Santa Clara — PB-4050*

Source: https://santaclara.courts.ca.gov/system/files/forms/pb-4050_rem.pdf

ATTACHMENT PB-4050 SUPERIOR COURT OF CALIFORNIA, COUNTY OF SANTA CLARA FOR COURT USE ONLY COURT ADDRESS: 191 North First Street To keep other people from CITY AND ZIP CODE: San José, California 95113 seeing what you have PHONE NUMBER: (408) 882-2651 entered on your form, FAX NUMBER: (408) 882-2693 please press the Reset BRANCH NAME: Downtown Courthouse Form button at the end of the form when finished. In the Matter of Conservatorship of the Estate of:

Conservatee

DECREE TERMINATING CONSERVATORSHIP OF THE LPS NUMBER:
ESTATE, DISCHARGING CONSERVATOR AND WAIVER/
SETTLING OF ACCOUNT

In accordance with Welfare and Institutions Code, Section 5362(b), and for good cause shown:

IT IS ORDERED, that the appointment of

as Conservator of the Estate of the above-named Conservatee is hereby terminated; the said

Conservator is hereby discharged from further duties and responsibilities as conservator of the above-

named Conservatee.

The Final Accounting is waived pursuant to Probate Code Section 2628 (a) and (b).

The Final Accounting is hereby settled.

This Order is Retroactive to .

Date: Judicial Officer of the Superior Court

Reset Form

PB-4050 NEW 07/01/11 DECREE TERMINATING CONSERVATORSHIP OF THE ESTATE, Page 1 of 1 DISCHARGING CONSERVATOR AND WAIVER/SETTLING OF ACCOUNT