Free PROBATE COURT, CITY AND COUNTY OF DENVER, COLORADO - Colorado

District Court Denver Probate Court _________________________________ County, Colorado Court Address: ________________________________________ In the Interest of: COURT USE ONLY ___________________________________________ Protected Person Division ______ Courtroom _________ Case Number:__________________

LETTERS OF CONSERVATORSHIP - ADULT
(name of Conservator) was appointed by Court Order on (date) as: Conservator pursuant to §15-14-409, C.R.S. Special Conservator pursuant to §15-14-406(7), C.R.S. These letters shall expire on _________________ (date), unless otherwise ordered by the Court. Special Conservator pursuant to §15-14-412(3), C.R.S. These letters shall expire upon the completion of the single transaction described in the attached Court Order appointing the Special Conservator.

These Letters of Conservatorship are proof of the Conservator's full authority to act, except for the following restrictions: ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________

Date: _____________________________

___________________________________ Probate Registrar/(Deputy)Clerk of Court

CERTIFICATION
Certified to be a true copy of the original in my custody and to be in full force and effect as of _______________. Date _____________________________________ Probate Registrar/(Deputy)Clerk of Court

JDF 880

R4/09

LETTERS OF CONSERVATORSHIP - ADULT