Affidavit Of Service By Mail Form. This is a Minnesota form and can be use in District Court Statewide.
Tags: Affidavit Of Service By Mail, GAC-3-U, Minnesota Statewide, District Court
State of Minnesota District Court Probate Division Judicial District: ______________ Court File No. _________________ Case Type: 14, Conservatorship County of __________________ In Re: Guardianship Conservatorship of Affidavit of Service by Mail ___________________________ State of Minnesota ) ) SS ) County of ________________________________________________________, 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): GAC 3-U State ENG Rev 07/15 www.mncourts.govforms Page 1 of 3 American LegalNet, Inc. www.FormsWorkFlow.com 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) c) Administrator (if Respondent is in a hospital, nursing home, VA unit, home care agency or other institution): GAC 3-U State ENG Rev 07/15 www.mncourts.govforms Page 2 of 3 American LegalNet, Inc. www.FormsWorkFlow.com d) Legal Representative (guardian/conservator, representative payee, trustee or custodian of property) : e) Persons serving as guardian or conservator: f) Other persons: 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 THIS FORM MUST BE COMPLETED AND RETURNED TO THE COURT WITH A COPY OF THE DOCUMENT MAILED TO EACH PERSON GAC 3-U State ENG Rev 07/15 www.mncourts.govforms Page 3 of 3 American LegalNet, Inc. www.FormsWorkFlow.com