Mendocino — MPB-200

Source: https://www.mendocino.courts.ca.gov/system/files/forms-and-filings/mpb-200.pdf

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 MENDOCINO

UKIAH Courthouse TEN MILE Branch Court
100 North State Street 700 South Franklin Street
Ukiah, CA 95482 Fort Bragg, CA 95437

Conservatorship of: Case Number:

PETIONER:

PETITION FOR TERMINATION OF HEARING DATE:
CONSERVATORSHIP HEARING TIME:

PERSON ESTATE LIMITED CONSERVATORSHIP DEPARTMENT:

Petitioner, , respectfully represents and alleges:

1. Petitioner is:
   The Conservator of the Person Estate
   Limited Conservatorship of The Conservatee.
   An interested party (explain): .

2. At the hearing on (date) , (Conservator’s name)

   was appointed Conservator of (Conservatee’s name) and Letters of Conservatorship were issued on (date) .

3. At the time of the appointment a conservatorship was necessary for the following reason(s): .

4. The best interests of the conservatee require termination of the conservatorship for the following reason(s): .

5. The Conservator has has not taken possession or control of assets of the Conservatee.

6. [For Conservators of the Estate] The total assets of the Conservatee’s Estate were $

   on (date of appointment) and $ on (current date or date of last month’s bank statement) . Conservatee’s monthly income consists of $ in public benefits (e.g. Social Security) and $ of other income.

7. The names, addresses, and relationships of the Conservatee’s relatives within the second degree as known to the Petitioner are listed as follows as attached:

MPB-200 (rev 0425)

8. A Request for Special Notice: has NOT been filed. HAS been filed by: .

9. Conservatorship of the Estate does does not include money or property acquired in whole or in
   part from money received from the Veteran’s Administration. (Note: If the estate does consist of money
   or property received from the Veteran’s Administration, the Veteran’s Administration must receive
   copies of the termination petition, supporting documents, and orders.)

10. The Conservatee has has not been a patient in or on leave from a state hospital under the jurisdiction of the State Department of Mental Health or the State Department of Developmental Services during the conservatorship proceeding. (Note: If the Conservatee has been a patient in or on leave from such a State Hospital, the director of the appropriate State Department in Sacramento must receive copies of the termination petition, supporting documents, and orders.)

WHEREFORE, Petitioner requests:

The Conservatorship of the PERSON ESTATE LIMITED CONSERVATORSHIP of be terminated.

The Conservator remain appointed by the Court for the Person Estate.
The Conservator of the Person Estate Limited Conservatorship for the Conservatee be
discharged and the surety of his/her bond, if any, be discharged.
Other: .

I declare, under penalty of perjury under the laws of the State of California, that the foregoing is true and correct.

Dated:

(PRINT NAME) (SIGNATURE OF PETITIONER)

MPB-200 (rev 0425)