GAC 21-U-APP State ENG Rev 10/04 www.mncourts.gov/forms Page 1 of 2 State of Minnesota District Court Probate Division County of Judicial District: Court File No. Case Type: 14, Conservatorship In Re: Conservatorship of , Protected Person OATH & APPRAISAL OATH BY APPRAISER STATE OF MINNESOTA ) )ss COUNTY OF ) being duly sworn, swears that s/he will faithfully and justly perform all the duties of the office and trust which s/he now assumes as appraiser to make an appraisal to the best of his/her ability. So help me God. Sworn to and subscribed before me this , 20. Appraiser: MN License No. Notary Public (NOTARY SEAL) American LegalNet, Inc. www.FormsWorkFlow.com GAC 21-U-APP State ENG Rev 10/04 www.mncourts.gov/forms Page 2 of 2 APPRAISAL Homestead: Street Address: Legal Description: Mortgage: PID No.: NET VALUE: $ Other Real Estate: Street Address: Legal Description: Mortgage: PID No.: NET VALUE: $ I, the undersigned appraiser, having first taken and subscribed the oath hereto annexed, hereby certify that I have appraised, according to law, all of the real estate above described, as of the date of , 20. Sworn to and subscribed before me this , 20. Appraiser MN License No. Notary Public (NOTARY SEAL) American LegalNet, Inc. www.FormsWorkFlow.com