IN THE PROBATE DIVISION, CIRCUIT COURT, ST. LOUIS COUNTY, MISSOURI In the matter of No. Minor EXHIBIT E SELECTION OF CONSERVATOR BY MINOR AND WAIVER OF SERVICE The undersigned minor, over 14 years of age, acknowledges receipt of a copy of the petition for appointment of a conservator, waives service thereof, and hereby requests that be appointed as my conservator. Date Minor222s Signature Minor222s Name (Typed) Street Address City State Zip Code CCPR018-W Rev. 08/2018 American LegalNet, Inc. www.FormsWorkFlow.com