JDF 88 0 SC R 9 / 1 8 LETTERS OF CONSERVATORSHIP ADULT District Court Denver Probate Court County, Colorado Court Address: In the Interest of : Protected Person COURT USE ONLY Case Number: Division Courtroom LETTERS OF CONSERVATORSHIP - ADULT ( c onse rvator) was appointed by c ourt o rder on (date) as : Conservator pursuant to 247 15 - 14 - 409, C.R.S . Special Conservator pursuant to 247 15 - 14 - 406( 6 ), C.R.S. These letters will expire on (date), unless otherwise ordered by the c ourt. Special Conservator pursuant to 247 15 - 14 - 4 12 ( 3 ), C.R.S. These letters will expire upon the completion of the single transaction described in the attached c ourt o rder appointing the s pecial c onservator . T h ese Letters of Conservatorship are proof of: t he c authority to exercise all the powers in 247 15 - 14 - 425, C.R.S., subject to the exclusions in 247 15 - 14 - 411 , C.R.S . The powers and duties of the c onservator are otherwise unrestricted. t he powers in 247 15 - 14 - 425 , C.R.S., are limited by th e following restrictions : t he conservator must not , without prior c ourt order, convey or encumber any real estate owned by the protected person. o ther Date: Probate Registrar/ ( Deputy ) Clerk of Court CERTIFICATION Certified to be a true copy of the original in my custody and to be in full force and effect as of (date). Probate Registrar/ (Deputy)Clerk of Court American LegalNet, Inc. www.FormsWorkFlow.com