Nevada § 159.0753 - Requirements; form; Secretary of State to make form available; regulations

§ 159.0753. Requirements; form; Secretary of State to make form available; regulations

1. Any person who wishes to request to nominate another person to be appointed as

his or her guardian may do so: (a) If nominating a guardian of the estate, pursuant to NRS 162A.250 ; (b) If nominating a guardian of the person, pursuant to NRS 162A.800 ; or (c) By completing a form requesting to nominate a guardian in accordance with this

section. 2. A form requesting to nominate a guardian pursuant to this section must be: (a) Signed by the person requesting to nominate a guardian; (b) Signed by two impartial adult witnesses who have no interest, financial or otherwise,

in the estate of the person requesting to nominate a guardian and who attest that

the person has the mental capacity to understand and execute the form; and (c) Notarized. 3. A request to nominate a guardian pursuant to this section may be in substantially

the following form, and must be witnessed and executed in the same manner as the following

form: REQUEST TO NOMINATE GUARDIAN I, ____________________ (insert your name), residing at ____________________ (insert your address), am executing this notarized document as my written declaration

and request for the person(s) designated below to be appointed as my guardian should

it become necessary. I am advising the court and all persons and entities as follows: 1. As of the date I am executing this request to nominate a guardian, I have the mental

capacity to understand and execute this request. 2. This request pertains to a (circle one): (guardian of the person)/(guardian of

the estate)/(guardian of the person and estate). 3. Should the need arise, I request that the court give my preference to the person(s)

designated below to serve as my appointed guardian. 4. I request that my ____________________ (insert relation), ____________________ (insert name), serve as my appointed guardian. 5. If ____________________ (insert name) is unable or unwilling to serve as my appointed guardian, then I request

that my ____________________ (insert relation), ____________________ (insert name), serve as my appointed guardian. 6. I do not, under any circumstances, desire to have any private, for-profit guardian

serve as my appointed guardian. (YOU MUST DATE AND SIGN THIS DOCUMENT) I sign my name to this document on ____________________ (date) ________________________________________________________________ (Signature) (YOU MUST HAVE TWO QUALIFIED ADULT WITNESSES DATE AND SIGN THIS DOCUMENT) I declare under penalty of perjury that the principal is personally known to me, that

the principal signed this request to nominate a guardian in my presence, that the

principal appears to be of sound mind, has the mental capacity to understand and execute

this document and is under no duress, fraud or undue influence, and that I have no

interest, financial or otherwise, in the estate of the principal. ___________________________________________________________ (Signature of first witness) ___________________________________________________________ (Print name) ___________________________________________________________ (Date) ___________________________________________________________ (Signature of second witness) ___________________________________________________________ (Print name) ___________________________________________________________ (Date) CERTIFICATE OF ACKNOWLEDGMENT OF NOTARY PUBLIC State of Nevada } } County of _________________________________ } On this ____________________ day of ____________________, in the year ____________________, before me, ____________________ (insert name of notary public), personally appeared ____________________ (insert name of principal), ____________________ (insert name of first witness) and ____________________ (insert name of second witness), personally known to me (or proved to me on the basis

of satisfactory evidence) to be the persons whose names are subscribed to this instrument,

and acknowledged that they have signed this instrument. ________________________________________________________________ (Signature of notarial officer) (Seal, if any) 4. The Secretary of State shall make the form established in subsection 3 available

on the Internet website of the Secretary of State. 5. The Secretary of State may adopt any regulations necessary to carry out the provisions

of this section.