Free STATE OF MINNESOTA - Minnesota

28-G

M.S. § 524.5-210/317

State of Minnesota County of Select County

District Court Probate Division Judicial District: Court File No. Case Type: 14, Guardianship

In Re: Guardianship of , Ward

Petition for Termination of Guardianship and Discharge of Guardian

TO THE HONORABLE JUDGE OF THE DISTRICT COURT: 1. 2. 3. Petitioner, , is interested in this matter as . A guardian was appointed by order of this court dated . The guardianship is terminated because the ward died on (a copy of the ward the death certificate is attached to this petition as exhibit A), attained the age of majority on , or the ward was restored to capacity by order dated . The guardian has performed its duties and responsibilities under law. The guardian seeks discharge from its office as guardian.

4. 5.

WHEREFORE, your petitioner respectfully requests an order of this court, without a hearing, confirming the termination of the guardianship and discharging the guardian. FURTHER, under penalties for perjury for deliberate falsification therein, I declare or affirm that I have read the foregoing petition and to the best of my knowledge or information, its representations are true, correct and complete.

Dated:

__________________________________ Petitioner Name of Petitioner's Attorney: Name: ___________________________ License No.: ___________________________ ___________________________ Address: ___________________________ City/State/Zip: ___________________________

GAC 28-G

State

ENG

Rev 3/04

www.mncourts.gov/forms

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