Santa Cruz — SUPPR-500

Source: https://www.santacruz.courts.ca.gov/system/files/suppr-500-status-report-adminstration.pdf

SUPPR 500 ATTORNEY OR PARTY WITHOUT AN ATTORNEY (Name, State Bar number, and address): FOR COURT USE ONLY NAME: ADDRESS: CITY, STATE, ZIP:

TELEPHONE NO: FAX NO. (Optional): EMAIL ADDRESS (Optional): ATTORNEY FOR (Name): SUPERIOR COURT OF CALIFORNIA COUNTY OF SANTA CRUZ Santa Cruz Branch 701 Ocean Street, Room 110 Santa Cruz, CA 95060 IN THE MATTER OF THE ESTATE OF:

CASE NUMBER:

HEARING DATE:

STATUS REPORT OF ADMINISTRATION TIME:

DEPT:

Petitioner (name), , is the personal representative of the

decedent and alleges the following:

1. Decedent’s date of death:

2. Date letters testamentary/letters of administration were issued:

3. All persons entitled to notice of the petition are listed in Exhibit A attached hereto, including persons who

have requested special notice. 4. Is a federal estate tax return required? Yes No

5. What is the condition of the estate? Answer yes or no to each of the following:

   a. Has Petitioner performed all required duties as personal representative? Yes No

   b. Have all known debts of the decedent been paid? Yes No

   c. Have all administration costs incurred to date, except for compensation

   to the personal representative and the personal representative’s attorney,

   been paid? Yes No

   d. Is the estate solvent? Yes No

   e. Have any creditors’ claims been filed? Yes No

   f. If the answer to “e” is yes, have all claims been allowed? Yes No

   g. Is there any pending litigation involving the estate? Yes No

Form Adopted for OPTIONAL USE STATUS REPORT OF ADMINISTRATION Page 1 of 3 Superior Court of Santa Cruz County SUPPR 500 07/01/21

IN THE MATTER OF THE ESTATE OF: CASE NUMBER:

If the answer to any of the items in 5 (except e) is no, explain here. If the answer to g is yes, describe and

give current status here:

6. How much additional time is needed to complete administration of the estate? Explain.

PRAYER: Petitioner requests authority to continue administration of the estate until (date)

Dated: Signature

SIGN

Petitioner (typed or printed name)

(Name of Attorney or Law Firm)

By: Attorney for Petitioner (signature)

VERIFICATION

I, (petitioner) declare as follows:

I am the Petitioner in the above-entitled matter. I have read the foregoing petition and I certify that the same is

true of my knowledge as to those matters which are stated on information and belief, and as to those matters, I

believe them to be true.

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

Executed this day of , 20 , at (city/state)

Signature:

Form Adopted for OPTIONAL USE STATUS REPORT OF ADMINISTRATION Page 2 of 3 Superior Court of Santa Cruz County SUPPR 500 07/01/21

IN THE MATTER OF THE ESTATE OF: CASE NUMBER:

EXHIBIT A
PERSONS ENTITLED TO NOTICE
(Include persons who have requested special notice)

Name Address Relationship

IMPORTANT: Notice of the hearing on this Status Report must be given to
all persons interested in the estate in the manner required by Probate
Code § 12201(b), including the statement “YOU HAVE THE RIGHT TO
PETITION FOR AN ACCOUNT UNDER SECTION 10950 OF THE CALIFORNIA
PROBATE CODE” in not less than 10 point boldface type if printed or in all
capital letters if not printed.

Form Adopted for OPTIONAL USE STATUS REPORT OF ADMINISTRATION Page 3 of 3 Superior Court of Santa Cruz County SUPPR 500 07/01/21