Minnesota > Statewide > District Court > Guardianship-Conservatorship
Affidavit Of Service By Mail GAC-3-U - Minnesota
| Affidavit Of Service By Mail Form. This is a Minnesota form and can be used in Guardianship-Conservatorship District Court Statewide . |
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M.S. § 524.5-113 State of Minnesota County of __________________ District Court Probate Division Judicial District: ______________ Court File No. _________________ Case Type: 14, Conservatorship In Re: Guardianship Conservatorship of ___________________________ Affidavit of Service by Mail ________________________________________________________being first sworn, says that on (date) ____________, 20____ he/she served (name document served) ___________________ ______________________________________________________________________________ on the following persons by mail: 1. Ward / Protected Person: Name: ____________________________________ Address: ____________________________________ ____________________________________ ____________________________________ ____________________________________ 2. Interested Parties: Relationship Name Address a) Spouse (include an adult with whom Respondent has resided for six months or more): GAC 3-U State ENG Rev 12/03 www.courts.state.mn.us/forms Page 1 of 3 American LegalNet, Inc. www.FormsWorkflow.com M.S. § 524.5-113 b) Kindred: (adult children, parents and adult brothers and sisters; if none of these, then list the nearest adult kin; See M.S. § 524.5-303(b)(3) and 524.5-102 subd. 7) c) Administrator (if Respondent is in a hospital, nursing home, VA unit, home care agency or other institution): GAC 3-U State ENG Rev 12/03 www.courts.state.mn.us/forms Page 2 of 3 M.S. § 524.5-113 d) Legal Representative (guardian/conservator, representative payee, trustee or custodian of property): e) Persons serving as guardian or conservator: f) Other persons: ________________________________________ Signature of Affiant Sworn/affirmed before me this __________________________________. __________________________________ Notary Public \ Deputy Court Administrator THIS FORM MUST BE COMPLETED AND RETURNED TO THE COURT WITH A COPY OF THE DOCUMENT MAILED TO EACH PERSON GAC 3-U State ENG Rev 12/03 www.courts.state.mn.us/forms Page 3 of 3
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