Santa Clara — PB-4041*

Source: https://santaclara.courts.ca.gov/system/files/forms/pb-4041_rem.pdf

ATTACHMENT PB-4041 ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar Number and Address): FOR COURT USE ONLY

TELEPHONE NUMBER: FAX NUMBER (Optional): To keep other people from seeing what you haveEMAIL ADDRESS (Optional): entered, please press the ATTORNEY FOR (Name): Reset Form button at the end SUPERIOR COURT OF CALIFORNIA, COUNTY OF SANTA CLARA of this form when finished. MAILING ADDRESS 191 North First Street

CITY AND ZIP CODE: San José, California 95113

DIVISION: Probate Division

GUARDIANSHIP OF (child’s name):

CASE NUMBER:

PETITION TO REMOVE GUARDIAN

I, (my name) declare;

I am a: Parent Other:

I am petitioning to remove (name): as

guardian of the minor(s) in this case for the following reasons:

Check here if you need more space. Continue to explain on a separate piece of paper and attach it to this page.

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

Today’s date Print your name here Sign your name here

Page 1 of 1PB-4041 REV 1/01/13 PETITION TO REMOVE GUARDIAN
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(PROBATE)