San Bernardino — 13-16779-360

Source: https://sanbernardino.courts.ca.gov/system/files/forms-filing/13-16779-360declarationinsupportofbondwaiver.pdf

ATTORNEY OR PARTY WITHOUT ATTORNEY STATE BAR NO.: For Court Use Only NAME: STREET NAME: CITY: STATE: ZIP CODE: TELEPHONE NO.: EMAIL ADDRESS: SUPERIOR COURT OF CALIFORNIA, COUNTY OF SAN BERNARDINO STREET ADDRESS: MAILING ADDRESS: CITY AND ZIP CODE: BRANCH NAME: IN THE MATTER OF:

CASE NUMBER(S):

DECLARATION IN SUPPORT OF REQUEST FOR BOND WAIVER (Local Rule 20-401) HEARING DATE: DEPT.:

I/We, (name of petitioner(s)) __________________________________________________________________________

declare the following in support of my/our request that bond be waived for my/our appointment as personal representative

of the estate:

1. The subject estate is expected to be: ☐ solvent ☐ insolvent

2. The known or reasonably-ascertainable unsecured creditors, including contingent liabilities, are as follows:

   Name of Creditor or Estimated Address Contingent Liability Liability

   Total:

3. The decedent is expected to owe the following taxes:

   a. State income tax: $

   b. Federal income tax: $

   c. Real and personal property tax: $

   Total: $

   DECLARATION IN SUPPORT OF REQUEST FOR BOND WAIVER
   (Local Rule 20-401)

Form Approved for Optional Use Form # 13-16779-360 Rev. 1/01/25

IN THE MATTER OF: CASE NUMBER(S):

4. The following efforts were made to obtain the information contained in this Declaration:

☐ Reviewed decedent’s mail for days

☐ Reviewed most recent utility bills.

☐ Reviewed most recent property tax bills

☐ Reviewed bank statements for the last months

☐ Reviewed most recent state income tax return

☐ Reviewed most recent federal income tax return

☐ Other efforts:

5. I/We understand that the Court may deny the request to waive bond and retains jurisdiction pursuant to Probate Code Section 8481 to impose bond for good cause.

I/WE DECLARE UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF CALIFORNIA THAT THE FOREGOING IS TRUE AND CORRECT.

Date: Type or Print Name Signature of Declarant

Date: Type or Print Name Signature of Declarant

DECLARATION IN SUPPORT OF REQUEST FOR BOND WAIVER (Local Rule 20-401)

Form Approved for Optional Use Form # 13-16779-360 Rev. 1/01/25