Ex Parte Petition To Dispense With Accounting And Order Form - Superior Court Of California, County Of San Bernardino Page 2

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CONSERVATORSHIP/GUARDIANSHIP OF (Name):
CASE NUMBER:
PROOF OF SERVICE
1.
I am over the age of 18 and am not a party in this case. I live or work in the county where the mailing occurred.
2.
My (the server’s) home or business address is
_________________________________________
_________________________________________
3.
I served the Ex Parte Petition to Dispense with Accounting and Order on each person named below by putting a copy in a sealed
envelope addressed as shown below AND
depositing the sealed envelope with the United States Postal Service on the date and at the place shown in item 4 with
the postage fully prepaid.
placing the envelope for collection and mailing on the date and at the place shown in item 4 following our ordinary
business practices. I am readily familiar with this business’s practice for collecting and processing correspondence for
mailing. On the same day that correspondence is placed for collection and mailing, it is deposited in the ordinary course
of business with the United State Postal Service in a sealed envelope with postage fully prepaid.
4.
Date mailed: _________________
Place mailed (city, state) __________________________________
I DECLARE UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF CALIFORNIA THAT THE
FOREGOING IS TRUE AND CORRECT.
Date: ______________________
______________________________
_____________________________________
(Print Server’s Name)
(Server Signs Name)
Name of Person
Address Where it Was Mailed
(CONSERVATEE/MINOR 12 OR OLDER)
ORDER TO DISPENSE WITH ACCOUNT
THE COURT FINDS that the facts stated in the forgoing Ex Parte Petition to Dispense with
Accounting are true.
THE COURT ORDERS THAT the Conservator/Guardian shall file a declaration in lieu of
accounting annually so long as all the above conditions remain.
The next annual declaration will be filed on ______________________.
Date:
________________________________
__________________________________________________
JUDICIAL OFFICER
SIGNATURE FOLLOWS LAST ATTACHMENT
Pr.C.§2628
EX PARTE PETITION TO DISPENSE WITH ACCOUNTING AND ORDER
Local Form (Rev. 6/10/11)
Local Rule 20-1460
2
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