GC-400(C) (2) Schedule C, Disbursements, Conservatee's Residential or Long-Term Care Facility Living Expenses—Standard Account

Source: https://www.courts.ca.gov/documents/gc400c2.pdf

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GC-400(C)(2)

CONSERVATORSHIP GUARDIANSHIP OF CASE NUMBER:

(Name): Conservatee Minor

Schedule C, Disbursements, Conservatee's Residential or Long-Term Care Facility Expenses— Standard Account

Conservatee's residential or long-term care facility expenses

Date Check Payee and Purpose of Payment Amounts

(mm/dd/yyyy) No.

$

Subtotal, Conservatee's Residential or Long-Term Care Facility Expenses: $

(Add pages as required. Check the box at the bottom of the last page of this disbursement category and total the amount of the category. Include that sum in the total of disbursements on line 8 of the Summary of Account (form GC-400(SUM)/GC-405(SUM)). The page total to the right is the number of pages in Schedule C.) Page C of pages

Form Approved for Optional Use SCHEDULE C, DISBURSEMENTS, CONSERVATEE'S RESIDENTIAL OR Probate Code, §§ 1060–1064, 2620; Judicial Council of California Cal. Rules of Court, rule 7.575 GC-400(C)(2) LONG-TERM CARE FACILITY EXPENSES—STANDARD ACCOUNT www.courtinfo.ca.gov [New January 1, 2008] (Probate—Guardianships and Conservatorships)

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