Fillable SUPERIOR COURT OF CALIFORNIA, COUNTY OF RIVERSIDE RI-PR061 (California)

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SUPERIOR COURT OF CALIFORNIA, COUNTY OF RIVERSIDE RI-PR061 (California)

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SUPERIOR COURT OF CALIFORNIA, COUNTY OF RIVERSIDE
PALM SPRINGS 3255 E. Tahquitz Canyon Wy., Palm Springs, CA 92262
TEMECULA 41002 County Center Dr., Ste. 100, Temecula, CA 92591
RIVERSIDE 4050 Main St., Riverside, CA 92501
RI-PR061
ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar Number and Address)
FOR COURT USE ONLY
TELEPHONE NO.:
FAX NO. (Optional):
E-MAIL ADDRESS (Optional):
ATTORNEY FOR (Name):
PETITIONER:
IN THE MATTER OF THE CONSERVATORSHIP GUARDIANSHIP OF:
CASE NUMBER:
Hearing Date:
Department:
DECLARATION IN SUPPORT OF ORDER DISPENSING WITH ACCOUNTING
(PROBATE CODE § 2628)
Note to Conservator: When this form is filed with the court, it will be set for hearing. You must give notice of
hearing using form GC-020.
1.
I/We,
collectively referred to as
“Petitioner”, declare and state that if called as a witness(es) in this matter, I/We would testify as follows based
upon my/our own personal knowledge.
2.
Petitioner is the
Conservator /
Guardian of the
Person
Estate of:
(Name of conservatee or ward):
, and was appointed
on (date):
Letters of Conservatorship/
Letters of Guardianship have
been issued.
3.
The Conservatee/ward is now living at:
(address):
4.
An Inventory and Appraisal was filed on (date):
.
5.
Conservatee/ward has the following assets:
a.
Cash and bank accounts in the amount of $
.
b.
A personal residence. Enclosed as attachment 5b are true and correct copies of the following for the
residence:
-The most recent property tax bill.
-The declarations page from the homeowner’s insurance policy.
-If applicable, the most recent mortgage statement.
c.
Other property valued at $
described as follows:
Page 1 of 2
Adopted for Mandtory Use
Riverside Superior Court
RI-PR061 [Rev. 07/01/18]
DECLARATION IN SUPPORT OF ORDER
DISPENSING WITH ACCOUNTING
Probate Code §§2628 et seq
riverside.courts.ca.gov/localfrms/localfrms.shtml
(Reformatted 12/10/18)
IN THE MATTER OF THE ESTATE OF:
CASE NUMBER:
6.
Conservatee/ward receives the following monthly income:
Source of Income (e.g., pension, social security)
Monthly Amount
$
$
$
$
TOTAL
$
7.
Neither the source nor amount of the conservatee’s/ward’s monthly income is expected to change, except for
automatic cost of living adjustments. If the conservatee’s/ward’s monthly income does change, petitioner will file a
declaration with the court explaining the changes.
8.
This declaration provides information for the date range of that begins with either (1) the end of the accounting
period for the last accounting approved by the court or (2) the last date a completed copy of this form was filed,
whichever is later. The end of the date range is the date this declaration was signed.
9.
During this date range, all of the conservatee’s or ward’s income, if any, was used for his or her benefit, care, and
or needs.
10.
The total conservatorship or guardianship estate at the beginning and end of this date range had a total net value of
less than $15,000, excluding the personal residence of the ward or conservatee.
11.
The income of the conservatorship or guardianship estate during each month of the date range, excluding public
benefits, was less than $2,000.
Date:
(TYPE OR PRINT NAME OF ATTORNEY)
(SIGNATURE OF ATTORNEY)
I/We declare under penalty of perjury under the laws of the State of California that the information above is true and
correct.
Date:
(TYPE OR PRINT NAME OF PETTITONER)
(SIGNATURE OF PETITIONER)
(TYPE OR PRINT NAME OF PETTITONER)
(SIGNATURE OF PETITIONER)
Page 2 of 2
Adopted for Mandatory Use
Riverside Superior Court
RI-PR061 [Rev. 07/01/18]
DECLARATION IN SUPPORT OF ORDER
DISPENSING WITH ACCOUNTING
Probate Code §§2628 et seq
riverside.courts.ca.gov/localfrms/localfrms.shtml
(Reformatted 12/10/18)
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SUPERIOR COURT OF CALIFORNIA, COUNTY OF RIVERSIDE RI-PR061 (California)

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Completed 28 December 2022

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