Minnesota > Statewide > District Court > Guardianship-Conservatorship
Affidavit Regarding Background Study GAC-102 - Minnesota
| Affidavit Regarding Background Study Form. This is a Minnesota form and can be used in Guardianship-Conservatorship District Court Statewide . |
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State of Minnesota County Judicial District: Court File Number: Case Type: Probate District Court In the Matter of the Guardianship/ Conservatorship of: Affidavit Regarding Background Study Ward/Conservatee , being duly sworn and under oath states as follows: 1. A Petition has been filed in this matter requesting my appointment as Guardian/Conservator for the above named Ward/Conservatee. I have been the subject of a background study within the past five years pursuant to Minn. Stat. ยง524.5-118. A true and correct copy of the background study is attached to this affidavit. I have not been arrested, charged with any crime, convicted of any crime, the subject of any criminal investigation, or the subject of any investigation regarding maltreatment of vulnerable adults or maltreatment of minors since date of the background study, except as follows: 2. 3. 4. Date: Sworn/affirmed before me this day of , . Affiant's Signature Address: City/State/Zip: Telephone: ( ) Notary Public \ Deputy Court Administrator GAC102 State ENG Rev 8/03-D www.courts.state.mn.us/forms Page 1 of 1
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