) IN CIRCUIT COURT ) COUNTY OF _________________ ) __________ JUDICIAL CIRCUIT ****************************************************************************** In the Matter of the Conservatorship of ) ____GDN________________ ) ___________________________________, ) OBJECTION TO ) CONSERVATOR ACCOUNTING a Minor Protected Person. ) ****************************************************************************** I, __________________________ , an Interested Person in the above-captioned matter, being duly sworn upon oath, state and affirm the following: 1. I am an Interested Person, as defined in SDCL 29A-5-102(5), because (describe your relationship to the Individual, or, if applicable, note you are the Individual): _____________ ___________________________________________________________________________ 2. The Order of Appointment in this matter was entered on ______________ (month), _____ (day), __________ (year). 3. I object to the account of the Conservator(s) in this matter covering the period: ___________ (month), ___ (day), _____ (year) to ____________ (month), ___ (day), _____ (year). 4. I object to the accuracy, insufficiency, and/or completeness of the information provided in said accounting as follows (describe in detail): ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ UJS-143 Objection to Conservator Accounting Rev. 05/2016 American LegalNet, Inc. www.FormsWorkFlow.com STATE OF SOUTH DAKOTA 5. Pursuant to SDCL 29A-5-408, I request do not request a hearing with the Court on (select one) this accounting and my Objection. I swear or affirm under oath that the information I provided in this Objection to Accounting is true and correct to the best of my knowledge. I swear or affirm that I have not filed this Objection for any malicious, delaying, or other improper purpose, and that I have filed it in the best interests of the Individual. Because filing my written objection allows any Interested Person to request a hearing on this accounting, I shall mail a copy of this objection to the parties listed in SDCL 29A-5-410 no later than fourteen days after filing this objection. Dated ______________ ___ , ________ (month) (day) (year) _______________________________________ Interested Person's Signature (Sign only in front of Notary or Clerk) ____________________________________ Mailing Address ____________________________________ City, State, and Zip Code ____________________________________ Phone Number ____________________________________ E-mail Address Signed and sworn to before me on this ______ day of _________________, ________. (SEAL) ___________________________________ Notary Public/Deputy Clerk of Courts Commission Expires: UJS-143 Objection to Conservator Accounting Rev. 05/2016 American LegalNet, Inc. www.FormsWorkFlow.com ) IN CIRCUIT COURT ) COUNTY OF _________________ ) __________ JUDICIAL CIRCUIT ****************************************************************************** In the Matter of the Conservatorship of ) ____GDN________________ ) __________________________________, ) ) AFFIDAVIT OF MAILING a Minor Protected Person. ) ****************************************************************************** I, ____________________________, being sworn, state that on ___________________, (Full legal name of Interested Person) (Month) STATE OF SOUTH DAKOTA _______, ___________, I served the Objection on the parties by placing true and correct copies (Day) (Year) of the document in envelopes addressed to: Names Mailing Addresses and depositing the envelopes, with sufficient postage, in the United States Mail at ___________, (City) _________________________. (State) Dated this ____ day of ____________, 20__ ____________________________________ Signature of Interested Person (Sign only in front of Notary or Clerk) Name: (Printed)___________________________ Sworn/affirmed before me this day of (Notary Public/Clerk of Courts) , . Mailing Address: ______________________ City/State/Zip:________________________ Telephone: ( )_____________________ If Notary, my commission expires: (SEAL) UJS-143 Objection to Conservator Accounting Rev. 05/2016 American LegalNet, Inc. www.FormsWorkFlow.com