Affidavit Of Service {GAC-2-U}

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 Personal Service __________________________________ State of Minnesota County of ) ) SS ) _______________________________________________________, says that on 20_____ , the undersigned personally served the _____________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ (document served) on the ward or protected person and that the present address and telephone number of the ward or protected person is:___________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________. I declare under penalty of perjury that everything I have stated in this document is true and correct. Minn. Stat. § 358.116. Date: Signature of Affiant (Guardian/Conservator or other person who serves the documents on the ward/protected person) THIS PAGE MUST BE COMPLETED AND RETURNED TO THE COURT WITH A COPY OF THE DOCUMENT GIVEN TO THE WARD / PROTECTED PERSON GAC 2-U State ENG Rev 7/15 www.mncourts.gov/forms Page 1 of 1 American LegalNet, Inc. www.FormsWorkFlow.com