GN-3390, 11/18 Letters of Conservatorship 24754.76, Wisconsin Statutes This form shall not be modified. It may be supplemented with additional material. STATE OF WISCONSIN, CIRCUIT COURT, COUNTY IN THE MATTER OF Name Date of Birth Amended Letter s of Conservatorship Case No. To: Address: These Letters of Conservatorship are effective on [Date] . You are appointed conservator. This is an appointment as successor conservator. You are appointed standby conservator and your authority to act is limited to the following time periods: [Staring Date] through [Ending Date] . You are issued Letters of Conservatorship with the following powers or limitations to A. perform the duties of a guardian of the estate under 24754.19, Wis. Stats., and exercise the powers that do not require court approval under 24754.20(3), Wis. Stats. B. exercise the following additional powers [other than to make gifts] that require court approval under 24754.20(2), Wis. Stats.: . C. dispense with bond and order deposit of individualbank, credit union, savings bank or savings and loan association in the name of the conservator and the individual, payable only upon further order of the court. The conservatorship terminates when the individual dies, when terminated by the court, or when otherwise provided by law. These Letters of Conservatorship supercede any previously issued Letters of Conservatorship. American LegalNet, Inc. www.FormsWorkFlow.com