Acceptance Of Appointment As Conservator And Acknowledgement Of Duties
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1IN THE SUPERIOR COURT FOR THE STATE OF ALASKA
AT____________________
In the Matter of the Protective Proceeding of
)
)
)
)
,
)
Protected Person.
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)
CASE NO.
ACCEPTANCE OF APPOINTMENT AS CONSERVATOR
AND ACKNOWLEDGEMENT OF DUTIES
I,
, accept the duties of conservator of
the protected person named above. I solemnly swear to perform the duties of conservator
according to the law.
I have read the powers and duties of a conservator in AS 13.26.500 through 13.26.575, and I
understand them. I also understand any restrictions on these powers imposed by the court.
Implementation Report
I further understand that I must file (1) an
within 90 days after the date
Annual Report
the court distributes my appointment order, (2) an
every year until the
Final Report
conservatorship ends, and (3) a
when my service as conservator ends.
I understand that I must complete at least one hour of education on the basics of
Affirmation
conservatorship and file the PG-120
form with the court within 30 days after my
appointment.
Date
Conservator’s Signature
Mailing Address
City
State
ZIP
Daytime Telephone
Verification
I state on oath or affirm that I have read the above Acceptance and that all statements made in
it are true to the best of my knowledge and belief.
Date
Conservator’s Signature
Subscribed and sworn to or affirmed before me at
, Alaska
on
.
Date
(SEAL)
Clerk of Court, Notary Public, or other
person authorized to administer oaths.
My commission expires:
PG-435 (2/17)(cs)
Probate Rule 17(c)
ACCEPTANCE OF APPOINTMENT AS CONSERVATOR
AS 13.26.480
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