On September 30, 2022 a
Acceptance of Appointment and Oath Index #6
was filed
involving a dispute between
Winona County Health And Human Services,
and
Adams, Addison,
for Guardianship/Conservatorship
in the District Court of Winona County.
Preview
85-PR-22-1767
Filed in District Court
State of Minnesota
10/3/2022 4:33 PM
STATE OF MINNESOTA DISTRICT COURT
COUNTY OF WlNONA Third Judicial District '
PROBATE DIVISION
Emergency
~
Court File No. 85-PR~22-1767
In Re: Guardianship D Conservatorship of
Acceptance of Appointment
Addison Adams El Professional Individual Individual
El Corporation
By Individual:
As a condition to receiving letters, I, Thomas Adams, the appointed Guardian El Conservator of
Addison Adams, verify thatI understand the duties and responsibilities required of me in this role. I hereby
accept my appointment and will fully and faithfully perfonn all of my duties according to law and submit
to the jurisdiction of the Court in any proceeding relating to this person subject to guardianship and/or
person subject to conservatorship that may be brought by the court or any person interested in the affairs of
the person subject to guardianship and/or person subject to conservatorship.
.
KI have watched the Guardianship/Conservatorship Educational Video. 2 ['41 (initial here)
D I am a professional conservator as defined by Minn. Stat. § 5245-102, subd. 130.
I declare under penalty of perjury that everything I have stated in this document is true and correct. Minn.
Stat. § 358.116.
"pg/Lg,
Dated
1
%V%/
Signature
Name: Thomas Adams
660K . I Address: 7758 South Jeffery Boulevard
County and stat},where signed City/State/Zip: Chicago, Illinois 60649
Telephone: (773) 844-0019
Email: 1
tthumbs@ymail.com
.
Acceptance oprpointment
GAC 1-U State ENG Rev 8/20 www.mneourts.govlforms Page 1 of1
Document Filed Date
October 03, 2022
Case Filing Date
September 30, 2022
Category
Guardianship/Conservatorship
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85-PR-22-1767 Filed in District Court State of Minnesota 10/3/2022 4:33 PM STATE OF MINNESOTA DISTRICT COURT COUNTY OF WlNONA Third Judicial District ' PROBATE DIVISION Emergency ~ Court File No. 85-PR~22-1767 In Re: Guardianship D Conservatorship of Acceptance of Appointment Addison Adams El Professional Individual Individual El Corporation By Individual: As a condition to receiving letters, I, Thomas Adams, the appointed Guardian El Conservator of Addison Adams, verify thatI understand the duties and responsibilities required of me in this role. I hereby accept my appointment and will fully and faithfully perfonn all of my duties according to law and submit to the jurisdiction of the Court in any proceeding relating to this person subject to guardianship and/or person subject to conservatorship that may be brought by the court or any person interested in the affairs of the person subject to guardianship and/or person subject to conservatorship. . KI have watched the Guardianship/Conservatorship Educational Video. 2 ['41 (initial here) D I am a professional conservator as defined by Minn. Stat. § 5245-102, subd. 130. I declare under penalty of perjury that everything I have stated in this document is true and correct. Minn. Stat. § 358.116. "pg/Lg, Dated 1 %V%/ Signature Name: Thomas Adams 660K . I Address: 7758 South Jeffery Boulevard County and stat},where signed City/State/Zip: Chicago, Illinois 60649 Telephone: (773) 844-0019 Email: 1 tthumbs@ymail.com . Acceptance oprpointment GAC 1-U State ENG Rev 8/20 www.mneourts.govlforms Page 1 of1