Fresno — Fee Waiver Guardianship Conservatorship

Source: https://www.fresno.courts.ca.gov/system/files/forms-and-filings/fee-waiver-guardianship-conservatorship.pdf

Sparse pages use OCR; original PDF remains authoritative.

Instructions For Requesting a Fee Waiver WHEN TO USE THIS PACKET Use this packet if you are filing papers with the court that require you to pay a filing fee and you cannot afford to pay the fees. If you are low income or receiving aid you may qualify for a waiver of your court fees. Review the Information sheet carefully to see if you qualify. If you are receiving SSI, SSP, CalWORKS, Food Stamps, County Relief, General Relief, Medi-Cal, Food Stamps, IHSS, Tribal TANF or CAPI, you qualify for a fee waiver. If your gross household income is below the amount set out in the chart on the Information Sheet for the number of people living in your home, you qualify for a fee waiver. This packet includes an “Information Sheet on Waiver of Court Fees and Costs” [FW-001-info], a “Request to Waive Court Fees (Ward or Conservatee) [FW-001-GC], an “Order on Court Fee Waiver (Superior Court)(Ward or Conservatee)” [FW-003-GC], and a Notice 5 1 8 1 4 4 403 1511 29 23 96.775833 to 5 1 8 1 4 5 443 1509 90 25 96.212669 Court 5 1 8 1 4 6 542 1508 31 26 97.010193 of 5 1 8 1 4 7 583 1508 155 34 96.476608 Improved 5 1 8 1 4 8 749 1508 144 25 96.935402 Financial 5 1 8 1 4 9 904 1508 145 25 96.375679 Situation 5 1 8 1 4 10 1059 1515 31 18 96.882690 or 5 1 8 1 4 11 1100 1506 170 26 96.264366 Settlement 5 1 8 1 4 12 1281 1506 95 33 96.629700 (Ward 5 1 8 1 4 13 1386 1514 30 18 96.819229 or 4 1 8 1 5 0 184 1548 436 34 -1 5 1 8 1 5 1 184 1548 217 34 91.858749 Conservatee) [FW-010-GC]. SHP-08 probate RO4-23

APP-015/FW-015-INFO INFORMATION SHEET ON WAIVER OF APPELLATE COURT FEES— SUPREME COURT, COURT OF APPEAL, APPELLATE DIVISION If you file an appeal, a petition for a writ, or a petition for review in a civil case, such as a family law case or a case in which you sued someone or someone sued you, you must generally pay a filing fee to the court. If you are a party other than the party who filed the appeal or the petition, you must also generally pay a fee when you file your first document in a case in the Court of Appeal or Supreme Court. You and the other parties in the case may also have to pay other court fees in these proceedings, such as fees to prepare or get a copy of a clerk’s transcript in an appeal. However, if you cannot afford to pay these court fees and costs, you may ask the court to issue an order saying you do not have to pay these fees (this is called “waiving” these fees).

1. Who can get their court fees waived? The court will waive your court fees and costs if: ¢ You are getting public assistance, such as Medi-Cal; Food Stamps; Supplemental Security Income (not Social Security); State Supplemental Payment; County Relief/General Assistance; In-Home Supportive Services; CalWORKS; Tribal Temporary Assistance for Needy Families; Cash Assistance Program for Aged, Blind, and Disabled; Special Supplemental Nutrition Program for Women, Infants, and Children (WIC Program); or unemployment compensation.

• You have a low income level. Under the law you are considered a low-income person if the gross monthly income (before deductions for taxes) of your household is less than the amount listed below: Family Size | Family Income | Family Size | Family Income | Family Size | Family Income | _. If more than 6 people at 1 $2,608.33 3 $4,441.67 5 $6,275.00 home, add $916.67 for 2 $3,525.00 4 $5,358.33 6 $7,191.67 each extra person. ¢ You do not have enough income to pay for your household’s basic needs and your court fees.

2. What fees and costs will the court waive? [f you qualify for a fee waiver, the Supreme Court, Court of Appeal, or Appellate Division will waive the filing fee for the notice of appeal, a petition for a writ, a petition for review, or the first document filed by a party other than the party who filed the appeal or petition, and any court fee for participating in oral argument by telephone. The trial court will also waive costs related to the clerk’s transcript on appeal, the fee for the court to hold in trust the deposit for a reporter's transcript on appeal under rule 8.130(b) or rule 8.834(b) of the California Rules of Court, and the fees for making a transcript or copy of an official electronic recording under rule 8.835. If you are the appellant (the person who is appealing the trial court decision), the fees waived include the deposit required under Government Code section 68926.1 and the costs for preparing and certifying the clerk’s transcript and sending the original to the reviewing court and one copy to you. If you are the respondent (a party other than the appellant in a case that is being appealed), the fees waived include the costs for sending you a copy of the clerk’s transcript. You can also ask the trial court to waive other necessary court fees and costs. The court cannot waive the fees for preparing a reporter’s transcript in a civil case. A special fund, called the Transcript Reimbursement Fund, may help pay for the transcript. (See www.courtreportersboard.ca.gov/ consumers/index.shtm|#trf and Business and Professions Code sections 8030.2 and following for more information about this fund.) If you are unable to pay the cost of a reporter’s transcript, a record of the oral proceedings can be prepared in other ways, by preparing an agreed statement or, in some circumstances, a statement on appeal or settled statement.
3. How do I ask the court to waive my fees? ¢ Appeal in Limited Civil Case (civil case in which the amount of money claimed is $35,000 or less). In a limited civil case, if the trial court already issued an order waiving your court fees and that fee waiver has not ended (fee waivers automatically end 60 days after the judgment), the fees and costs identified in item 2 above are already waived; just give the court a copy of your current fee waiver. If you do not already have an order waiving your fees or you had a fee waiver but it has ended, you must complete and file a Request to Waive Court Fees (form FW-001). If you are the appellant (the party who is appealing), you should check both boxes in item 4 on FW-001 and file the completed form with your notice of appeal. If you are the respondent (a party other than the appellant in a case that is being appealed), the completed form should be filed in the court when the fees you are requesting to be waived, such as the fee for the clerk’s transcript or telephonic oral argument, are due. vaca! Counc! of Cetfomia, INFORMATION SHEET ON WAIVER OF APPELLATE COURT FEES— _ = APP-015/FW-015-INFO www. courts.ca, gov Rev. March 1, 2025 SUPREME COURT, COURT OF APPEAL, APPELLATE DIVISION Page 1 of 2

¢ Writ Proceeding in Limited Civil Case (civil case in which the amount of money claimed is $35,000 or less). If you want the Superior Court to waive the fees in a writ proceeding in a limited civil case, you must complete a Request to Waive Court Fees (form FW-001). In item 4 on FW-001, check the second box. The completed form should be filed with your petition for a writ. ¢ If You Are a Guardian or Conservator. If you are a guardian or conservator or a petitioner for the appointment of a guardian or conservator, special rules apply to your request for a fee waiver on an appeal from an order in the guardianship or conservatorship proceeding or in a civil action in which you are a party acting on behalf of your ward or conservatee. Complete and submit a Request to Waive Court Fees (Ward or Conservatee) (form FW-001-GC) to request a fee waiver. See California Rules of Court, rule 7.5. ¢ Appeal in Other Civil Cases. If you want the court to waive fees and costs in an appeal in a civil case other than a limited civil case, such as a family law case or an unlimited civil case (a civil case in which the amount of money claimed is more than $35,000), you must complete a Request to Waive Court Fees (form FW-001). In item 4 on FW-001, check the second box to ask the Court of Appeal to waive the fee for filing the notice of appeal or, if you are a respondent (a party other than the one who filed the appeal), the fee for the first document you file in the Court of Appeal. Check both boxes if you also want the trial court to waive your costs for the clerk’s transcript (if the trial court already issued an order waiving your fees and that fee waiver has not ended, you do not need to check the first box; the fees and costs identified in item 2 above are already waived, just give the court a copy of your current fee waiver). If you are the appellant, the completed form should be submitted with your notice of appeal (if you check both boxes in item 4, the court may ask for two signed copies of this form). If you are the respondent, the completed form should be submitted at the time the fee you are asking the court to waive is due. For example, file the form in the trial court with your request for a copy of the clerk’s transcript if you are asking the court to waive the transcript fee or file the form in the Court of Appeal with the first document you file in that court if you are asking the court to waive the fee for filing that document. To request waiver of a court fee for telephonic oral argument, you should file the completed form in the Court of Appeal when the fee for telephonic oral argument is due. ¢ Writ Proceeding in Other Civil Cases. If you want the Supreme Court or Court of Appeal to waive the fees and costs in a writ proceeding in a civil case other than a limited civil case, such as a family law case or an unlimited civil case (a civil case in which the amount of money claimed is more than $35,000), you must complete a Request to Waive Court Fees (form FW-001). If you are the petitioner (the party filing the petition), the completed form should be submitted with your petition for a writ in the Supreme Court or Court of Appeal clerk’s office. If you are a party other than the petitioner, the completed form should be filed with the first document you file in the Supreme Court or Court of Appeal.

• Petition for Review. If you want to request that the Supreme Court waive the fees in a petition for review proceeding, you must complete a Request to Waive Court Fees (form FW-001) or a Request to Waive Court Fees (Ward or Conservatee) (form FW-001-GC). If you are the petitioner, you should submit the completed form with your petition for review. If you are a party other than the petitioner, the completed form should be filed with the first document you file in the Supreme Court. IMPORTANT INFORMATION! ¢ Fill out your request completely and truthfully. When you sign your request for a fee waiver, you are declaring under penalty of perjury that the information you have provided is true and correct. ¢ The court may ask you for information and evidence. You may be ordered to go to court to answer questions about your ability to pay court fees and costs and to provide proof of eligibility. Any initial fee waiver you are granted may be ended if you do not go to court when asked. You may be ordered to repay amounts that were waived if the court finds you were not eligible for the fee waiver. ¢ Ifyou receive a fee waiver, you must tell the court if there is a change in your finances. You must tell the court immediately if your finances improve or if you become able to pay court fees or costs during this case (file form FW-010 with the court). You may be ordered to repay any amounts that were waived after your eligibility ended. If the trial court waived your fees and costs and you settle your case for $10,000 or more, the trial court will have a lien on the settlement in the amount of the waived fees. ¢ The fee waiver ends. The fee waiver expires 60 days after the judgment, dismissal, or other final disposition of the case or when the court finds that you are not eligible for a fee waiver. Rev. March 1, 2025 INFORMATION SHEET ON WAIVER OF APPELLATE COURT FEES— APP-015/FW-015-INFO SUPREME COURT, COURT OF APPEAL, APPELLATE DIVISION Page 2 of 2

Request to Waive Court Fees (Ward or Conservatee) FW-001-GC This form must be used by a guardian or conservator, or by a petitioner for the appointment of a guardian or conservator, to request a waiver of court fees in the guardianship or conservatorship court proceeding or in any other civil action in which the guardian or conservator represents the interests of the ward or conservatee as a plaintiff or defendant. If the ward or conservatee (including a proposed ward or conservatee if a petition for appointment of a guardian or conservator has been filed but has not yet been decided by the court) directly receives public benefits or is supported by public benefits received by another for their support, is a low-income person, or does not have enough income to pay for their household’s basic needs and the court fees, you may use this form to ask the court to waive the court fees. The court may order you to answer questions about the finances of the ward or conservatee. If the court waives the fees, the ward or conservatee, their estate, or someone with a duty to support the ward or conservatee, may still have to pay later if: ¢ You cannot give the court proof of the ward’s or conservatee’s eligibility,

• The ward’s or conservatee’s financial situation improves during this case, or ¢ You settle the civil case on behalf of the ward or conservatee for $10,000 or more. The trial court that waives fees will have a lien on any such settlement in the amount of the waived fees and costs. The court may also charge the ward or conservatee, or their estate, any collection costs. CONFIDENTIAL Clerk stamps date here when form is filed. Fill in court name and street address: Superior Court of California, County of Fill in case number and name: Case Number: Case Name: Your Information (guardian or conservator, or person asking the court to appoint a guardian or conservator): Name: Street or mailing address: Phone: City: State: Zip: Your Lawyer (if you have one): Name: @) Firm or Affiliation: State Bar No.: Address: Phone: City: State: Zip: Email: a. The lawyer has agreed to advance all or a portion of court fees or costs (check one): Yes [} No CL] b. ([fyes, your lawyer must sign here.) Lawyer’s signature: If your lawyer is not providing legal-aid type services based on your or the ward's or conservatee’s low income, you may have to go to a hearing to explain why you are asking the court to waive the fees. Ward's or Conservatee's Information (file a separate Request for each ward in a multiward case): Name: Age and date of birth (ward only): Street or mailing address: City: State: Zip: Phone: (@) Ward's or Conservatee's Lawyer, if any: Name: Firm or Affiliation: State Bar No.: Address: Phone: City: State: Zip: Email:

6. Ward or Conservatee's Job (job title; if not employed, so state): Name of employer: Employer’s address: State: Zip: Judicial Council of California, www,courts.ca.gov Request to Waive Court Fees FW-001-GC, Page 1 of 4 Rev. March 1, 2025, Mandatory Form Government Code, § 68633; California Rules of Court, rules 3.51, 75 (Ward or Conservatee)

Name of (Proposed) Ward or Conservatee: Case Number: What court's fees or costs are you asking to be waived? C1 Superior Court (See Information Sheet on Waiver of Superior Court Fees and Costs (form FW-001-INFO).) LJ Supreme Court, Court of Appeal, or Appellate Division of Superior Court (See /nformation Sheet on Waiver of Appellate Court Fees (form APP-015/FW-015-INFO).) (.] Check here if you asked the court to waive court fees for this case in the last six months. (If your previous request is reasonably available, please attach it to this form and check here): (1 Why are you asking the court to waive the ward’s or conservatee’s court fees? a. LJ The ward or one or both of the ward’s parents, or the conservatee or the conservatee’s spouse or registered domestic partner, receive (check all that apply): L] Supplemental Security Income (SSI) [] State Supplemental Payment (SSP) [) SNAP (Food Stamps) (1 IHSS (In-Home Supportive Services) [] CalWORKS or Tribal TANF L] Medi-Cal (J County Relief/General Assistance ((] CAPI (Cash Assistance Program for Aged, Blind, and Disabled) ] Special Supplemental Nutrition Program for Women, Infants, and Children (WIC Program) (_] Unemployment Compensation (Names and relationships to ward or conservatee of persons who receive the public benefits listed above): b. (J The gross monthly income of the ward’s or conservatee’s household (before deductions for taxes) is less than the amount listed below. (Ifyou check 8b, you must fill out items 14, 15, and 16 on page 4 of this form.)* Family Size | Family Income | Family Size | Family Income | Family Size | Family Income If'more than 6 people 1 $2,608.33 3 $4,441.67 5 $6,275.00 at home, add $916.67 2 $3,525.00 4 $5,358.33 6 $7,191.67 _ |for each extra person. c. (] The ward’s or conservatee’s household does not have enough income to pay for its basic needs and the court fees. I ask the court to (check one, and you must fill out items 14, 15, 16, 17, and 18 on page 4):* (1) (J Waive all court fees and costs. (2) C] Waive some court fees and costs. (3) LD Let the (proposed) guardian or conservator, on behalf of the (proposed) ward or conservatee, make payments over time.

• (Do not include income of guardian or conservator living in the household in 8b or 8c or count them in family size in 8b. unless they are a parent of the ward or the spouse or registered domestic partner of the conservatee.) Guardians or petitioners for their appointment must complete items 9 and 10. Ward's Estate:[] Person only, no estate. ([] Inventory or petition estimated value: Source (e.g., gift, inheritance, settlement, judgment, insurance): Est. collection date: (10) Ward's Parents’ Information: a. Name of ward’s parent: [] Deceased (date of death): Street or mailing address: City: State: Zip: Phone: b. Name of ward’s parent: (] Deceased (date of death): Street or mailing address: City: State: Zip: Phone: c. Ward’s parents are (check all that apply):[.|_ married () living together (-] separated [] divorced Support order for ward? [] No [] Yes Payable to (name): Payor (name): Court: Case Number: Date of order (if multiple, date of latest): Monthly amount: Rev. March 1, 2025 Request to Waive Court Fees FW-001-GC, Page 2 of 4 (Ward or Conservatee) —

Name of (Proposed) Ward or Conservatee: Case Number: Conservators or petitioners for their appointment must complete items 11-13. (41) Conservatee's Estate: [] Person only, no estate. CJ Inventory or petition estimated value: Est. collection date: (42) Conservatee's Spouse’s or Registered Domestic Partner's Information: Name of conservatee’s spouse or registered domestic partner: (J Spouse (] Partner Date of marriage or partnership: (] Deceased (date of death): Street or mailing address: Phone: City: State: Zip: Name of employer (if none, so state): Employer’s address: State: Zip: The conservatee’s spouse or partner [] is [] is not managing, or following appointment of a conservator is planning to manage, some or all of the couple’s community property outside the conservatorship estate. If you selected “is” above: The income, money, and property shown on page 4 [Jincludes [] does not include the income and property managed, or expected to be managed, by the spouse/partner outside the estate. (J Divorced (date of final judgment or decree ): Court: Case Number: Support order for conservatee? [] No [] Yes Date of support order (if multiple, date of latest): Monthly amount: (43) The Conservatee and Trusts: The conservatee: a. (] is (J isnot a trustor or settlor of a trust. b. (] is (J isnot a beneficiary of a trust. If you selected “Is” to complete any of the above statements, identify and provide, in an attachment to this Request, the current address and telephone number of the current trustee(s) of each trust, describe the general terms of and value of each trust and the nature and value of the conservatee’s interest in each trust, and the amount(s) and frequency of any distributions to or for the benefit of the conservatee prior to your appointment as conservator of which you are aware. (You may use Judicial Council form MC-025 for this purpose.) All applicants who checked item 8b or item 8c on page 2 must continue to and follow the instructions for completion of items 14—16 or items 14-18 on page 4, before signing below. The information I have provided on this form and all attachments about the (proposed) ward or conservatee is true and correct to the best of my information and belief. The information I have provided on this form and all attachments concerning myself is true and correct. I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Date: Print your name here Sign here Rev. March 1, 2025 Request to Waive Court Fees FW-001-GC, Page 3 of 4 (Ward or Conservatee) —>

Name of (Proposed) Ward or Conservatee: Case Number: If you checked 8a on page 2, do not fill out below. If you checked 8b, you must answer questions 14-16. If you checked 8c, you must answer questions 14-18. If you need more space, attach form MC-025 or attach a sheet of paper, and write Financial 5 1 7 1 3 2 242 281 146 21 95.976059 Information and the ward’s or conservatee’s name and case number at the top. Oo Check here if the ward’s or conservatee’s income changes a lot Ward's or Conservatee's Household's Money and Property from month to month. If it does, complete the form based on their a. Cash $ average income for the past 12 months. . b. All financial accounts (list bank name and amount): Ward's or Conservatee's Gross Monthly Income (1) $ a. List the source and amount of any income the ward or conservatee (2) $ gets each month, including: wages or other income from work B $ before deductions, spousal/child support, retirement, social security, ) . disability, unemployment, military basic allowance for quarters c. Cars, boats, and other vehicles ; (BAQ), veterans payments, dividends, interest, trust income, Make / Year Fair Maingt How Much You annuities, net business or rental income, reimbursement for job- , § Value - Owe related expenses, gambling or lottery winnings, etc. pa $ § (1) $ (3) $ $ (2) s d. Real estate Fair Market How Much You (3) $ Address Value Still Owe (4) $ (1) $. $. (5) $ (2) $ $ b. Total monthly income: $ e. Other personal property (jewelry, furniture, furs, stocks,

5 1 40 1 15 2 444 885 3 6 0.000000 . 5 1 40 1 15 3 600 885 4 6 0.000000 , 5 1 40 1 15 4 979 873 59 17 93.281189 bonds, 5 1 40 1 15 5 1051 873 47 21 86.925621 etc.): 4 1 40 1 16 0 172 884 871 19 -1 5 1 40 1 16 1 172 884 80 19 96.328468 Ward's 5 1 40 1 16 2 262 889 24 14 93.259621 or 5 1 40 1 16 3 293 884 169 19 92.222702 Conservatee's 5 1 40 1 16 4 471 884 147 19 91.392891 Household's 5 1 40 1 16 5 1040 887 3 6 0.000000 ° 4 1 40 1 17 0 562 884 1043 35 -1 5 1 40 1 17 1 562 890 14 13 11.080446 ° 5 1 40 1 17 2 627 884 85 19 95.410095 Income 5 1 40 1 17 3 1320 902 37 17 95.182228 Fair 5 1 40 1 17 4 1364 902 64 17 86.935738 Market 5 1 40 1 17 5 1458 902 43 16 50.780796 How 5 1 40 1 17 6 1509 901 51 17 95.762955 Much 5 1 40 1 17 7 1568 901 37 17 95.762955 You 4 1 40 1 18 0 172 924 1372 29 -1 5 1 40 1 18 1 172 931 16 13 93.685135 a. 5 1 40 1 18 2 200 927 33 17 96.921028 List 5 1 40 1 18 3 239 927 30 17 95.571907 the 5 1 40 1 18 4 277 927 70 17 95.571907 income 5 1 40 1 18 5 354 926 19 18 94.000656 of 5 1 40 1 18 6 379 927 21 17 94.000656 all 5 1 40 1 18 7 408 927 50 17 96.969727 other 5 1 40 1 18 8 465 931 77 17 96.733086 persons 5 1 40 1 18 9 550 927 48 21 96.563377 living 5 1 40 1 18 10 608 927 14 16 96.563377 in 5 1 40 1 18 11 630 927 30 17 93.266754 the 5 1 40 1 18 12 667 927 63 17 89.202606 ward’s 5 1 40 1 18 13 738 931 18 12 93.305397 or 5 1 40 1 18 14 764 927 134 17 78.598488 conservatee’s 5 1 40 1 18 15 1023 924 86 29 96.463989 Describe 5 1 40 1 18 16 1318 929 56 17 96.278564 Value 5 1 40 1 18 17 1458 928 34 17 95.737053 Still 5 1 40 1 18 18 1500 928 44 17 96.385040 Owe 4 1 40 1 19 0 200 953 1265 25 -1 5 1 40 1 19 1 200 954 53 16 96.790665 home 5 1 40 1 19 2 260 953 40 17 96.183044 who 5 1 40 1 19 3 307 954 73 20 96.875954 depend 5 1 40 1 19 4 388 954 15 16 95.217323 in 5 1 40 1 19 5 411 954 57 16 96.752121 whole 5 1 40 1 19 6 475 958 20 12 96.960159 or 5 1 40 1 19 7 502 954 15 16 96.706894 in 5 1 40 1 19 8 526 954 36 20 96.934814 part 5 1 40 1 19 9 570 958 22 12 96.995499 on 5 1 40 1 19 10 601 954 47 16 96.067787 them 5 1 40 1 19 11 656 953 26 17 96.067787 for 5 1 40 1 19 12 688 954 78 20 96.933838 support, 5 1 40 1 19 13 775 958 19 12 96.747650 or 5 1 40 1 19 14 800 958 23 12 96.747650 on 5 1 40 1 19 15 830 953 58 17 95.972153 whom 5 1 40 1 19 16 980 958 24 20 96.711884 (1) 5 1 40 1 19 17 1297 956 11 19 92.735718 $ 5 1 40 1 19 18 1455 955 10 19 93.144676 $ 4 1 40 1 20 0 199 980 1266 31 -1 5 1 40 1 20 1 199 980 41 21 96.819336 they 5 1 40 1 20 2 247 980 72 20 96.630043 depend 5 1 40 1 20 3 328 980 14 16 96.358810 in 5 1 40 1 20 4 350 980 57 17 96.755943 whole 5 1 40 1 20 5 415 984 19 13 96.676216 or 5 1 40 1 20 6 442 980 15 16 96.552612 in 5 1 40 1 20 7 465 981 37 20 96.552612 part 5 1 40 1 20 8 509 980 25 16 96.944191 for 5 1 40 1 20 9 541 981 78 20 96.612526 support. 5 1 40 1 20 10 980 991 24 20 96.576393 (2) 5 1 40 1 20 11 1297 989 11 19 92.588974 $ 5 1 40 1 20 12 1455 988 10 20 91.765434 $ 4 1 40 1 21 0 314 1014 1148 55 -1 5 1 40 1 21 1 314 1019 57 17 96.125771 Name 5 1 40 1 21 2 460 1020 38 20 96.484985 Age 5 1 40 1 21 3 518 1019 121 21 91.359474 Relationship 5 1 40 1 21 4 660 1019 57 17 91.359474 Gross 5 1 40 1 21 5 725 1019 76 21 96.862511 Monthly 5 1 40 1 21 6 809 1019 70 17 96.663254 Income 5 1 40 1 21 7 889 1014 55 55 73.245735 (18) 5 1 40 1 21 8 947 1026 76 18 94.405205 Ward's 5 1 40 1 21 9 1032 1030 24 14 93.256500 or 5 1 40 1 21 10 1062 1026 159 18 41.227207 Conservatee's 5 1 40 1 21 11 1230 1025 138 18 70.773567 Household's 5 1 40 1 21 12 1376 1024 86 23 97.011139 Monthly 4 1 40 1 22 0 200 1046 1040 53 -1 5 1 40 1 22 1 200 1046 26 53 43.095490 i 5 1 40 1 22 2 459 1065 43 2 64.046333 — 5 1 40 1 22 3 667 1046 11 50 0.000000 : 5 1 40 1 22 4 948 1056 126 18 96.200394 Deductions 5 1 40 1 22 5 1083 1056 40 18 96.800308 and 5 1 40 1 22 6 1132 1056 108 22 89.496788 Expenses 4 1 40 1 23 0 200 1098 1350 33 -1 5 1 40 1 23 1 200 1111 25 20 82.897835 (3) 5 1 40 1 23 2 667 1110 11 19 90.231812 $ 5 1 40 1 23 3 948 1102 16 13 95.920197 a. 5 1 40 1 23 4 980 1100 33 17 96.414505 List 5 1 40 1 23 5 1020 1104 34 17 97.008080 any 5 1 40 1 23 6 1062 1100 64 21 96.673355 payroll 5 1 40 1 23 7 1133 1100 107 16 96.749313 deductions 5 1 40 1 23 8 1247 1099 35 17 97.001663 and 5 1 40 1 23 9 1290 1100 30 16 96.313950 the 5 1 40 1 23 10 1327 1099 76 21 96.966553 monthly 5 1 40 1 23 11 1410 1099 71 17 96.969620 amount 5 1 40 1 23 12 1489 1098 61 17 96.626900 below: 4 1 40 1 24 0 200 1134 1259 31 -1 5 1 40 1 24 1 200 1143 25 21 96.756538 (4) 5 1 40 1 24 2 459 1163 43 2 20.462408 a 5 1 40 1 24 3 667 1143 11 19 92.779045 $ 5 1 40 1 24 4 980 1136 24 21 88.529251 (1) 5 1 40 1 24 5 1449 1134 10 19 92.889999 $ 4 1 40 1 25 0 200 1168 804 28 -1 5 1 40 1 25 1 200 1176 25 20 95.729134 (5) 5 1 40 1 25 2 667 1175 11 19 92.802155 $ 5 1 40 1 25 3 980 1168 24 21 96.976471 (2) 4 1 40 1 26 0 200 1200 804 29 -1 5 1 40 1 26 1 200 1209 25 20 95.568275 (6) 5 1 40 1 26 2 667 1208 10 19 92.647629 $ 5 1 40 1 26 3 980 1200 24 21 96.964790 (3) 4 1 40 1 27 0 200 1232 804 37 -1 5 1 40 1 27 1 200 1241 25 21 96.521942 (7) 5 1 40 1 27 2 459 1237 47 32 62.766422 __ 5 1 40 1 27 3 667 1241 11 19 42.876205 $ 5 1 40 1 27 4 980 1232 24 21 96.634865 (4) 4 1 40 1 28 0 200 1263 1184 32 -1 5 1 40 1 28 1 200 1274 25 21 95.358810 (8) 5 1 40 1 28 2 667 1273 10 19 92.603798 $ 5 1 40 1 28 3 961 1278 3 3 91.168404 . 5 1 40 1 28 4 980 1264 45 17 91.534485 Rent 5 1 40 1 28 5 1032 1268 19 13 96.870171 or 5 1 40 1 28 6 1058 1264 59 17 96.159035 house 5 1 40 1 28 7 1125 1265 84 19 96.715706 payment 5 1 40 1 28 8 1216 1263 35 17 95.761612 and 5 1 40 1 28 9 1259 1263 125 17 96.880989 maintenance 4 1 40 1 29 0 200 1295 1067 33 -1 5 1 40 1 29 1 200 1307 25 21 86.661369 (9) 5 1 40 1 29 2 667 1306 10 19 92.841217 $ 5 1 40 1 29 3 980 1296 47 16 96.836052 Food 5 1 40 1 29 4 1036 1296 34 16 96.841667 and 5 1 40 1 29 5 1079 1295 101 17 96.586815 household 5 1 40 1 29 6 1188 1295 79 21 85.945351 supplies 4 1 40 1 30 0 200 1327 996 33 -1 5 1 40 1 30 1

1 28 9 1259 1263 125 17 96.880989 maintenance 4 1 40 1 29 0 200 1295 1067 33 -1 5 1 40 1 29 1 200 1307 25 21 86.661369 (9) 5 1 40 1 29 2 667 1306 10 19 92.841217 $ 5 1 40 1 29 3 980 1296 47 16 96.836052 Food 5 1 40 1 29 4 1036 1296 34 16 96.841667 and 5 1 40 1 29 5 1079 1295 101 17 96.586815 household 5 1 40 1 29 6 1188 1295 79 21 85.945351 supplies 4 1 40 1 30 0 200 1327 996 33 -1 5 1 40 1 30 1 200 1340 37 20 91.824303 (10) 5 1 40 1 30 2 667 1339 10 19 90.922165 $ 5 1 40 1 30 3 961 1342 3 2 84.325386 . 5 1 40 1 30 4 980 1327 69 17 95.820465 Utilities 5 1 40 1 30 5 1057 1327 34 17 96.398529 and 5 1 40 1 30 6 1099 1327 97 21 96.195663 telephone 4 1 40 1 31 0 173 1372 504 22 -1 5 1 40 1 31 1 173 1373 15 17 93.032265 b. 5 1 40 1 31 2 207 1373 51 17 96.717232 Total 5 1 40 1 31 3 267 1372 83 22 96.715828 monthly 5 1 40 1 31 4 360 1373 76 17 95.302025 income 5 1 40 1 31 5 443 1372 21 17 96.283302 of 5 1 40 1 31 6 470 1376 85 18 96.617050 persons 5 1 40 1 31 7 563 1373 70 17 85.417274 above: 5 1 40 1 31 8 667 1374 10 19 78.607346 $ 2 1 41 0 0 0 961 1390 470 211 -1 3 1 41 1 0 0 980 1390 210 22 -1 4 1 41 1 1 0 980 1390 210 22 -1 5 1 41 1 1 1 980 1391 78 21 96.803635 Laundry 5 1 41 1 1 2 1065 1391 35 16 96.444130 and 5 1 41 1 1 3 1109 1390 81 21 96.558052 cleaning 3 1 41 2 0 0 961 1422 304 21 -1 4 1 41 2 1 0 961 1422 304 21 -1 5 1 41 2 1 1 961 1437 3 2 88.268097 . 5 1 41 2 1 2 980 1422 74 17 90.791336 Medical 5 1 41 2 1 3 1062 1422 34 17 96.944908 and 5 1 41 2 1 4 1105 1422 59 17 96.518242 dental 5 1 41 2 1 5 1172 1426 93 17 96.726524 expenses 3 1 41 3 0 0 961 1453 379 21 -1 4 1 41 3 1 0 961 1453 379 21 -1 5 1 41 3 1 1 961 1468 3 3 85.551987 . 5 1 41 3 1 2 980 1454 95 17 95.625473 Insurance 5 1 41 3 1 3 1083 1454 39 20 95.550293 (life, 5 1 41 3 1 4 1132 1454 63 19 96.480179 health, 5 1 41 3 1 5 1204 1454 86 19 96.608131 accident, 5 1 41 3 1 6 1299 1453 41 21 96.663185 etc.) 3 1 41 4 0 0 980 1486 173 19 -1 4 1 41 4 1 0 980 1486 173 19 -1 5 1 41 4 1 1 980 1486 71 19 96.181816 School, 5 1 41 4 1 2 1059 1486 44 16 96.909904 child 5 1 41 4 1 3 1111 1489 42 13 97.002831 care 3 1 41 5 0 0 979 1517 452 84 -1 4 1 41 5 1 0 979 1517 407 21 -1 5 1 41 5 1 1 979 1517 54 19 96.851662 Child, 5 1 41 5 1 2 1042 1517 75 21 96.646782 spousal 5 1 41 5 1 3 1125 1518 74 20 96.733559 support 5 1 41 5 1 4 1206 1517 81 21 96.533089 (another 5 1 41 5 1 5 1294 1517 92 20 96.767387 marriage) 4 1 41 5 2 0 979 1548 452 22 -1 5 1 41 5 2 1 979 1549 147 21 96.567284 Transportation, 5 1 41 5 2 2 1135 1552 39 18 96.744286 gas, 5 1 41 5 2 3 1183 1549 42 16 96.997475 auto 5 1 41 5 2 4 1233 1548 55 21 96.418068 repair 5 1 41 5 2 5 1295 1548 35 17 96.418068 and 5 1 41 5 2 6 1339 1548 92 17 96.519196 insurance 4 1 41 5 3 0 980 1579 379 22 -1 5 1 41 5 3 1 980 1580 106 17 96.239441 Installment 5 1 41 5 3 2 1093 1581 95 20 96.767525 payments 5 1 41 5 3 3 1196 1580 34 20 96.300781 (list 5 1 41 5 3 4 1236 1579 47 17 96.560501 each 5 1 41 5 3 5 1290 1579 69 21 96.578476 below): 2 1 42 0 0 0 113 1404 565 52 -1 3 1 42 1 0 0 113 1404 565 52 -1 4 1 42 1 1 0 113 1404 311 24 -1 5 1 42 1 1 1 113 1404 58 20 96.731438 Total 5 1 42 1 1 2 180 1404 94 24 96.555496 monthly 5 1 42 1 1 3 284 1404 86 19 96.555611 income 5 1 42 1 1 4 378 1404 46 19 96.369835 and 4 1 42 1 2 0 213 1431 465 25 -1 5 1 42 1 2 1 213 1432 123 19 96.341324 household 5 1 42 1 2 2 346 1432 86 19 93.290558 income 5 1 42 1 2 3 442 1432 47 23 90.768845 (15b 5 1 42 1 2 4 496 1432 47 24 93.054970 plus 5 1 42 1 2 5 553 1432 53 24 90.038651 16b): 5 1 42 1 2 6 667 1431 11 19 27.562113 $. 2 1 43 0 0 0 110 1494 767 5 -1 3 1 43 1 0 0 110 1494 767 5 -1 4 1 43 1 1 0 110 1494 767 5 -1 5 1 43 1 1 1 110 1494 767 5 95.000000 2 1 44 0 0 0 129 1507 692 87 -1 3 1 44 1 0 0 129 1507 692 87 -1 4 1 44 1 1 0 129 1507 689 26 -1 5 1 44 1 1 1 129 1509 30 19 96.955040 To 5 1 44 1 1 2 168 1508 33 20 96.881416 list 5 1 44 1 1 3 209 1514 38 19 96.881416 any 5 1 44 1 1 4 255 1508 57 20 96.817024 other 5 1 44 1 1 5 319 1507 51 21 96.843895 facts 5 1 44 1 1 6 378 1514 41 19 96.452179 you 5 1 44 1 1 7 428 1511 52 17 96.742783 want 5 1 44 1 1 8 488 1508 33 20 96.828484 the 5 1 44 1 1 9 530 1511 56 17 96.858185 court 5 1 44 1 1 10 594 1511 20 17 96.824303 to 5 1 44 1 1 11 623 1508 66 23 96.824303 know, 5 1 44 1 1 12 698 1507 48 20 97.011147 such 5 1 44 1 1 13 756 1514 21 13 96.756699 as 5 1 44 1 1 14 785 1508 33 19 96.763351 the 4 1 44 1 2 0 130 1538 691 26 -1 5 1 44 1 2 1 130 1539 118 25 92.896126 (proposed) 5 1 44 1 2 2 257 1538 74 20 92.683426 ward’s 5 1 44 1 2 3 339 1544 23 14 92.873116 or 5 1 44 1 2 4 370 1539 149 19 92.478386 conservatee’s 5 1 44 1 2 5 528 1538 84 20 96.229027 unusual 5 1 44 1 2 6 622 1538 84 20 96.989479 medical 5 1 44 1 2 7 716 1544 105 20 96.705086 expenses, 4 1 44 1 3 0 130 1568 669 26 -1 5 1 44 1 3 1 130 1572 37 19 96.271416 etc, 5 1 44 1 3 2 176 1569 64 20 96.858009 attach 5 1 44 1 3 3 249 1568 51 20 93.274445 form 5 1 44 1 3 4 311 1569 91 19 85.443329 MC-025 5 1 44 1 3 5 411 1574 23 14 95.316963 or 5 1 44 1 3 6 442 1569 63 19 95.316963 attach 5 1 44 1 3 7 514 1575 12 13 96.045181 a 5 1 44 1 3 8 534 1568 56 20 96.836349 sheet 5 1 44 1 3 9 599 1568 25 20 96.994270 of 5 1 44 1 3 10 629 1574 60 20 96.763329 paper 5 1 44 1 3 11 697 1568 39 20 96.756859 and 5 1 44 1 3 12 744 1568 55 20 96.584885 write 2 1 45 0 0 0 979 1166 481 400 -1 3 1 45 1 0 0 979 1166 481 400 -1 4 1 45 1 1 0 1449 1166 10 19 -1 5 1 45 1 1 1 1449 1166 10 19 65.749161 $ 4 1 45 1 2 0 1449 1198 10 19 -1 5 1 45 1 2 1 1449 1198 10 19 43.373764 $ 4 1 45 1 3 0 1449 1230 11 19 -1 5 1 45 1 3 1 1449 1230 11 19 88.989845 $ 4 1 45 1 4 0 1449 1262 10 19 -1 5 1 45 1 4 1 1449 1262 10 19 53.795891 $ 4 1 45 1 5 0 1449 1294 10 19 -1 5 1 45 1 5 1 1449 1294 10 19 47.536236 $ 4 1 45 1 6 0 1449 1325 10 19 -1 5 1 45 1 6 1 1449 1325 10 19 41.636295 $ 4 1 45 1 7 0 979 1353 480 31 -1 5 1 45 1 7 1 979 1353 79 31 96.484398 Clothing 5 1 45 1 7 2 1449 1357 10 19 37.642265 $. 4 1 45 1 8 0 1449 1389 11 19 -1 5 1 45 1 8 1 14

89845 $ 4 1 45 1 4 0 1449 1262 10 19 -1 5 1 45 1 4 1 1449 1262 10 19 53.795891 $ 4 1 45 1 5 0 1449 1294 10 19 -1 5 1 45 1 5 1 1449 1294 10 19 47.536236 $ 4 1 45 1 6 0 1449 1325 10 19 -1 5 1 45 1 6 1 1449 1325 10 19 41.636295 $ 4 1 45 1 7 0 979 1353 480 31 -1 5 1 45 1 7 1 979 1353 79 31 96.484398 Clothing 5 1 45 1 7 2 1449 1357 10 19 37.642265 $. 4 1 45 1 8 0 1449 1389 11 19 -1 5 1 45 1 8 1 1449 1389 11 19 58.848118 $ 4 1 45 1 9 0 1449 1420 11 19 -1 5 1 45 1 9 1 1449 1420 11 19 92.307495 $ 4 1 45 1 10 0 1449 1452 11 19 -1 5 1 45 1 10 1 1449 1452 11 19 92.390717 $ 4 1 45 1 11 0 1449 1484 11 19 -1 5 1 45 1 11 1 1449 1484 11 19 69.678207 $ 4 1 45 1 12 0 1449 1515 11 19 -1 5 1 45 1 12 1 1449 1515 11 19 90.095627 $ 4 1 45 1 13 0 1449 1547 11 19 -1 5 1 45 1 13 1 1449 1547 11 19 80.379395 $ 2 1 46 0 0 0 946 1264 17 302 -1 3 1 46 1 0 0 946 1264 17 302 -1 4 1 46 1 1 0 946 1264 17 302 -1 5 1 46 1 1 1 946 1486 17 80 0.000000 rrm 5 1 46 1 1 2 947 1390 11 77 0.000000 ram 5 1 46 1 1 3 947 1264 16 112 0.000000 oans 2 1 47 0 0 0 1012 1655 596 4 -1 3 1 47 1 0 0 1012 1655 596 4 -1 4 1 47 1 1 0 1012 1655 596 4 -1 5 1 47 1 1 1 1012 1655 596 4 95.000000 2 1 48 0 0 0 1012 1691 596 4 -1 3 1 48 1 0 0 1012 1691 596 4 -1 4 1 48 1 1 0 1012 1691 596 4 -1 5 1 48 1 1 1 1012 1691 596 4 95.000000 2 1 49 0 0 0 1012 1726 596 5 -1 3 1 49 1 0 0 1012 1726 596 5 -1 4 1 49 1 1 0 1012 1726 596 5 -1 5 1 49 1 1 1 1012 1726 596 5 95.000000 2 1 50 0 0 0 120 1599 1340 173 -1 3 1 50 1 0 0 124 1599 1336 173 -1 4 1 50 1 1 0 134 1599 937 26 -1 5 1 50 1 1 1 134 1599 112 20 96.872162 “Financial 5 1 50 1 1 2 256 1599 143 20 96.471298 Information” 5 1 50 1 1 3 408 1599 38 20 96.098289 and 5 1 50 1 1 4 454 1599 33 20 96.098289 the 5 1 50 1 1 5 495 1599 120 26 93.218719 (proposed) 5 1 50 1 1 6 624 1599 73 20 92.920624 ward’s 5 1 50 1 1 7 705 1605 23 14 96.997696 or 5 1 50 1 1 8 1000 1608 42 17 95.524353 Paid 5 1 50 1 1 9 1049 1609 22 16 96.922974 to: 4 1 50 1 2 0 129 1629 1331 29 -1 5 1 50 1 2 1 129 1630 150 20 91.509537 conservatee’s 5 1 50 1 2 2 288 1636 58 13 96.538025 name 5 1 50 1 2 3 355 1630 38 20 96.988396 and 5 1 50 1 2 4 402 1636 46 14 96.747459 case 5 1 50 1 2 5 457 1629 85 21 96.431931 number 5 1 50 1 2 6 549 1633 19 16 96.996979 at 5 1 50 1 2 7 575 1629 34 21 96.922615 the 5 1 50 1 2 8 617 1633 40 22 96.618675 top. 5 1 50 1 2 9 980 1638 24 20 92.451500 (1) 5 1 50 1 2 10 1449 1635 11 19 93.032288 $ 4 1 50 1 3 0 987 1671 473 20 -1 5 1 50 1 3 1 987 1674 10 16 93.153702 2 5 1 50 1 3 2 1449 1671 11 20 89.132530 $ 4 1 50 1 4 0 385 1674 1075 56 -1 5 1 50 1 4 1 385 1690 69 20 96.164207 Check 5 1 50 1 4 2 461 1690 49 20 96.971306 here 5 1 50 1 4 3 518 1690 20 26 96.923470 if 5 1 50 1 4 4 537 1697 43 19 96.878036 you 5 1 50 1 4 5 588 1691 68 19 96.920425 attach 5 1 50 1 4 6 665 1690 85 20 96.974083 another 5 1 50 1 4 7 755 1697 59 19 96.310295 page. 5 1 50 1 4 8 833 1694 28 27 57.494873 (| 5 1 50 1 4 9 987 1674 17 56 48.436722 > 5 1 50 1 4 10 1449 1707 11 20 89.806389 $ 4 1 50 1 5 0 120 1728 678 35 -1 5 1 50 1 5 1 120 1728 14 35 45.916500 if 5 1 50 1 5 2 240 1733 8 19 0.000000 ! 5 1 50 1 5 3 391 1733 5 8 4.585857 ‘ 5 1 50 1 5 4 591 1733 5 9 59.777180 4 5 1 50 1 5 5 691 1733 4 4 93.292282 ial 5 1 50 1 5 6 738 1733 60 4 93.084068 situati 4 1 50 1 6 0 134 1733 1326 39 -1 5 1 50 1 6 1 134 1736 105 22 53.543587 mportant! 5 1 50 1 6 2 259 1733 19 19 90.801338 \f 5 1 50 1 6 3 284 1733 35 19 93.278290 the 5 1 50 1 6 4 327 1733 81 19 92.616760 ward’s 5 1 50 1 6 5 417 1738 25 14 93.270454 or 5 1 50 1 6 6 450 1734 158 18 91.520859 conservatee’s 5 1 50 1 6 7 617 1733 101 19 96.879929 financial 5 1 50 1 6 8 726 1734 101 18 96.810814 situation 5 1 50 1 6 9 836 1738 25 14 96.549675 or 5 1 50 1 6 10 948 1752 22 13 91.017578 m. 5 1 50 1 6 11 979 1751 159 21 81.000977 Wages/earnings 5 1 50 1 6 12 1146 1750 79 17 94.443298 withheld 5 1 50 1 6 13 1234 1750 22 21 96.857903 by 5 1 50 1 6 14 1263 1751 49 16 96.962769 court 5 1 50 1 6 15 1319 1750 51 17 96.082527 order 5 1 50 1 6 16 1450 1749 10 19 91.766335 $ 2 1 51 0 0 0 124 1763 706 25 -1 3 1 51 1 0 0 124 1763 706 25 -1 4 1 51 1 1 0 124 1763 706 25 -1 5 1 51 1 1 1 124 1763 74 25 96.934608 ability 5 1 51 1 1 2 207 1765 21 17 96.024200 to 5 1 51 1 1 3 237 1769 41 19 96.468369 pay 5 1 51 1 1 4 286 1765 62 17 96.468369 court 5 1 51 1 1 5 357 1763 43 19 96.504684 fees 5 1 51 1 1 6 409 1763 115 25 96.753067 improves, 5 1 51 1 1 7 531 1768 42 20 96.672577 you 5 1 51 1 1 8 584 1765 56 17 96.786346 must 5 1 51 1 1 9 649 1763 66 25 96.743172 notify 5 1 51 1 1 10 724 1763 36 19 97.015198 the 5 1 51 1 1 11 768 1764 62 18 97.001320 court 2 1 52 0 0 0 110 1837 767 3 -1 3 1 52 1 0 0 110 1837 767 3 -1 4 1 52 1 1 0 110 1837 767 3 -1 5 1 52 1 1 1 110 1837 767 3 95.000000 2 1 53 0 0 0 1013 1864 595 4 -1 3 1 53 1 0 0 1013 1864 595 4 -1 4 1 53 1 1 0 1013 1864 595 4 -1 5 1 53 1 1 1 1013 1864 595 4 95.000000 2 1 54 0 0 0 1013 1900 595 4 -1 3 1 54 1 0 0 1013 1900 595 4 -1 4 1 54 1 1 0 1013 1900 595 4 -1 5 1 54 1 1 1 1013 1900 595 4 95.000000 2 1 55 0 0 0 1013 1936 595 5 -1 3 1 55 1 0 0 1013 1936 595 5 -1 4 1 55 1 1 0 1013 1936 595 5 -1 5 1 55 1 1 1 1013 1936 595 5 95.000000 2 1 56 0 0 0 874 1495 3 520 -1 3 1 56 1 0 0 874 1495 3 520 -1 4 1 56 1 1 0 874 1495 3 520 -1 5 1 56 1 1 1 874 1495 3 520 95.000000 2 1 57 0 0 0 110 1496 4 520 -1 3 1 57 1 0 0 110 1496 4 520 -1 4 1 57 1 1 0 110 1496 4 520 -1 5 1 57 1 1 1 110 1496 4 520 95.000000 2 1 58 0 0 0 110 2011 767 4 -1 3 1 58 1 0 0 110 2011 767 4 -1 4 1 58 1 1 0 110 2011 767 4 -1 5 1 58 1 1 1 110 2011 767 4 95.000000 2 1 59 0 0 0 111 2018 1497 6 -1 3 1 59 1 0 0 111 2018 1497 6 -1 4 1 59 1 1 0 111 2018 1497 6 -1 5 1 59 1 1 1 111 2018 1497 6 95.000000 2 1 60 0 0 0 113 1785 1494 274 -1 3 1 60 1 0 0 124 1785 1460 53 -1 4 1 60 1 1 0 124 1785 1304 33 -1 5 1 60 1 1 1 124 1794 73 19 96.934990 within 5 1 60 1 1 2 207 1794 41 19 96.819710 five 5 1 60 1 1 3 256 1794 53 24 96.986443 days 5 1 60 1 1 4 317 1799 27 13 96.9624

0 0 111 2018 1497 6 -1 3 1 59 1 0 0 111 2018 1497 6 -1 4 1 59 1 1 0 111 2018 1497 6 -1 5 1 59 1 1 1 111 2018 1497 6 95.000000 2 1 60 0 0 0 113 1785 1494 274 -1 3 1 60 1 0 0 124 1785 1460 53 -1 4 1 60 1 1 0 124 1785 1304 33 -1 5 1 60 1 1 1 124 1794 73 19 96.934990 within 5 1 60 1 1 2 207 1794 41 19 96.819710 five 5 1 60 1 1 3 256 1794 53 24 96.986443 days 5 1 60 1 1 4 317 1799 27 13 96.962433 on 5 1 60 1 1 5 354 1793 55 19 93.276985 form 5 1 60 1 1 6 421 1793 150 20 92.545837 FW-010-GC. 5 1 60 1 1 7 949 1789 15 12 91.554001 n. 5 1 60 1 1 8 979 1786 37 21 96.969398 Any 5 1 60 1 1 9 1024 1786 49 16 96.446495 other 5 1 60 1 1 10 1081 1786 76 21 96.698547 monthly 5 1 60 1 1 11 1165 1789 93 17 96.500534 expenses 5 1 60 1 1 12 1266 1785 35 21 71.270515 (list 5 1 60 1 1 13 1306 1785 47 17 96.226997 each 5 1 60 1 1 14 1361 1785 67 20 95.938057 below). 4 1 60 1 2 0 1000 1819 584 19 -1 5 1 60 1 2 1 1000 1821 42 17 96.277122 Paid 5 1 60 1 2 2 1049 1822 23 16 96.875046 to: 5 1 60 1 2 3 1470 1820 42 16 96.813606 How 5 1 60 1 2 4 1519 1819 65 17 96.773781 Much? 3 1 60 2 0 0 117 1845 1343 29 -1 4 1 60 2 1 0 117 1845 1343 29 -1 5 1 60 2 1 1 117 1847 36 21 96.325989 Do 5 1 60 2 1 2 162 1849 41 19 96.325989 not 5 1 60 2 1 3 213 1846 93 22 96.263771 include 5 1 60 2 1 4 315 1846 92 22 96.717712 income 5 1 60 2 1 5 416 1846 28 21 96.880081 of 5 1 60 2 1 6 449 1846 116 28 96.550682 guardian 5 1 60 2 1 7 576 1853 28 14 96.990349 or 5 1 60 2 1 8 612 1848 154 19 96.339211 conservator 5 1 60 2 1 9 774 1846 71 28 96.339211 living 5 1 60 2 1 10 980 1848 22 18 50.593346 (1) 5 1 60 2 1 11 1450 1845 10 18 83.214371 $ 3 1 60 3 0 0 117 1879 1343 28 -1 4 1 60 3 1 0 117 1879 1343 28 -1 5 1 60 3 1 1 117 1880 23 21 96.828011 in 5 1 60 3 1 2 150 1880 40 21 96.530136 the 5 1 60 3 1 3 199 1880 129 21 96.117027 household 5 1 60 3 1 4 338 1879 24 22 96.590073 in 5 1 60 3 1 5 372 1880 55 21 95.562859 item 5 1 60 3 1 6 439 1879 34 26 96.988228 16, 5 1 60 3 1 7 482 1879 63 22 95.992088 their 5 1 60 3 1 8 554 1886 85 21 96.956589 money 5 1 60 3 1 9 648 1879 46 22 96.672943 and 5 1 60 3 1 10 705 1882 113 25 96.276901 property 5 1 60 3 1 11 827 1879 23 21 96.961174 in 5 1 60 3 1 12 980 1884 21 18 95.216194 (2) 5 1 60 3 1 13 1450 1881 10 19 53.042175 $ 3 1 60 4 0 0 117 1912 1344 28 -1 4 1 60 4 1 0 117 1912 1344 28 -1 5 1 60 4 1 1 117 1913 56 22 95.662613 item 5 1 60 4 1 2 185 1914 34 25 96.346680 17, 5 1 60 4 1 3 228 1920 28 14 96.967155 or 5 1 60 4 1 4 264 1913 62 21 96.763390 their 5 1 60 4 1 5 334 1913 140 21 96.150848 deductions 5 1 60 4 1 6 483 1913 47 21 96.388573 and 5 1 60 4 1 7 540 1919 113 21 96.838097 expenses 5 1 60 4 1 8 662 1912 23 22 96.173889 in 5 1 60 4 1 9 696 1912 54 22 96.470047 item 5 1 60 4 1 10 762 1912 27 22 96.846283 18 5 1 60 4 1 11 980 1920 21 18 94.780952 (3) 5 1 60 4 1 12 1450 1917 11 19 38.174381 $ 3 1 60 5 0 0 118 1946 1343 34 -1 4 1 60 5 1 0 118 1946 1343 34 -1 5 1 60 5 1 1 118 1947 77 21 96.688843 unless 5 1 60 5 1 2 205 1947 54 27 96.398811 they 5 1 60 5 1 3 268 1952 41 16 96.949989 are 5 1 60 5 1 4 318 1952 13 15 96.949989 a 5 1 60 5 1 5 341 1948 85 26 96.884644 parent 5 1 60 5 1 6 435 1946 27 22 96.628006 of 5 1 60 5 1 7 468 1946 40 21 96.832367 the 5 1 60 5 1 8 516 1946 67 21 96.464775 ward 5 1 60 5 1 9 592 1952 29 15 95.323181 or 5 1 60 5 1 10 629 1946 39 21 95.323181 the 5 1 60 5 1 11 677 1952 85 22 96.309631 spouse 5 1 60 5 1 12 771 1952 28 15 96.765129 or 5 1 60 5 1 13 1129 1947 58 19 96.969765 Total 5 1 60 5 1 14 1197 1947 94 23 96.728310 monthly 5 1 60 5 1 15 1300 1951 161 29 14.979239 expenses. 3 1 60 6 0 0 113 1976 1494 83 -1 4 1 60 6 1 0 118 1976 1309 32 -1 5 1 60 6 1 1 118 1980 127 28 96.630760 registered 5 1 60 6 1 2 255 1979 114 22 96.385124 domestic 5 1 60 6 1 3 379 1982 98 25 96.401108 partner 5 1 60 6 1 4 486 1979 28 21 96.894905 of 5 1 60 6 1 5 519 1979 40 22 93.293686 the 5 1 60 6 1 6 568 1982 158 19 92.442314 conservatee. 5 1 60 6 1 7 1180 1977 48 24 96.694077 (add 5 1 60 6 1 8 1238 1977 37 19 90.997086 18a 5 1 60 6 1 9 1283 1976 55 19 10.262280 -18n 5 1 60 6 1 10 1347 1976 80 24 96.918671 above): 4 1 60 6 2 0 113 2031 1494 28 -1 5 1 60 6 2 1 113 2033 28 13 90.574005 Rev. 5 1 60 6 2 2 152 2034 45 12 96.880363 March 5 1 60 6 2 3 203 2034 11 13 96.869316 1, 5 1 60 6 2 4 221 2033 36 13 96.869316 2025 5 1 60 6 2 5 671 2033 108 26 96.346588 Request 5 1 60 6 2 6 787 2034 25 20 96.954178 to 5 1 60 6 2 7 820 2033 80 21 96.390694 Waive 5 1 60 6 2 8 910 2033 73 21 96.390694 Court 5 1 60 6 2 9 992 2033 60 21 96.799324 Fees 5 1 60 6 2 10 1352 2031 136 22 92.122246 FW-001-GC, 5 1 60 6 2 11 1497 2033 49 21 96.391724 Page 5 1 60 6 2 12 1553 2033 11 16 96.727501 4 5 1 60 6 2 13 1572 2032 19 18 96.120552 of 5 1 60 6 2 14 1596 2033 11 16 96.120552 4 2 1 61 0 0 0 729 2066 266 24 -1 3 1 61 1 0 0 729 2066 266 24 -1 4 1 61 1 1 0 729 2066 266 24 -1 5 1 61 1 1 1 729 2067 68 23 96.513039 (Ward 5 1 61 1 1 2 806 2072 24 13 93.297089 or 5 1 61 1 1 3 838 2066 157 24 92.467079 Conservatee)

Order on Court Fee Waiver Clerk stamps date here when form is filed. FW-003-GC (Superior Court) (Ward or Conservatee) (4) (Proposed) guardian or conservator who asked the court to waive court fees for (proposed) ward or conservatee: Name: Street or mailing address: City: State: Zip: Telephone: (2) Lawyer, if person in @)has one: Name: State Bar No: Firm or Affiliation: Street or mailing address: Fill in court name and street address: City: State: Zip: Superior Court of California, County of E-mail: Telephone: (3) (Proposed) ward or conservatee: Name: Street or mailing address: City: State: Zip: Telephone: (4) Lawyer for (proposed) ward or conservatee, if any: Name: State Bar No: Case Number: Firm or Affiliation: Street or mailing address: Case Name: City: State: Zip: E-mail: Telephone: (5) A request to waive court fees was filed on (date): (_ The court made a previous fee waiver order in this case on (date): Read this form carefully. All checked boxes |X| are court orders. Notice: The court may order you to answer questions about the ward’s or conservatee’s finances after granting a waiver and may later order payment of the waived fees from his or her estate. If this happens and the fees are not paid, the court can also charge collection fees. The court may also direct you to make efforts to collect money to pay back waived fees from persons who owe a duty to support the ward or conservatee. If there is a change in the ward’s or conservatee’s financial circumstances during this case that increases his or her ability to pay fees and costs, you must notify the trial court within five days. (Use form FW-010-GC.) If this case is an action against another party and you win the case on behalf of the ward or conservatee, the trial court may order the other side to pay some or all of the waived fees. If you settle the matter for $10,000 or more, the trial court will have a lien on the settlement in the amount of the waived fees. The trial court may not dismiss the case until the lien is paid. Fill in case number and name: The court may also have a lien against the ward’s or conservatee’s estate that must be paid before the estate is distributed, the guardianship or conservatorship proceeding is concluded, and you are discharged as guardian or conservator. After reviewing your. [J Request to Waive Court Fees (] Request to Waive Additional Court Fees the court makes the following orders: a. L] The court grants your request concerning the ward's or conservatee's court fees and costs, as follows: (1) C1 Fee Waiver. The court grants your request and waives the fees and costs listed below. (Cal. Rules of Court, rules 3.55 and 8.818.) You do not have to pay the court fees for the following: ¢ Filing papers in superior court * Court fee for phone hearing

• Making copies and certifying copies * Giving notice and certificates ° Sheriff's fee to give notice ¢ Sending papers to another court department (List continued on next page.) eee Order on Court Fee Waiver FW-003-GC, Page 1 of Government Code, §§ 68631, 68634(e) (Superior Court) (Ward or Conservatee) > Cal. Rules of Court, rules 3.52 and 7.5.

Name of (Proposed) Ward or Conservatee: Case Number: (6) a. (1) * Reporter’s fee for attendance at hearing or trial, if you request that the court provide an official reporter

• Assessment for court investigations under Probate Code section 1513, 1826, or 1851
• Preparing, certifying, copying, and sending the clerk’s transcript on appeal ¢ Holding in trust the deposit for a reporter’s transcript on appeal under rule 8.130 or 8.834 ° Making a transcript or copy of an official electronic recording under rule 8.835 (2)() Additional Fee Waiver. The court grants your request and waives the additional superior court fees and costs that are checked below. (Cal. Rules of Court, rule 3.56.) You do not have to pay for the checked items. (C1 __ Jury fees and expenses (1 Fees for a peace officer to testify in court (]_ Fees for court-appointed experts () Court-appointed interpreter fees for a witness L] Other (specify): b. (] The court denies your fee waiver request, as follows: Warning! If you miss the deadline below, the court cannot process your request for hearing or the court papers you filed with your original request. If the papers were a notice of appeal, the appeal may be dismissed. (1)C1 The court denies your request because it is incomplete. You have 10 days after the clerk gives notice of this order (see date of service on next page) to:

• Pay the ward’s or conservatee’s fees and costs, or

• File a new revised request that includes the items listed: LJ Below CJ On Attachment 6b(1) (2) The court denies your request because the information you provided on the request shows that the ward or conservatee is not eligible for the fee waiver for the reasons specified: CL] Below (J On Attachment 6b(2) The court has enclosed a blank Request for Hearing About Court Fee Waiver Order (Ward or Conservatee) (Superior Court) (form FW-006-GC). You have 10 days after the clerk gives notice of this order (see date of service on next page) to:

• Pay the fees and costs in full or the amount listed in c below, or
• Ask for a hearing in order to show the court more information. (Use form FW-006-GC to request hearing.) c. (1) The court needs more information to decide whether to grant your request. You must go to court on the date on page 3. The hearing will be about questions regarding your eligibility specified: (J) Below (J On Attachment 6c(1) (2)C_ Bring the items of proof to support your request, if reasonably available, that are listed: (1) Below () On Attachment 6c(2) Revised September 1, 2019 Order on Court Fee Waiver FW-003-GC, Page 2 of 3 (Superior Court) (Ward or Conservatee) >

Name of (Proposed) Ward or Conservatee: Case Number: Warning! If item c is checked, and you do not go to court on your hearing date, the judge will deny your request to waive court fees, and you will have 10 days to pay the ward’s or conservatee’s fees. If you miss that deadline, the court cannot process the court papers you filed with your request. If the papers were a notice of appeal, the appeal may be dismissed. NOTE TO GUARDIAN or CONSERVATOR: If there are unpaid court fees after a denial of a request for a fee waiver, your case—including the guardianship or conservatorship proceeding if the waiver is requested in that matter— might not go forward. After a denial, you may choose to advance the court costs yourself to ensure that the case proceeds. If you or another person is appointed as guardian or conservator, you would have an opportunity to be reimbursed for such advances from the assets of the guardianship or conservatorship estate, if any, as allowable expenses of administration. You might also have the right to reimbursement for advanced court costs from persons with an obligation to support the ward or conservatee from assets not part of his or her estate, such as a parent of the ward, the spouse or registered domestic partner of the conservatee who is managing the couple’s community property outside the conservatorship estate, or the trustee of a trust of which the conservatee is a beneficiary. Name and address of court if different from above: Hearing }P Date: Time: Dats Dept.: Room: Date: Signature of (check one): (1) Judicial Officer (1 Clerk, Deputy Request for Accommodations. Assistive listening systems, computer-assisted real-time captioning, or sign language interpreter services are available if you ask at least 5 days before your hearing. Contact the clerk’s office for Request for Accommodation, Form MC-410. (Civil Code, § 54.8.) Clerk's Certificate of Service I certify that I am not involved in this case and (check one): () Ihanded a copy of this Order to the party and attorney, if any, listed in @ and(2), at the court, on the date below. (1) This order was mailed first class, postage paid, to the party and attorney, if any, at the addresses listed in(@)and(2), from (city): , California, on the date below. C1 «A certificate of mailing is attached. Date: Clerk, by , Deputy Name: his is a Court Order. Revised September 1, 2019 Order on Court Fee Waiver FW-003-GC, Page 3 of 3 (Superior Court) (Ward or Conservatee)

Notice to Court of improved FW-010 Financial Situation or Settlement CONFIDENTIAL Clerk stamps date here when form is filed \ F . (4) Your Information (person with a fee waiver): Name: _ Street or mailing address: — City: _ State: Zip: Phone number: __ (2) Your lawyer, if you have one (name, address, phone number, e-mail, ~—“ and State Bar number: a - Fill out court name and street address: Superior Court of California, County of Date of your last court fee waiver order in this case: (date) Fill out case number and case name: Case Number: Case Name: Notice: The court may order you to answer questions about your finances and later order you to pay back the waived fees. If this happens and you do not pay, the court can make you pay the fees and also charge you collection fees. If there is a change in your financial circumstances during this case that increases your ability to pay fees and costs, you must notify the trial court within five days. (Use form FW-010.) If you win your case, the trial court may order the other

|side to pay the fees. If you settle your civil case for $10,000 or more, the trial court will have a lien on the settlement in |the amount of the waived fees. The trial court may not dismiss the case until the lien is paid.

(J My financial situation has changed since the date of the last court fee waiver order in a way that improves my ability to pay fees. | ask the court to do one of the following: a. [-] End my fee waiver because my financial situation has improved and I am able to pay my court fees and costs that are due after (date): b.{.] Review my updated financial information in the attached Request fo Waive Court Fees. | believe | am still eligible for a fee waiver. (Complete form FW-001 and attach to this form.) (8) ( My case has settled for (check one) [| less than $10,000 [_] $10,000 or more (if so, complete a and b below.) a. | (check one) [| have [-] have not _ received the proceeds of the settlement. b. The name and address of the party who has agreed to pay the settlement: I declare under penalty of perjury under the laws of the State of California that the information above is true and correct. Diets Print your name here — Sign here a Judi fe il of Calif . vd tine 1 | ae Notice to Court of improved FW-O10, Page Toft Reverrmnen Sade, CR Financial Situation or Settlement