Riverside — Notice to Franchise Tax Board (RI-PR038)

Source: https://www.riverside.courts.ca.gov/system/files/ri-pr038.pdf

SUPERIOR COURT OF CALIFORNIA, COUNTY OF RIVERSIDE

MURRIETA 30755-D Auld Rd., Murrieta, CA 92563 RIVERSIDE 4050 Main St., Riverside, CA 92501 PALM SPRINGS 3255 E. Tahquitz Canyon Wy., Palm Springs, CA 92262 RI-PR038 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):

IN THE MATTER OF:

CASE NUMBER:

NOTICE TO FRANCHISE TAX BOARD Probate Code § 9202(c)

1. You are hereby given notice of administration of the estate of the following person:

   a. Decedent’s Name:

   b. Date of Death:

   c. Social Security Number:

2. A copy of the decedent’s death certificate is attached.

3. The party providing you with this notice is as follows:

   a. Name:

   b. Address:

   c. Telephone:

   d. Capacity: Estate Attorney, Personal Representative

4. If you have a claim against the above-mentioned estate(s) please forward documentation to the address

   indicated in item 3 above.

Date: (PARTY PROVIDING NOTICE)

Approved for Optional Riverside Superior Court Use NOTICE TO FRANCHISE TAX BOARD Probateriverside.courts.ca.govlCode § 9202(c) RI-PR038 [Rev. 07/29/13] Probate Code § 9202(c)(Reformatted 12/23/24)

IN THE MATTER OF: CASE NUMBER:

PROOF OF SERVICE BY MAIL

1. I am over the age of 18 and am not a party in this cause. I am a resident of or employed in the county where the

   mailing occurred.

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

3. I served the foregoing NOTICE OF ADMINISTRATION, FRANCHISE TAX BOARD by enclosing a copy in an envelope

   addressed to:

   Franchise Tax Board P.O. Box 2952, MS A-454 Sacramento, California 95812-0479

   and depositing the sealed envelope with the United State Postal Service with the postage fully prepaid.

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

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

Date: (SIGNATURE OF DECLARANT)

Approved for Optional Riverside Superior Court Use NOTICE TO FRANCHISE TAX BOARD Probateriverside.courts.ca.govCode § 9202(c) RI-PR038 [Rev.07/29/13] Probate Code § 9202(c)(Reformatted 12/23/24)