§ 45a-624c

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 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 (P.A. 94-207, S. 3; P.A. 99-84, S. 26.)History: P.A. 99-84 substituted 'statement' for 'affidavit' and added 'under penalty of false statement' and deleted the attestation clause for Commissioners of the Superior Court and Notaries Public; (Revisor's note: In 2001 the references in this section to the date '19..' were changed editorially by the Revisors to '20..' to reflect the new millennium).

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 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 (P.A. 94-207, S. 3; P.A. 99-84, S. 26.)History: P.A. 99-84 substituted 'statement' for 'affidavit' and added 'under penalty of false statement' and deleted the attestation clause for Commissioners of the Superior Court and Notaries Public; (Revisor's note: In 2001 the references in this section to the date '19..' were changed editorially by the Revisors to '20..' to reflect the new millennium).