FORM 67A

AFFIDAVIT IN SUPPORT OF APPLICATION FOR GUARDIANSHIP

(General Heading — Form 4A or 4B)

AFFIDAVIT OF (name) IN SUPPORT OF APPLICATION FOR GUARDIANSHIP

(Recital as in Form 4D)

1.	That (full name of minor) is a minor who is years old and who normally resides in (City, Town, etc.), Manitoba.

2.	That the parents (or mother or father) of (name of minor) (are/were) and	and (are/is) deceased or normally reside in (City, Town, etc.,) Manitoba. (as the case may be)

[If the minor's parents are not alive, state who are the nearest relatives]

3.	That I am (state nature of relationship to minor) of (name of minor).

4.	That (name of minor) is possessed of or entitled to immoveable property worth $ and moveable property worth $ , true particulars of which are set out as follows:

[List the moveable and immoveable property]

5.	(State the reasons why the appointment is being sought and the facts relied upon to justify the appointment)

6.	(State the facts supporting the capacity of the applicant to act as guardian, such as age, health, financial ability)

7.	(State the investment plan for the minor's property)

8.	(If it is desired to resort to the property for some special purpose, such as support, education, etc., state the facts relied upon)

9.	That if I am appointed guardian of the estate of (name of minor) I will:

(a)	faithfully perform the trust of guardianship;

(b)	at intervals established by the court,	render a true and just account of all property of the minor that I have administered; and

(c)	whenever the guardianship is terminated, without delay, deliver and pay over the property to the person entitled thereto, deducting only such reasonable amount for expenses and charges as the court may approve.

10.	That I make this affidavit in support of an application for the guardianship of the estate of (name of minor).

(SWORN, etc. as in Form 4D)

(signature of deponent)