Fill and Sign the Chapter 2111 Guardians Lawriter Orc Form

GN-3 37 0, 1 0/0 6 C on se n t to S erv e a s C onse rv a to r §§2 23.1 0 5(2 ) a n d 5 4.7 6, W is co nsin S ta tu te s T h is f o rm s h all n ot b e m odif ie d . It m ay b e s u pple m en te d w it h a d dit io nal m ate ria l. S TA TE O F W IS C O NSIN , C IR CUIT C O URT, C O UNTY IN T H E M ATTE R O F A m en ded C onsen t t o S erv e a s C onserv a to r Date o f B ir th C ase N o. For O ff ic ia l U se 1 . I a m n om in ate d to s e rv e a s p erm anent s ta ndb y s u cce sso r c o nse rv a to r o f th e e sta te o f th e a bo ve n am ed in d iv id ua l a nd c o nse nt to s e rv e a s c o nse rv a to r o f th e e sta te a nd w ill a ct in th e b est in te re st o f th is i n d iv id ual. 2 . If a ppoin te d a s c o nse rv a to r o f th e e sta te , I w ill f ile a n in ve nto ry w it h in 6 0 d ays o f a p poin tm en t, a n d a cco untin gs a nnu ally o r a s o th erw is e r e q uir e d b y th e c o urt. 3 . I w ill e xe rc is e a ll p o w ers a nd p erfo rm a ll d utie s a s c o nse rv a to r o f th e e sta te a s r e q uir e d b y la w . S ig natu re N am e P rin te d o r T yp ed Str e e t A ddre ss N am e o f A tto rn ey C it y , S ta te , Z ip A ddre ss Date T ele ph on e N um ber B ar N um ber Tele ph on e N um ber