<p>STATE OF SOUTH CAROLINA PROBATE COURT COUNTY OF RICHLAND</p><p>IN THE MATTER OF: ______</p><p>CASE NUMBER: ______-GC-40-______</p><p>ACCEPTANCE OF SERVICE AND RENUNCIATION OF RIGHT TO SERVE AS CONSERVATOR</p><p>PLEASE SIGN BELOW BEFORE A WITNESS AND DATE YOUR SIGNATURE.</p><p>____ I accept service of a copy of the Summons and Petition in this matter. By selecting this statement I am agreeing that I have received a copy of the Summons and Petition.</p><p>PLEASE CHECK ONLY ONE OF THE TWO STATEMENTS BELOW: </p><p>____ I hereby exercise my right to nominate a Conservator for the above-named person. The name and address of the proposed nominated Conservator is:</p><p>____ I hereby waive my right to nominate anyone as Conservator.</p><p>Executed this _____ day of ______, ______.</p><p>Signature: ______Name (Print): ______Address: ______Telephone (Work): ______(Home): ______(Cell): ______(Email): ______Witnessed by:</p><p>______</p><p>Form #302PC (Modified for use in Conservatorship cases)</p>