State of Minnesota County of ____________________ Distr ict Cour t Pr obate Division J udicial Distr ict: _________________ In Re: Emer gency Guar dianship Conser vator ship __________________________, War d and Pr otected Per son Guar dian: Emer gency Letter s of Guar dianship Conser vator ship (Letter s Ter minate on_______________) Conser vator : The power s and duties under these Letter s of Guar dianship and Conser vator ship expir e and ter minate on _____________________________. PRESENT ADDRESS AND TELEPHONE NUMBER OF WARD / PROTECTED PERSON PRESENT ADDRESS AND TELEPHONE NUMBER OF GUARDIAN / CONSERVATOR American LegalNet, Inc. www.FormsWorkFlow.com GAC 20-U State ENG Rev 9/10 www.mncourts.gov/forms Page 1 of 1