State of Minnesota County of ____________________ District Court Probate Division Judicial District: ________________ Court File No. ___________________ Case Type: 14, Conservatorship In Re: Guardianship and Conservatorship of ___________________________, Ward and Protected Person Order Appointing Guardian and Conservator (MINOR) This matter came on for hearing before the district court on ____________, 20____ on a petition seeking appointment of a Guardian and Conservator for the Respondent named above. Petitioner appeared personally with the Petitioner's attorney, ________________________. The Respondent appeared personally with Respondent's attorney, ____________________________. The matter, having been considered by the Court, and the Court being duly advised in the premises now makes the following: FINDINGS OF FACT 1) 2) 3) 4) 5) 6) The petition is complete. Venue in this county is proper. The parents have either deceased or all of their parental rights have been terminated. Notice has been given as required by law. The Respondent is a minor as Respondent has not yet attained the age of 18 years. The Respondent is ( not) a patient of a State Hospital for the mentally ill or a developmentally disabled person or dependent or neglected ward of the Commissioner of Human Services, or under the temporary custody of the Commissioner of Human Services. The Respondent is in need of a guardian to protect Respondent's person. The Respondent is in need of a Conservator to protect the Respondent's assets. The Court finds that the Guardian is the most suitable and best qualified among those available and willing to discharge the trust and is not excluded from appointment pursuant to M.S. § 524.5-309(c) or such Guardian has been approved by prior Order of a court pursuant to M.S. § 524.5-302(d); and the Conservator is the most suitable and best qualified among those available and willing to discharge the trust and is not excluded from appointment pursuant to M.S. § 524.5-413(d). CONCLUSIONS OF LAW 1) 2) The Respondent is an incapacitated person whose needs cannot be met by less restrictive means. A Guardian Conservator of _____________________ should be appointed. 7) 8) 9) GAC 8-UM State ENG Rev 4/04 www.mncourts.gov/forms Page 1 of 4 American LegalNet, Inc. www.FormsWorkFlow.com ORDER NOW, THEREFORE, IT IS ORDERED: 1) That: ______________________________, is hereby appointed Guardian of _______________________________; and ______________________________, is hereby appointed Conservator of ________________________________. That: letters of Guardianship shall issue to ______________________, upon the filing of an acceptance of appointment and such letters shall reflect that the Guardian is appointed by the Court; and letters of Conservatorship shall issue to ____________________, upon the filing of an acceptance of appointment. The Guardian shall have the power and duty to: Exercise all of the rights and powers on behalf of the Ward under M.S. § 524.5-207. (If the Guardian is granted limited powers and duties, specify which powers and duties vest in the Guardian by this Order.) Exercise the powers and responsibilities of a parent who has not been deprived of custody of the minor and unemancipated child, except that a guardian is not legally obligated to provide from the guardian's own funds for the Ward; M.S. § 524.5-207, subd. 1; Take reasonable care of the Ward's clothing, furniture, vehicles and other personal effects; M.S. § 524.5-207, subd. 2(a); Receive money payable to, and applied for the benefit of, the Ward's current support, care and education needs; M.S. § 524.5-207, subd. 2(b). Give any necessary consent to enable, or to withhold consent for, the Ward to receive necessary medical or other professional care, counsel, treatment, and to facilitate the Ward's education, social, or other activities; M.S. § 524.5-207, subd. 2(c); Report the condition of the Ward and the Ward's estate upon the Court's own motion or on petition of an interested person and by court order; M.S. § 524.5524.5-207, subd. 2(d); Apply on behalf of the Ward for any assistance, services, or benefits available to the Ward through any unit of government(only given if no conservator is appointed); M.S. § 524.5-207, subd. 2(e); (other) _________________________________________________________ ____________________________________________________________and 2) 3) GAC 8-UM State ENG Rev 4/04 www.mncourts.gov/forms Page 2 of 4 American LegalNet, Inc. www.FormsWorkFlow.com exercise all other powers, duties and responsibilities conferred on the Guardian under applicable law. 4) The Conservator shall have the power and duty to: Exercise all of the rights and powers under M.S. § 524.5-417 subd. (c) paragraphs 1, 2, 3, 4, 5 and 6. A limited conservatorship is not appropriate because ________________________________________________________ _______________________________________________________________ _______________________________________________________________ _______________________________________________________________. (If the Conservator is granted limited powers and duties, specify which powers and duties are vested in the Conservator by this Order.) Pay reasonable charges for the support, maintenance, and education of the Protected Person in a manner suitable to the Protected Person's station in life and the value of the Protected Person's estate, M.S. § 524.5-417 (c)(1); Pay out of the Protected Person's estate all lawful debts of the Protected Person, M.S. § 524.5-417 (c)(2); Possess and manage the estate of the Protected Person, collect all debts and claims in favor of the Protected Person, or with the approval of the court compromise them, institute suit on behalf of the Protected Person and represent the Protected Person in court proceedings, and invest pursuant to M.S. § 48A. 07(6) and 501B.151 all funds not currently needed for debts, charges, and management of the estate, M.S. § 524.5-417 (c)(3); Exchange or sell an undivided interest in real property, M.S. § 524.5-417 (c)(4); Approve or withhold approval of any contract, except for necessities, which the Protected Person may make or wish to make, M.S. § 524.5-417 (c)(5); Apply on behalf of the Protected Person for any assistance, services, or benefits available to the Protected Person through any unit of government, M.S. § 524.5-417 (c)(6); and (other) _________________________________________________________ ________________________________________