State of Minnesota County of ____________________ District Court Probate Division Judicial District: _______________ Court File No. __________________ Case Type: 14, Conservatorship In Re: Guardianship Conservatorship of ____________________________ Order Appointing: Guardian Conservator This matter came on for hearing before the district court on ________________________ on a petition seeking appointment of a Guardian Conservator for the Respondent named above. Petitioner appeared personally with the Petitioner's attorney, The Respondent appeared personally with Respondent's attorney, _______________________________. The matter, having been considered by the Court, and the Court being duly advised in the premises now makes the following: FINDINGS OF FACT 1) FINDING OF INCAPACITY: Guardianship: (i) The Respondent is incapacitated with regard to the person because Respondent is impaired to the extent of lacking sufficient understanding or capacity to make or communicate responsible decisions concerning Respondent's personal needs for medical care, nutrition, clothing, shelter or safety. The Respondent's inability is reflected by the following facts:___________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ and (ii) the Respondent has demonstrated behavioral deficits evidencing inability to meet Respondent's needs for medical care, nutrition, safety and shelter. The Respondent's inability is reflected by the following facts: __________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ Conservatorship: (i) The Respondent is unable to manage property and business affairs because of an impairment in the ability to receive and evaluate information or make decisions, even with the use of appropriate technological assistance. The Respondent's inability is reflected by the following facts:___________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ GAC 8-U State ENG Rev 8/16 www.mncourts.gov/forms Page 1 of 5 American LegalNet, Inc. www.FormsWorkFlow.com _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ and (ii) the Respondent has property which will be dissipated without proper management and funds are needed for the support, care, education, health, and welfare of the Respondent or of individuals who are entitled to the individual's support and that protection is necessary or desirable to obtain or provide money. This conclusion is supported by the following facts: __________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ 2) No appropriate alternative to guardianship or conservatorship exists that is less restrictive of Respondent's civil rights and liberties including the use of appropriate technological assistance and including a protective arrangement under M.S. § 524.5-412. The Respondent is incapable of exercising the following rights and powers: All of the rights and powers under M.S. § 524.5-313 subd.(c) for a Ward, All of the rights and powers under M.S. § 524.5-417 subd. (c) for a protected person. A limited guardianship or conservatorship is not appropriate because _______ _______________________________________________________________ _______________________________________________________________ _______________________________________________________________ (If the Ward or Protected Person is capable of performing some but not all powers and duties, specify which powers and duties CANNOT be performed by the Ward or Protected Person.) To establish the place of abode within or without the State; To provide for the Respondent's care, comfort and maintenance needs; To take reasonable care of the Respondent's clothing, furniture, vehicles and other personal effects; To give any necessary consent to enable, or to withhold consent for, the necessary medical or other professional care, counsel, treatment or service; Exercise supervisory authority over the Respondent; To pay reasonable charges for the support, maintenance, and education of the Respondent in a manner suitable to the Respondent's station in life and the value of Respondent's estate; To pay out of the Respondent's estate all just and lawful debts of the Respondent; To possess and manage the estate of the Respondent, collect all debts and claims in favor of the Respondent, or to compromise them, institute suit on behalf of the Respondent, or invest Respondent's assets not currently needed for debts, charges, and management of the estate; 3) GAC 8-U State ENG Rev 8/16 www.mncourts.gov/forms Page 2 of 5 American LegalNet, Inc. www.FormsWorkFlow.com Exchange or sell an undivided interest in real property; To approve or withhold approval of any contract, except for necessities, which the Respondent may make or wish to make; and To apply on behalf of the Respondent for any assistance, services, or benefits available to the Respondent through any unit of government. (other) _________________________________________________________ _______________________________________________________________. 4) The Respondent is ( not) a patient of a State Hospital for the mentally ill or a developmentally delayed person or dependent or neglected ward of the Commissioner of Human Services, or under the temporary c