DE-147(S) Confidential Supplement to Duties and Liabilities of Personal Representative

Source: https://www.courts.ca.gov/documents/de147s.pdf

CONFIDENTIAL DE-147S ESTATE OF (Name): CASE NUMBER:

DECEDENT

CONFIDENTIAL STATEMENT OF BIRTH DATE AND DRIVER'S LICENSE NUMBER

(Supplement to Duties and Liabilities of Personal Representative (Form DE-147))

(NOTE: This supplement is to be used if the court by local rule requires the personal representative to provide a birth date and driver's license number. Do not attach this supplement to Form DE-147.)

This separate Confidential Statement of Birth Date and Driver's License Number contains confidential information relating to the personal representative in the case referenced above. This supplement shall be kept separate from the Duties and Liabilities of Personal Representative filed in this case and shall not be a public record.

INFORMATION ON THE PERSONAL REPRESENTATIVE:

1. Name:

2. Date of birth:

3. Driver's license number: State:

   TO COURT CLERK:

   THIS STATEMENT IS CONFIDENTIAL. DO NOT FILE THIS CONFIDENTIAL STATEMENT IN A PUBLIC COURT FILE.

Form Adopted for Mandatory Use Judicial Council of California CONFIDENTIAL SUPPLEMENT TO DUTIES AND Probate Code, § 8404 DE-147S [New January 1, 2001] LIABILITIES OF PERSONAL REPRESENTATIVE (Probate) For your protection and privacy, please press the Clear This Form button after you have printed the form. Print this form Save this form Clear this form