San Mateo — Declaration in Support of Waiver of Accountings

Source: https://sanmateo.courts.ca.gov/system/files/local-forms/pr-24.pdf

PR - 24

ATTORNEY OR CONSERVATOR (Name, state bar number, and address) FOR COURT USE ONLY

TELEPHONE NO: FAX NO. (Optional):

E-MAIL ADDRESS (Optional): CONSERVATOR FOR (Name): SUPERIOR COURT OF CALIFORNIA, COUNTY OF SAN MATEO STREET ADDRESS: 400 County Center MAILING ADDRESS: CITY AND ZIP CODE: Redwood City, CA 94063 BRANCH NAME: Southern Branch CONSERVATORSHIP OF (Name):

CONSERVATEE

CONSERVATOR(S) OF THE ESTATE DECLARATION IN LIEU OF CASE NUMBER: ACCOUNTING (Pursuant to Probate Code § 2628 and Local Rule of Court, Rule 4.81.16)

I (We) am/are the duly appointed Conservator(s) of the Estate of the above named

Conservatee and declare as follows for the review date of:

1. The estate, at the beginning and end of the review period for which an account is otherwise required (pursuant per §2628 of the Probate Code) consisted of property, exclusive of the residence of the conservatee, with a total net value of less than fifteen thousand dollars ($15,000.00);

2. The income of the estate for each month of the accounting period, exclusive of public benefits payments, was less than two thousand dollars ($2,000.00);

3. All income of the estate during the accounting period, if not retained, was spent for the benefit of the conservatee.

   I (We) certify under penalty of perjury under the laws of the State of California that the

foregoing is true and correct.

Dated:Dated: atatatatatatatatat ,California

ConservatorConservator Conservator

CONSERVATOR(S) OF THE ESTATE DECLARATION IN LIEU OF ACCOUNTING

Form Approved for Optional Use (Probate Conservatorship) Probate Code, § 2628, Local Rule, Rule 4.81.16 Superior Court of California, County of San Mateo PR- 24 [Revised, March, 2008]