Minnesota Guardianship Form 2Minnesota Guardianship Form 2Minnesota Guardianship Form 2
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Minn. Stat. § 524.5-303
Minn. Stat. § 524.5-403

State of Minnesota
County of ______________________

In Re:
Guardianship
Conservatorship of
________________________________

District Court
Probate Division
Judicial District: __________________
Court File No. _____________________
Case Type: 14, Conservatorship

Petition for Appointment of:
Guardian
Conservator

TO THE HONORABLE JUDGE OF THE DISTRICT COURT:
1.
Petitioner’s: Name:
Address:

Telephone number:
Interest in this matter:
Respondent’s: Name:
Address:

2.

Telephone number:
Age/Date of birth:
and if the petition is granted, Respondent will be moved to:

3.

The names and addresses of the Respondent’s spouse and kindred are:
Relationship
Name
Address
a) Spouse (include an adult with whom Respondent has resided for six months or more):

b)

Kindred: (adult children, parents and adult brothers and sisters; if none of these, then list the nearest adult
kin; See Minn. Stat. § 524.5-102 subd. 7)

GAC 5-U

State

ENG

Rev 8/10

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