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PERSONAL WELL-BEING REPORT , Ward Attach …

GAC 11-U State ENG Rev 08/16 Page 1 of 5 State of Minnesota District Court Probate Division County of _____ Judicial District: _____ Court File No. _____ Case Type: 14, Guardianship In Re: Guardianship of _____, Ward PERSONAL WELL-BEING REPORT (Annual REPORT of Guardian) As required by Minn. Stat. the Guardian makes this Annual REPORT for the reporting period from _____ to _____. Instructions: Complete all paragraphs. Attach additional sheets if necessary. 1. The current mental, physical and social condition of the Ward is: (a) Mental: (b) Physical: (c) Social: 2. The addresses and types of all living arrangements for the Ward during this reporting period: 3.

GAC 11-U State ENG Rev 08/16 www.mncourts.gov/forms Page 4 of 5 This notice must be served annually on the ward and to interested persons of record with

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