IN THE CIRCUIT COURT OF _______________ COUNTY, WEST VIRGINIA
For Clerk's Use Only IN RE: ___________________________________________, CASE NUMBER _____________________ A Protected Person
OATH OF APPOINTMENT
[West Virginia Code: ยง 44A-2-13(a)(1)]
I, __________________________________________, (initial appropriate block or blocks:) ______ Guardian, ______ Conservator of (insert name of protected person:) ____________________________________, swear or affirm to faithfully perform the duties of such office(s) in accordance with all provisions of West Virginia Code 44A-1-1 et seq., other laws of the State of West Virginia, and the order of appointment relating to the duties and responsibilities of such office(s).
_______________________________ Date
__________________________________________ Signature of Guardian and/or Conservator
Taken, subscribed, and sworn or affirmed before me this ______ day of ________________________ 20____. __________________________________________ Signature of Official
__________________________________________ Title of Official
SCA-CG907O/8-96