Minnesota > Statewide > District Court > Guardianship-Conservatorship
Affidavit Of Service By Mail GAC-3-UM - 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 and Conservatorship of Affidavit of Service by Mail _____________________________, Ward and Protected Person ____________________________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): 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) GAC 3-UM State ENG Rev 4/04 www.courts.state.mn.us/forms Page 1 of 3 American LegalNet, Inc. www.FormsWorkflow.com M.S. § 524.5-113 c) Administrator (if Respondent is in a hospital, nursing home, home care agency or other institution): d) Legal Representative (See M.S. § 524.5-102, subd. 8): e) Persons serving as guardian or conservator: GAC 3-UM State ENG Rev 4/04 www.courts.state.mn.us/forms Page 2 of 3 American LegalNet, Inc. www.FormsWorkflow.com M.S. § 524.5-113 f) Other persons: ________________________________________ Signature of Affiant Sworn/affirmed before me this ____________________, 20_____. __________________________________ 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-UM State ENG Rev 4/04 www.courts.state.mn.us/forms Page 3 of 3 American LegalNet, Inc. www.FormsWorkflow.com
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