Santa Clara — PB-4043*

Source: https://santaclara.courts.ca.gov/system/files/forms/pb-4043_rem.pdf

ATTACHMENT PB-4043 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 have EMAIL 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 (name):

CASE NUMBER:

OBJECTION TO GUARDIANSHIP

I am related to the child as the Mother Father Other (describe):

I do not agree that should be guardian of the child/children because: (NAME OF PROPOSED GUARDIAN)

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

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www.courtinfo.ca.gov
(PROBATE)

ATTACHMENT PB-4043 GUARDIANSHIP OF (child/ren’s name(s)): CASE NUMBER:

PROOF OF SERVICE

1. I am over age 18 and am not a party in this case. I live or work in the county where the mailing occurred.

2. My (the server’s) home or business address is: STREET ADDRESS CITY, STATE, ZIP

3. I served the Petition to Remove Trustee on each person named below by putting a copy in a sealed envelope addressed as shown below AND

L depositing the envelope with the United States Postal Service on the date and at the place shown in item 4 with the postage fully prepaid.

L placing the envelope for collection and mailing on the date and at the place shown in item 4 following our ordinary business practices. I am readily familiar with this business’s practice for collecting and processing correspondence for mailing. On the same day that correspondence is placed for collection and mailing, it is deposited in ordinary course of business with the United States Postal Service in a sealed envelope with postage fully prepaid.

4. Date mailed: Place mailed (city, state):

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.

Date Signed Server Prints His/Her Name Here Server Signs His/Her Name Here

I Mailed this Notice to the Following People:

Names of People Served: Addresses of People Served:

Name: Mailing Address:

City, State, Zip Code:

Name: Mailing Address:

City, State, Zip Code:

Name: Mailing Address:

City, State, Zip Code:

Name: Mailing Address:

City, State, Zip Code:

Additional people are listed on an attachment Reset Form

Page 2 of 2PB-4043 REV 1/01/08 OBJECTION TO GUARDIANSHIP
www.courtinfo.ca.gov
(PROBATE)