SS:
COUNTY OF

I, .... of ...., state under penalty of false statement:

THAT ...., of ...., as principal, did on ...., 20.., appoint me as standby guardian dated ...., 20.., to execute a statement that a specified contingency had occurred;

THAT specified contingency was: ....

THAT specified contingency has occurred.

IN WITNESS WHEREOF, I have hereunto set my hand and seal under penalty of false statement.

....
Witness
....	.... L.S.
Witness

Conn. Gen. Stat. § 45a-624c

( P.A. 94-207 , S. 3 ; P.A. 99-84 , S. 26 .)