Free STATE OF MINNESOTA - Minnesota

M.S. § 524.5-420 M.S. § 524.5-431

State of Minnesota
Select County County of _____________________

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

In Re: Conservatorship of _________________________________, Protected Person

Order Allowing ________ Annual Account Final Account and Order Discharging Conservator

This matter came before the Court on ________________, 20_____, and the conservator has accounted for every part of the estate according to law. The conservator having appeared personally and with the conservator's attorney, _________________________, a summary statement of the _______________ Annual Account / Final Account being as follows: Debits: Credits: $ __________________ $ __________________

Balance: $ __________________ consisting of ____________________ in (cash); and_____________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ and the Court having considered the petition and being fully advised in the premises, and the conservator having filed the receipt for assets with the Court; IT IS ORDERED that: the _____________ Annual Account is settled and allowed. the Final Account is settled and allowed, the conservator and its sureties are discharged.

Order Recommended by: _____________________________ Referee of District Court Date ________________________________ Judge of the District Court Date

GAC 16-U State

ENG

Rev 12/03

www.courts.state.mn.us/forms

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