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
County Assessor's Market Evaluation
Address of Property: ________________________________________________________ ___________________________________________________________________________;
Property Identification Number (if known): _______________________________________; Legal Description:____________________________________________________________ ___________________________________________________________________________; On _______________________, 20___, the Assessor's Market Value of the above described Date Assessed property was $ ______________________.
____________________COUNTY ASSESSOR
Dated:_____________________
By:___________________________________
GAC 21-UV
State
ENG
Rev 12/03
www.courts.state.mn.us/forms
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