[{"id":"8e7a71fb-4313-457c-8be3-26fbcb5c4611","order":10,"text":"APPOINTMENT OF ENDURING GUARDIAN","fontSize":"20","textAlign":"center","bold":true,"underline":false,"marginBottom":"4","cflou":false,"active":true},{"id":"6ac678df-f0a9-44eb-afd5-e9a9384cc798","order":20,"text":"Made under section 6C of the Guardianship Act 1987 (NSW)","fontSize":"12","textAlign":"center","bold":false,"underline":false,"marginBottom":"30","cflou":false,"active":true},{"id":"c99eb838-942b-417d-8977-b3a77f0cbffe","order":30,"text":"1. THE APPOINTOR","fontSize":"16","textAlign":"left","bold":true,"underline":false,"marginBottom":"10","cflou":false,"active":true,"marginTop":"10","sectionNum":"S01"},{"id":"0961a291-f327-4d2d-bbf4-9f1ec7a7d5ed","order":40,"text":"I, [Full name of appointor], of [Residential address of appointor], occupation [Occupation] (in this instrument called “the appointor”), being 18 years of age or older and having the capacity to understand the nature and effect of this appointment, make this appointment of my own free will.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"14","cflou":false,"active":true},{"id":"4671f45b-412b-4fc4-b751-ac9e02eabe09","order":50,"text":"In making this appointment I acknowledge that:","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"8","cflou":false,"active":true},{"id":"c2abbdac-2495-4acf-82f9-3445a2ac47cd","order":60,"text":"the appointment of an enduring guardian relates only to my personal, health and lifestyle decisions, and does not give my enduring guardian any authority over my property, money or financial affairs (for which a separate enduring power of attorney would be required);","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"6","cflou":false,"active":true},{"id":"d887bf5d-15f4-4a88-b7bc-2a76e38b32e7","order":70,"text":"this appointment takes effect only if, and for so long as, I am a person who, because of a disability, is totally or partially incapable of managing my person, and has no effect while I retain that capacity;","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"6","cflou":false,"active":true},{"id":"da6be23b-369f-424a-a7cf-8d5c2ca0ce45","order":80,"text":"under section 6HA of the Guardianship Act 1987 (NSW) this appointment is automatically revoked if I marry or remarry a person other than a person appointed by this instrument; and","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"6","cflou":false,"active":true},{"id":"cff500a8-a22e-4cb2-97a4-ecfd8546f90a","order":90,"text":"to the extent I have previously appointed any enduring guardian, I revoke every such earlier appointment by this instrument.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"20","cflou":false,"active":true},{"id":"f962dad6-711b-4418-ad1e-3770ac36286c","order":100,"text":"2. APPOINTMENT OF ENDURING GUARDIAN","fontSize":"16","textAlign":"left","bold":true,"underline":false,"marginBottom":"10","cflou":false,"active":true,"marginTop":"10","sectionNum":"S02"},{"id":"a1d7ab35-bc0d-4739-b166-7cc65f6f535a","order":110,"text":"I APPOINT [Full name of enduring guardian], of [Address of enduring guardian], occupation [Occupation], to be my enduring guardian.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"14","cflou":false,"active":true,"displayConditions":[{"field":"0a144f4c-d604-4c4c-b2f7-fd505bab3605","value":"2","type":"remove","operator":"="}]},{"id":"caa2c889-239b-4afa-8cea-232303b7e309","order":120,"text":"I APPOINT [Full name of first enduring guardian], of [Address], occupation [Occupation], and [Full name of second enduring guardian], of [Address], occupation [Occupation], to be my enduring guardians.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"20","cflou":false,"active":true,"displayConditions":[{"field":"0a144f4c-d604-4c4c-b2f7-fd505bab3605","value":"1","type":"remove","operator":"="}]},{"id":"62466e23-93cd-4b19-b70e-67145392f2f1","order":130,"text":"The appointor appoints the enduring guardians to act jointly.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"14","cflou":false,"active":true,"displayConditions":[{"field":"0a144f4c-d604-4c4c-b2f7-fd505bab3605","value":"1","type":"remove","operator":"="}]},{"id":"ea3fb0c8-8696-4869-bf27-b870b7296285","order":140,"text":"The death, resignation or incapacity of one of the joint enduring guardians does not operate to terminate the appointment of the other joint enduring guardian.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"20","cflou":false,"active":true,"displayConditions":[{"field":"ab3ec9cf-d0b3-46fa-b853-219aeb786399","value":"jointly","type":"add","operator":"="},{"field":"0a144f4c-d604-4c4c-b2f7-fd505bab3605","value":"1","type":"remove","operator":"="}]},{"id":"909ad21c-9688-43b0-8af8-f14c72f041db","order":150,"text":"3. ELIGIBILITY OF THE ENDURING GUARDIAN","fontSize":"16","textAlign":"left","bold":true,"underline":false,"marginBottom":"10","cflou":false,"active":true,"marginTop":"10","sectionNum":"S03"},{"id":"f3af1573-9dd7-44e8-a7ca-831ad0b2fae7","order":160,"text":"I declare that, to the best of my knowledge, each person I have appointed as an enduring guardian (and any alternative enduring guardian) is 18 years of age or older and is not a person who is, professionally or in a paid capacity, directly or indirectly responsible for, or involved in, providing medical care, treatment or other services to me for fee or reward, so that each is eligible for appointment under section 6B of the Guardianship Act 1987 (NSW).","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"20","cflou":false,"active":true},{"id":"9ea6ddd0-04af-4463-bce1-52264b0a652d","order":170,"text":"4. WHEN THIS APPOINTMENT OPERATES AND ITS SCOPE","fontSize":"16","textAlign":"left","bold":true,"underline":false,"marginBottom":"10","cflou":false,"active":true,"marginTop":"10","sectionNum":"S04"},{"id":"85eed111-34bb-483b-b886-1a1119c541b1","order":180,"text":"My enduring guardian may exercise the functions conferred by this instrument only during a period in which I am a person in need of a guardian within the meaning of the Guardianship Act 1987 (NSW). If any question arises as to whether I have that need, it may be determined by a medical practitioner or by the NSW Civil and Administrative Tribunal.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"ffea598a-d181-4a90-8d76-9d422360624e","order":190,"text":"My enduring guardian must act in accordance with any decision I am able to make for myself, and must not override my objection to the carrying out of medical or dental treatment. This appointment is effective only to the extent that its terms are consistent with any order or determination made under the Mental Health Act 2007 (NSW) in respect of me.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"20","cflou":false,"active":true},{"id":"dd188cea-8995-4897-8c63-e3dce64a7c13","order":200,"text":"5. FUNCTIONS OF THE ENDURING GUARDIAN","fontSize":"16","textAlign":"left","bold":true,"underline":false,"marginBottom":"10","cflou":false,"active":true,"marginTop":"10","sectionNum":"S05"},{"id":"c30a0f04-452f-43ef-a52c-55336a278b50","order":210,"text":"I authorise my enduring guardian (or, where more than one is appointed, each of my enduring guardians) to exercise the following functions:","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"cd72cfc2-e0bc-4f3a-83c7-d36ca73353f9","order":220,"text":"(a) to decide the place (such as a specific nursing home, or the appointor’s own home) in which the appointor is to live;","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"6","cflou":false,"active":true},{"id":"7a6022ea-d116-45ca-9120-6eac47a8c5e9","order":230,"text":"(b) to decide the health care that the appointor is to receive;","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"6","cflou":false,"active":true},{"id":"47a2e428-5a93-4418-9770-d7a08dc72701","order":240,"text":"(c) to decide the other kinds of personal services that the appointor is to receive;","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"6","cflou":false,"active":true},{"id":"417554a0-7c74-414c-82d2-875cc04ef6b7","order":250,"text":"(d) to give consent to the carrying out of medical or dental treatment on the appointor, in accordance with Part 5 of the Guardianship Act 1987 (NSW).","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"14","cflou":false,"active":true},{"id":"ef95865a-b1fd-49be-b4d7-17fd5eb9e6a0","order":260,"text":"Without extending my enduring guardian’s authority beyond personal, health and lifestyle decisions, and without conferring any authority over my property or financial affairs, I also authorise my enduring guardian (or each of them) to exercise the following additional personal or lifestyle functions: [Additional functions].","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"14","cflou":false,"active":true,"displayConditions":[{"field":"23db09eb-c7f1-4825-870f-7e5b1c2b35f7","value":"1","type":"add","operator":"="}]},{"id":"21189af6-fba2-4a9d-8b11-c67ec17fb74d","order":270,"text":"6. PRINCIPLES GOVERNING MY ENDURING GUARDIAN","fontSize":"16","textAlign":"left","bold":true,"underline":false,"marginBottom":"10","cflou":false,"active":true,"marginTop":"10","sectionNum":"S06"},{"id":"e93850fb-8154-4a02-b41f-190330c662bc","order":280,"text":"In exercising any function under this instrument, my enduring guardian (and any alternative enduring guardian) must give paramount consideration to my welfare and interests, exercise that function in the manner that is least restrictive of my freedom of decision and action, take my views and wishes into account so far as they can be ascertained, encourage me to be as self-reliant as possible in matters relating to my personal, domestic and financial affairs, and protect me from neglect, abuse and exploitation, consistently with the general principles in section 4 of the Guardianship Act 1987 (NSW).","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"20","cflou":false,"active":true},{"id":"b4bea860-9083-45d8-a11e-d3353f2c2a73","order":290,"text":"7. CONDITIONS AND LIMITATIONS","fontSize":"16","textAlign":"left","bold":true,"underline":false,"marginBottom":"10","cflou":false,"active":true,"marginTop":"10","displayConditions":[{"field":"5def21d2-0b70-4cf3-9f01-1ca870a85907","value":"1","type":"add","operator":"="}],"sectionNum":"S07"},{"id":"58a009c5-5928-41d4-a5b9-94d470367f79","order":300,"text":"The functions of my enduring guardian (or each of them) are subject to the following conditions and limitations: [Conditions or limitations].","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"20","cflou":false,"active":true,"displayConditions":[{"field":"5def21d2-0b70-4cf3-9f01-1ca870a85907","value":"1","type":"add","operator":"="}]},{"id":"4ad81a7b-b944-4c7e-af7f-5bf920ee458f","order":310,"text":"8. DIRECTIONS","fontSize":"16","textAlign":"left","bold":true,"underline":false,"marginBottom":"10","cflou":false,"active":true,"marginTop":"10","displayConditions":[{"field":"52ddafbb-0e2c-4557-b9a7-5305537ad997","value":"1","type":"add","operator":"="}],"sectionNum":"S08"},{"id":"9b4bd571-118b-49c7-ba31-c7e1b939020a","order":320,"text":"I require my enduring guardian (or each of them) to exercise his or her functions subject to the following directions, which express my wishes and values: [Directions].","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"20","cflou":false,"active":true,"displayConditions":[{"field":"52ddafbb-0e2c-4557-b9a7-5305537ad997","value":"1","type":"add","operator":"="}]},{"id":"09db0b34-be7f-44d7-8cf7-932311683608","order":330,"text":"9. ALTERNATIVE ENDURING GUARDIAN","fontSize":"16","textAlign":"left","bold":true,"underline":false,"marginBottom":"10","cflou":false,"active":true,"marginTop":"10","displayConditions":[{"field":"741e2d6c-8d98-4df3-8cd4-556e411e34c5","value":"1","type":"add","operator":"="}],"sectionNum":"S09"},{"id":"e6fc4dbc-944a-4140-86ba-6198b037408b","order":340,"text":"I also appoint [Full name of alternative enduring guardian], of [Address], occupation [Occupation], to be an alternative enduring guardian. The alternative enduring guardian is authorised to exercise the functions of my enduring guardian only if, and for so long as, my enduring guardian dies, resigns or becomes incapacitated, or (where two enduring guardians are appointed) all of them die, resign or become incapacitated.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"20","cflou":false,"active":true,"displayConditions":[{"field":"741e2d6c-8d98-4df3-8cd4-556e411e34c5","value":"1","type":"add","operator":"="}]},{"id":"f18fa379-337d-4c8f-8de0-3f11ba2bc2da","order":350,"text":"10. ANCILLARY POWERS AND ACCESS TO INFORMATION","fontSize":"16","textAlign":"left","bold":true,"underline":false,"marginBottom":"10","cflou":false,"active":true,"marginTop":"10","sectionNum":"S10"},{"id":"841990e1-d49c-4f84-92ae-9a52d15e0c65","order":360,"text":"My enduring guardian has, in addition to the functions conferred above, all the powers that are necessary or incidental to the exercise of those functions, including power to obtain and have access to any personal, health or medical information about me that is reasonably necessary to enable my enduring guardian to make informed decisions on my behalf, and I authorise any person holding such information to release it to my enduring guardian for that purpose.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"20","cflou":false,"active":true},{"id":"26a9bdc8-e210-4177-9489-f32e6dfeafa8","order":370,"text":"NOTE: This appointment is not recorded on any public register. The appointor should keep the signed original in a safe place (for example, with the appointor’s will) and give copies to each enduring guardian, any alternative enduring guardian, and the appointor’s doctor, so that they are aware of the appointment and can act on it when required.","fontSize":"12","textAlign":"left","bold":false,"underline":false,"marginBottom":"20","cflou":false,"active":true,"marginTop":"10"},{"id":"3b23d950-e75a-4cbd-afef-cc5a22df2473","order":380,"text":"11. EXECUTION BY THE APPOINTOR","fontSize":"16","textAlign":"left","bold":true,"underline":false,"marginBottom":"10","cflou":false,"active":true,"marginTop":"20","sectionNum":"S11"},{"id":"9a2f0b30-4db5-4310-bf27-99b40f9a7763","order":390,"text":"Before signing this instrument, the effect of the appointment was explained to the appointor, who signed it voluntarily in the presence of the witness named below and appeared to understand its effect.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"16","cflou":false,"active":true},{"id":"65b1c120-69ee-433a-8eac-d45ef6f21093","order":400,"text":"SIGNED by the appointor:","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"4","cflou":false,"active":true,"displayConditions":[{"field":"c60ac6b4-fd70-4a23-8d52-4c24b6bc3cce","value":"1","type":"remove","operator":"="}]},{"id":"230caa0c-07bf-40bc-bdcf-fc61521fe8df","order":410,"text":"_______________________________________","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"2","cflou":false,"active":true,"displayConditions":[{"field":"c60ac6b4-fd70-4a23-8d52-4c24b6bc3cce","value":"1","type":"remove","operator":"="}]},{"id":"b068fa0f-47ef-4fed-9d05-3d492413717b","order":420,"text":"[Full name of appointor] Date: ____ / ____ / ________","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"20","cflou":false,"active":true,"displayConditions":[{"field":"c60ac6b4-fd70-4a23-8d52-4c24b6bc3cce","value":"1","type":"remove","operator":"="}]},{"id":"3b27b074-a1d7-4588-b49f-b8be5fe8b62b","order":430,"text":"As the appointor is physically unable to sign, the appointor directed [Full name of eligible signer], of [Address of eligible signer], to sign this instrument on the appointor’s behalf, in the presence of the appointor and of the witness. The eligible signer is 18 years of age or older and is neither the enduring guardian nor the alternative enduring guardian nor the witness.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"16","cflou":false,"active":true,"displayConditions":[{"field":"c60ac6b4-fd70-4a23-8d52-4c24b6bc3cce","value":"1","type":"add","operator":"="}]},{"id":"be2b8f6b-ef0d-4a9f-bfe7-0d962d580303","order":440,"text":"SIGNED on behalf of the appointor by the eligible signer:","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"4","cflou":false,"active":true,"displayConditions":[{"field":"c60ac6b4-fd70-4a23-8d52-4c24b6bc3cce","value":"1","type":"add","operator":"="}]},{"id":"1fb019a7-168e-4aa1-83f9-9d1d9d4305be","order":450,"text":"_______________________________________","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"2","cflou":false,"active":true,"displayConditions":[{"field":"c60ac6b4-fd70-4a23-8d52-4c24b6bc3cce","value":"1","type":"add","operator":"="}]},{"id":"22bda065-dc15-41f9-9a37-f63457a89fc3","order":460,"text":"[Full name of eligible signer] Date: ____ / ____ / ________","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"20","cflou":false,"active":true,"displayConditions":[{"field":"c60ac6b4-fd70-4a23-8d52-4c24b6bc3cce","value":"1","type":"add","operator":"="}]},{"id":"536d042d-7606-4db5-8bcc-a1f23db5218a","order":470,"text":"Certificate of witness — execution by the appointor","fontSize":"14","textAlign":"left","bold":true,"underline":false,"marginBottom":"8","cflou":false,"active":true},{"id":"567e2932-6f8b-4f92-bbb7-838996d696eb","order":480,"text":"I, ____________________________________, of _______________________________________, being a NSW barrister or solicitor holding a current practising certificate, a Registrar of a Local Court of New South Wales, or an interstate legal practitioner, certify that I witnessed the execution of this instrument by the appointor (or by the eligible signer at the direction and in the presence of the appointor), that the person executed it voluntarily, and that the person appeared to understand the effect of the instrument.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"731948fd-a4b0-48df-8b93-3a11f1e6ff94","order":490,"text":"Signature of witness: ______________________________ Date: ____ / ____ / ________","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"4","cflou":false,"active":true},{"id":"9d84b7ac-37d3-45ee-9124-60eb889d5657","order":500,"text":"State or territory where the signature was witnessed: ______________________________","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"24","cflou":false,"active":true},{"id":"8650172e-0bb6-4fe4-beda-777097a561e3","order":510,"text":"12. ACCEPTANCE OF APPOINTMENT","fontSize":"16","textAlign":"left","bold":true,"underline":false,"marginBottom":"10","cflou":false,"active":true,"marginTop":"10","sectionNum":"S12"},{"id":"6474e9ca-4a15-4bb1-a6ef-832faf07ab68","order":520,"text":"I accept my appointment as enduring guardian.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"6","cflou":false,"active":true},{"id":"c21c2ef7-18e8-41bd-aa23-595147de016e","order":530,"text":"_______________________________________","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"2","cflou":false,"active":true},{"id":"97b335b4-0bef-4f27-b069-8abbf95ee639","order":540,"text":"[Full name of enduring guardian] Date: ____ / ____ / ________","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"16","cflou":false,"active":true},{"id":"fc2cb86f-6b17-477d-8854-b3bcdc7f40f0","order":550,"text":"Certificate of witness — acceptance by the enduring guardian","fontSize":"14","textAlign":"left","bold":true,"underline":false,"marginBottom":"8","cflou":false,"active":true},{"id":"4faba086-ad77-4d99-953e-95642239b3b7","order":560,"text":"I, ____________________________________, of _______________________________________, being a NSW barrister or solicitor holding a current practising certificate, a Registrar of a Local Court of New South Wales, or an interstate legal practitioner, certify that I witnessed the execution of this instrument by the person named above, that the person executed it voluntarily, and that the person appeared to understand its effect.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true},{"id":"346bd9e2-46ac-49d0-bda7-5c118dea944c","order":570,"text":"Signature of witness: ______________________________ Date: ____ / ____ / ________","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"4","cflou":false,"active":true},{"id":"aafac122-d027-4da5-b1e0-b74a86863a67","order":580,"text":"State or territory where the signature was witnessed: ______________________________","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"24","cflou":false,"active":true},{"id":"c342d9c3-7530-4e6c-8932-dc83f408705a","order":590,"text":"I accept my appointment as enduring guardian.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"6","cflou":false,"active":true,"displayConditions":[{"field":"0a144f4c-d604-4c4c-b2f7-fd505bab3605","value":"1","type":"remove","operator":"="}]},{"id":"242e94c0-406f-46b0-a761-dadfb0759387","order":600,"text":"_______________________________________","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"2","cflou":false,"active":true,"displayConditions":[{"field":"0a144f4c-d604-4c4c-b2f7-fd505bab3605","value":"1","type":"remove","operator":"="}]},{"id":"248be179-fc39-4259-9970-7f78af6f7740","order":610,"text":"[Full name of second enduring guardian] Date: ____ / ____ / ________","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"16","cflou":false,"active":true,"displayConditions":[{"field":"0a144f4c-d604-4c4c-b2f7-fd505bab3605","value":"1","type":"remove","operator":"="}]},{"id":"4911726f-18db-4068-b3d7-7440db5b4a02","order":620,"text":"Certificate of witness — acceptance by the second enduring guardian","fontSize":"14","textAlign":"left","bold":true,"underline":false,"marginBottom":"8","cflou":false,"active":true,"displayConditions":[{"field":"0a144f4c-d604-4c4c-b2f7-fd505bab3605","value":"1","type":"remove","operator":"="}]},{"id":"d9697e7c-03f7-438a-9ac9-c575128bdf69","order":630,"text":"I, ____________________________________, of _______________________________________, being a NSW barrister or solicitor holding a current practising certificate, a Registrar of a Local Court of New South Wales, or an interstate legal practitioner, certify that I witnessed the execution of this instrument by the person named above, that the person executed it voluntarily, and that the person appeared to understand its effect.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true,"displayConditions":[{"field":"0a144f4c-d604-4c4c-b2f7-fd505bab3605","value":"1","type":"remove","operator":"="}]},{"id":"d3a49511-063e-4ff7-b2cd-b5df4aec7b5b","order":640,"text":"Signature of witness: ______________________________ Date: ____ / ____ / ________","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"4","cflou":false,"active":true,"displayConditions":[{"field":"0a144f4c-d604-4c4c-b2f7-fd505bab3605","value":"1","type":"remove","operator":"="}]},{"id":"4aad50b4-a05a-4f09-b72e-355e70f4a565","order":650,"text":"State or territory where the signature was witnessed: ______________________________","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"24","cflou":false,"active":true,"displayConditions":[{"field":"0a144f4c-d604-4c4c-b2f7-fd505bab3605","value":"1","type":"remove","operator":"="}]},{"id":"ef1e340d-d166-45ff-83c7-5430280ed1fb","order":660,"text":"ACCEPTANCE OF APPOINTMENT BY THE ALTERNATIVE ENDURING GUARDIAN","fontSize":"16","textAlign":"left","bold":true,"underline":false,"marginBottom":"10","cflou":false,"active":true,"marginTop":"10","displayConditions":[{"field":"741e2d6c-8d98-4df3-8cd4-556e411e34c5","value":"1","type":"add","operator":"="}]},{"id":"86f97ec3-bede-43dc-88d4-1c4828e5a0ff","order":670,"text":"I accept my appointment as alternative enduring guardian.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"6","cflou":false,"active":true,"displayConditions":[{"field":"741e2d6c-8d98-4df3-8cd4-556e411e34c5","value":"1","type":"add","operator":"="}]},{"id":"fbfa8a4b-d6ed-4e90-974f-532654398461","order":680,"text":"_______________________________________","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"2","cflou":false,"active":true,"displayConditions":[{"field":"741e2d6c-8d98-4df3-8cd4-556e411e34c5","value":"1","type":"add","operator":"="}]},{"id":"ecd5b8d1-62fd-4f4d-9287-26f7aff8b932","order":690,"text":"[Full name of alternative enduring guardian] Date: ____ / ____ / 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______________________________","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"20","cflou":false,"active":true,"displayConditions":[{"field":"741e2d6c-8d98-4df3-8cd4-556e411e34c5","value":"1","type":"add","operator":"="}]}]