Santa Clara — PB-4045*

Source: https://santaclara.courts.ca.gov/system/files/forms/pb-4045_rem.pdf

ATTACHMENT PB-4045 ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar Number and Address): FOR COURT USE ONLY

TELEPHONE NUMBER: To keep other FAX NUMBER (Optional): To keep other people from EMAIL ADDRESS (Optional): seeing what you have entered, please press the ATTORNEY FOR (Name): Reset Form button at the SUPERIOR COURT OF CALIFORNIA, COUNTY OF SANTA CLARA end of this form when COURT ADDRESS: 191 North First Street finished. CITY AND ZIP CODE: San José, California 95113 DIVISION: Probate Division

(Please Check One:) CONSERVATORSHIP OF (name): TRUST OF (name): ESTATE OF (name): GUARDIANSHIP OF (name): OTHER (name):

CASE NUMBER:

OBJECTION

I, (my name): , declare:

I am a (check one): Trustee Beneficiary Heir Conservator

Other:

I object to

filed by (name):

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

PB-4045 REV 7/01/10 OBJECTION Page 1 of 2 www.courtinfo.ca.gov (PROBATE)

ATTACHMENT PB-4045 PLEASE SELECT ONE 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 Objection to 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 Objection 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

PB-4045 REV 7/01/10 OBJECTION Page 2 of 2 www.courtinfo.ca.gov (PROBATE)