Free STATE OF MINNESOTA - Minnesota

M.S. § 524.5-418

State of Minnesota

Select County County of __________________

District Court Probate Division Judicial District: _________________ Court File No. ____________________ Case Type: 14, Conservatorship

In Re: Conservatorship of _____________________________, Protected Person

OATH & APPRAISAL

OATH BY APPRAISER

STATE OF MINNESOTA

) )ss COUNTY OF ___________ ) ________________________________________________ being duly sworn, swears that s/he will faithfully and justly perform all the duties of the office and trust which s/he now assumes as appraiser to make an appraisal to the best of his/her ability. So help me God.

Sworn to and subscribed before me This ____________________, 20______.

________________________________ Appraiser: MN Lisc. No. _______________

___________________________________ Notary Public (NOTARY SEAL)

GAC 21-U-APP

State

ENG

Rev 10/04

www.courts.state.mn.us/forms

Page 1 of 2

M.S. § 524.5-418

APPRAISAL

Homestead:

Street Address: Legal Description: Mortgage: PID No.: NET VALUE:

___________________________________________ ___________________________________________ ___________________________________________ ___________________________________________ ___________________________________________ $______________________ ___________________________________________ ___________________________________________ ___________________________________________ ___________________________________________ ___________________________________________ $______________________

Other Real Estate: Street Address: Legal Description: Mortgage: PID No.: NET VALUE:

I, the undersigned appraiser, having first taken and subscribed the oath hereto annexed, hereby certify that I have appraised, according to law, all of the real estate above described, as of the date of _________________, 20_____.

Sworn to and subscribed before me this __________________, 20______.

________________________________ Appraiser MN Lisc. No. _______________

___________________________________ Notary Public (NOTARY SEAL)

GAC 21-U-APP

State

ENG

Rev 10/04

www.courts.state.mn.us/forms

Page 2 of 2