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 Notice of Entry of Order and Right to Appeal To: ________________________________________________, Ward, Protected Person; Enclosed is a copy of a Court Order dated __________________, 20_____, appointing a Guardian and a Conservator for you. The original Order was filed with the Court on _______________________, 20________. You have a right to appeal the Order within 60 days from the date of this notice or any other period that may be allowed under the Minnesota Law. Dated:________________, 20_____ _____________________________________ Signature M.S. § 524.5-205(e) and 409(d) requires the guardian/conservator to serve this notice on the Ward/Protected Person with a copy of the order appointing the guardian/conservator within 14 days of the appointment. An affidavit of service of the notice must be filed with the court. AFFIDAVIT OF SERVICE ________________________, says that on (date) _____________, 20_____, the undersigned served this Notice of Entry of Order and Right to Appeal on the ward or protected person by mail or personally and that the present address and telephone number of such ward or protected person is: I declare under penalty of perjury that everything I have stated in this document is true and correct. Minn. Stat. § 358.116. _______________________________________________ Signature of Affiant (Guardian/Conservator or other person who serves the notice on the ward/protected person.) THIS PAGE MUST BE COMPLETED AND RETURNED TO THE COURT GAC 9-UM State ENG Rev 7/15 www.mncourts.gov/forms Page 1 of 2 American LegalNet, Inc. www.FormsWorkFlow.com 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 Notice of Entry of Order and Right to Appeal To:________________________________________, Ward, Protected Person; Enclosed is a copy of a Court Order dated ________________, 20_____, appointing a Guardian and a Conservator for you. The original Order was filed with the Court on _______________________, 20_____. You have a right to appeal the Order within 60 days from the date of this notice or any other period that may be allowed under the Minnesota Law. Dated: ____________, 20____ _____________________________________ Signature DELIVER THIS PAGE TO THE WARD/PROTECTED PERSON WITH A COPY OF THE ORDER APPOINTING THE GUARDIAN / CONSERVATOR GAC 9-UM State ENG Rev 7/15 www.mncourts.gov/forms Page 2 of 2 American LegalNet, Inc. www.FormsWorkFlow.com