Mendocino — MPB-210

Source: https://www.mendocino.courts.ca.gov/system/files/general/mpb-210.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:

PETIONER:

Case Number:
PETITION TO RESIGN AS CONSERVATOR

PERSON ESTATE LIMITED CONSERVATORSHIP

I (my name), , declare:

I am: The Conservator of the Person Estate Limited Conservatorship of Other:

I am petitioning the Court to resign as Conservator to the above entitled Conservatee for the following reasons:

Check here if you need more space. Attach a separate piece of paper and write “Petition to Resign as Conservator – Additional Information” for the title.

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

Dated:

(PRINT NAME) (SIGNATURE OF PETITIONER)

MPB-200 (rev 0425)