Madera — Consent and Waiver of Statutory Notice (MAD-CIV-022)

Source: https://www.madera.courts.ca.gov/system/files/forms-and-filings/mad-civ-022-consent-and-waiver-statutory-notice-new-9-1-2024.pdf

MAD-CIV-022 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): SUPERIOR COURT OF CALIFORNIA, COUNTY OF MADERA STREET ADDRESS: 200 South G Street MAILING ADDRESS: 200 South G Street CITY AND ZIP CODE: Madera, CA 93637 BRANCH NAME: Civil Division IN RE: CASE NUMBER: CONSENT AND WAIVER OF STATUTORY NOTICE

I, , am the to the conservatee,
in this matter. I hereby consent to the Petition for Appointment of Probate Conservator filed on , and

waive statutory notice of the hearing thereon. I feel this is currently in my best interest to remain in care.

I declare under penalty of perjury under the laws of the State of California.

Dated: _________________ ______________________________ _ Declarant

Form Adopted for Optional Use CONSENT AND WAIVER OF STATUORY NOTICE Page 1 of 1 Madera Superior Court Local Form MAD-CIV-022 [New 09/01/2024]