Form GAC3-UM "Affidavit of Mailing Notices and Petition (Minor)" - Minnesota

What Is Form GAC3-UM?

This is a legal form that was released by the Minnesota District Courts - a government authority operating within Minnesota. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on July 1, 2015;
  • The latest edition provided by the Minnesota District Courts;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form GAC3-UM by clicking the link below or browse more documents and templates provided by the Minnesota District Courts.

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Download Form GAC3-UM "Affidavit of Mailing Notices and Petition (Minor)" - Minnesota

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State of Minnesota
District Court
Probate Division
County of _____________________
Judicial District: ___________________
Court File No. ______________________
Case Type: 14, Conservatorship
In Re: Guardianship and
Conservatorship of
Affidavit of Service by Mail
_____________________________,
Ward and Protected Person
State of Minnesota
)
) SS
County of
)
____________________________, says that on (date)
, 20____,
he/she served (name document served) _____________________________________________
_____________________________________________________________________________
on the following persons by mail:
1. Ward/Protected Person: Name:________________________________________________
Address: ______________________________________________
______________________________________________
______________________________________________
______________________________________________
2. Interested Parties:
Relationship
Name
Address
a) Spouse
:
(include an adult with whom Respondent has resided for six months or more)
Kindred:
b)
(adult children, parents and adult brothers and sisters; if none of these, then list the nearest adult
kin; See M.S. § 524.5-303(b)(3) and 524.5-102 subd. 7)
GAC 3-UM State
ENG
Rev 7/15
www.mncourts.gov/forms
Page 1 of 3
State of Minnesota
District Court
Probate Division
County of _____________________
Judicial District: ___________________
Court File No. ______________________
Case Type: 14, Conservatorship
In Re: Guardianship and
Conservatorship of
Affidavit of Service by Mail
_____________________________,
Ward and Protected Person
State of Minnesota
)
) SS
County of
)
____________________________, says that on (date)
, 20____,
he/she served (name document served) _____________________________________________
_____________________________________________________________________________
on the following persons by mail:
1. Ward/Protected Person: Name:________________________________________________
Address: ______________________________________________
______________________________________________
______________________________________________
______________________________________________
2. Interested Parties:
Relationship
Name
Address
a) Spouse
:
(include an adult with whom Respondent has resided for six months or more)
Kindred:
b)
(adult children, parents and adult brothers and sisters; if none of these, then list the nearest adult
kin; See M.S. § 524.5-303(b)(3) and 524.5-102 subd. 7)
GAC 3-UM State
ENG
Rev 7/15
www.mncourts.gov/forms
Page 1 of 3
c) Administrator
:
(if Respondent is in a hospital, nursing home, home care agency or other institution)
d) Legal Representative
:
(See M.S. § 524.5-102, subd. 8)
e) Persons serving as guardian or conservator:
GAC 3-UM State
ENG
Rev 7/15
www.mncourts.gov/forms
Page 2 of 3
f) Other persons:
I declare under penalty of perjury that everything I have stated in this document is true and
correct. Minn. Stat. § 358.116.
________________________________________
Signature of Affiant
THIS FORM MUST BE COMPLETED AND RETURNED TO THE COURT WITH A
COPY OF THE DOCUMENT MAILED TO EACH PERSON
GAC 3-UM State
ENG
Rev 7/15
www.mncourts.gov/forms
Page 3 of 3
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