GN-3730, 05/18 Receipt from Guardian or Conservator 24724754.66(3), 54.76 and Chapter 54 Wisconsin Statutes This form shall not be modified. It may be supplemented with additional material. STATE OF WISCONSIN, CIRCUIT COURT, COUNTY IN THE MATTER OF Name Date of Birth Amended Receipt from Guardian or Conservator Case No. I am the former ward. individual whose estate was subject to conservatorship. spouse. personal representative. Other: I have received from the guardian of the estate or conservator the following assets: Assets Received See attached Value Total Value This is the full amount that I am entitled to receive from the guardian of the estate or conservator. I have reviewed and am satisfied with the guardia Signature Name Printed or Typed Street Address City, State, Zip Date American LegalNet, Inc. www.FormsWorkFlow.com