Free STATE OF MINNESOTA - Minnesota

M.S. § 524.5-310(d) M.S. § 524.5-409(d)

State of Minnesota

Select County County of __________________

District Court Probate Division Judicial District: _______________ Court File No. __________________ Case Type: 14, Conservatorship

In Re: Guardianship Conservatorship of __________________________

Notice of Entry of Order and Right to Appeal

To:______________________________________________________, Ward, Protected Person; Enclosed is a copy of a Court Order dated ____________________, 20_____, appointing Conservator for you. The original Order was filed with the Court on a Guardian and/or a _________________, 20____. You have a right to appeal the Order within 60 days from the date of this notice or any other period that may be allowed under the Minnesota Law.

Dated:____________, 20____

_____________________________________ Signature

M.S. § 524.5-310(d) and 409(d) requires the guardian/conservator to serve this notice on the Ward/Protected Person with a copy of the order appointing the guardian/conservator within 14 days of the appointment. An affidavit of service of the notice must be filed with the court.

AFFIDAVIT OF SERVICE ________________________________ being first sworn, says that on (date)___________, 20______ the undersigned served this Notice of Entry of Order and Right to Appeal on the ward or protected person by mail or personally and that the present address and telephone number of such ward or protected person is:____________________________________________________________________________ ____________________________________________________________________________________. ________________________________________________ Signature of Affiant (Guardian/Conservator or other person who serves the notice on the ward/protected person.)

Sworn/affirmed before me this _______________________________.

__________________________________
Notary Public \ Deputy Court Administrator

(Notary Seal)

THIS PAGE MUST BE COMPLETED AND RETURNED TO THE COURT

GAC 9-U

State

ENG

Rev 12/03

www.courts.state.mn.us/forms

Page 1 of 2

M.S. § 524.5-310(d) M.S. § 524.5-409(d)

State of Minnesota County of __________________

District Court Probate Division Judicial District: _______________ Court File No. __________________ Case Type: 14, Conservatorship

In Re: Guardianship Conservatorship __________________________

Notice of Entry of Order and Right to Appeal

To:______________________________________________________, Ward, Protected Person; Enclosed is a copy of a Court Order dated _________________, 20_____, appointing a Guardian of the Person and/or a Conservator of the Estate for you. The original Order was

filed with the Court on ________________, 20_____.

You have a right to appeal the Order within 60 days from the date of this notice or any other period that may be allowed under the Minnesota Law.

Dated:_____________, 20_____

_____________________________________ Signature

DELIVER THIS PAGE TO THE WARD/PROTECTED PERSON WITH A COPY OF THE ORDER APPOINTING THE GUARDIAN / CONSERVATOR

GAC 9-U

State

ENG

Rev 12/03

www.courts.state.mn.us/forms

Page 2 of 2