Mendocino — MPB-180

Source: https://www.mendocino.courts.ca.gov/system/files/forms-and-filings/mpb-180.pdf

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):

SUPERIOR COURT OF CALIFORNIA, COUNTY OF MENDOCINO

UKIAH Courthouse TEN MILE Branch Court
100 North State Street 700 South Franklin Street
Ukiah, CA 95482 Fort Bragg, CA 95437

Conservatorship of:

PETITIONER:

PETITION TO REMOVE CONSERVATOR Case Number:
PERSON ESTATE LIMITED CONSERVATORSHIP

I (my name), , declare:

I am: the Conservator of the Person Estate Limited Conservatorship of Other:

I am petitioning the Court to remove (name) as Conservator for the above entitled Conservatee for the following reasons:

Check here if you need more space. Attach a separate piece of paper and write “Petition to Remove Conservator – Additional Information” for the title.

I declare, under penalty of perjury under the laws of the State of California, that the foregoing is true and correct to my own knowledge.

Today’s Date Print Name Petitioner’s Signature

MPB-180 (rev 0525)