Classifiable Details

Form Gac103 is a tax form that is used to report the sale or exchange of certain property. This form must be filed by taxpayers who have disposed of property in a nontaxable transaction. Property that is reported on Form Gac103 includes, but is not limited to, stocks, bonds, and mutual funds. There are specific instructions and requirements for filing this form, so it's important to understand what needs to be done in order to avoid penalties. For more information on Form Gac103, please consult a tax professional.

Here is the information regarding the form you were in search of to complete. It will tell you the span of time you will need to complete form gac103, what parts you will need to fill in, etc.

QuestionAnswer
Form NameForm Gac103
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesclassifiable, Minn, GAC103, dhs background check form

Form Preview Example

REQUESTING COURT

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

COUNTY

COURT FILE NUMBER

 

 

 

 

 

 

 

 

 

 

 

 

 

PROPOSED CONSERVATEE / WARD

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

FIRST NAME

 

 

MIDDLE NAME

LAST NAME

 

 

 

 

 

 

 

 

 

 

 

 

PROPOSED CONSERVATOR / GUARDIAN

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

FIRST NAME

 

 

MIDDLE NAME

LAST NAME

LIST ANY OTHER NAMES BY WHICH THIS INDIVIDUAL HAS BEEN KNOWN

ADDRESS

1 9

DATE OF BIRTH

CITY

STATE

ZIP CODE

 

ASIAN

 

SOCIAL SECURITY NUMBER (OPTIONAL)

BLACK

 

 

INDIAN

 

DRIVERS LICENSE NUMBER (OPTIONAL)

STATE

M F

WHITE

UNKNOWN / OTHER

TELEPHONE NUMBER

GENDER (OPT)

 

RACE (OPTIONAL)

I have resided outside of Minnesota in the last 5 years.

Yes

No

If yes, this form must be accompanied by a set of classifiable fingerprints.

See instructions.

I give consent to the Minnesota Department of Human Services to conduct a background study on me as provided in Minn. Stat. Sec. 524.5-118, and to release the results of the study to the court.

__________________________________________________

_____________________________

Signature

Date

I hereby certify that this is an in forma pauperis proceeding (person only), and qualifies for exemption from fee payment pursuant to Minn. Stat. Sec. 524.5-118, subd. 1 (f) (1). Court Administrator

By _________________________

Deputy Court Administrator

GAC103

State

ENG

Rev 8/03-D

www.courts.state.mn.us/forms

Page 1 of 2

GUARDIAN AND CONSERVATOR BACKGROUND STUDY

CONSENT/INFORMATION FORM

BACKGROUND STUDY REQUIREMENT:

Minnesota Statutes, section 524.5-118, requires a background study on you for the purpose of assisting the court in determining whether your appointment or continued appointment as a guardian or conservator is in the best interests of the ward or protected person. The background study will include a review of criminal conviction records held by the Minnesota Bureau of Criminal Apprehension (BCA) or Minnesota Department of Human Services (DHS) and records of substantiated maltreatment of vulnerable adults or minors held by DHS. There will also be a search of the Federal Bureau of Investigation’s (FBI) national criminal records repository if you have not resided in Minnesota for the previous five years or if the BCA information indicates that you are a multistate offender or that your multistate offender status is undetermined.

NOTIFICATION OF RIGHTS: You have the following rights:

The right to be informed that the court will request a background study on you for the purpose of determining whether your appointment or continued appointment is in the best interests of the ward or protected person;

The right to be informed of the results of the study and to obtain from the court a copy of the results; and

The right to challenge the accuracy and completeness of information provided to the court by DHS or BCA by filing a challenge with the appropriate agency under Minnesota Statutes, section 13.04, subdivision 4. Please note that some challenges may be precluded by Minnesota Statutes, section 256.045, subdivision 3.

FEES AND PAYMENT:

The basic fee for each study is $20.

The fee for each fingerprint card is $30 in addition to the basic fee.

There is no fee for cases proceeding in forma pauperis for guardians of the person as provided in Minnesota Statutes, section 524.5-118. For conservators of the estate, the fee is paid by the estate.

Make check payable to: Licensing Div., Guardian Background Study.

INSTRUCTIONS:

Type or legibly print the information on the reverse side of this form.

If the proposed guardian or conservator has resided outside of Minnesota in the last 5 years, this form must be accompanied by a set of classifiable fingerprints on a card provided by DHS and available at the county court administrator’s office.

The proposed guardian or conservator must sign and date the reverse side of this form.

Mail form with the appropriate fee(s) or court verification that the case is proceeding in forma pauperis to:

Department of Human Services

Licensing Div., Guardian Background Studies

444 Lafayette Road

St. Paul, MN 55155-3842

WHERE FORMS AND FINGERPRINT CARDS CAN BE OBTAINED:

County Court Administrator’s Office

DHS Licensing Division, 651-296-3971

August 1, 2003

GAC103

State

ENG

Rev 8/03-D

www.courts.state.mn.us/forms

Page 2 of 2

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