FOR COURT USE ONLY YOUR NAME: ____________________________________________________________ YOUR ADDRESS: _________________________________________________________ YOUR PHONE NUMBER: _____________________________________________ IN PRO PER Superior Court of California, County of Contra Costa WAKEFIELD TAYLOR COURTHOUSE, 725 COURT STREET, MARTINEZ, CA 94553 PETITIONER: OBJECTOR: ISSUE CONFERENCE STATEMENT – PROBATE (check all that apply) Guardianship Conservatorship Person Person Estate Estate DATE of ISSUE CONFERENCE: _________________ CASE NUMBER: P_____ – _______________ DEPARTMENT: ___________ TIME: ____________________ FILE THIS STATEMENT in ROOM 103 of the COURT NO LATER THAN: ________________________________________ MAIL a COPY of this STATEMENT to the OTHER SIDE and ALL ATTORNEYS NO LATER THAN: ____________________ DATE of TRIAL: _______________________________ DEPARTMENT: ___________ TIME: ____________________ A. MY WITNESSES: (List the names of your witnesses and write a brief sentence on what each is going to tell the trial judge.) 1) My witness is:_______________________________________________________________________ __________________________________________________________________________________ My witness will testify that: ____________________________________________________________ __________________________________________________________________________________ 2) My witness is:_______________________________________________________________________ __________________________________________________________________________________ My witness will testify that: ____________________________________________________________ __________________________________________________________________________________ 3) My witness is:_______________________________________________________________________ __________________________________________________________________________________ My witness will testify that: ____________________________________________________________ __________________________________________________________________________________ 4) My witness is:_______________________________________________________________________ __________________________________________________________________________________ My witness will testify that: ____________________________________________________________ __________________________________________________________________________________ 5) My witness is:_______________________________________________________________________ __________________________________________________________________________________ My witness will testify that: ____________________________________________________________ __________________________________________________________________________________ If you have more witnesses, add another page, and put on the title “More Witnesses, Attachment A”. Continue the Witness List, beginning with no. 6. Local Court Form – Optional GC-12 New 7/12/12 Mandatory – Local Court Rule 5(K)(2) American LegalNet, Inc. www.FormsWorkFlow.com Page 1 of 3 B. MY EXHIBITS: (List the exhibits that you plan to show to the judge at the trial; also write a brief sentence of what the exhibit will prove. Exhibits include photographs, certificates from programs you attended, school papers, doctor’s reports, drug rehabilitation documents, etc. They are any documents or things you want to show to the judge to prove your side.) 1) My exhibit is: _______________________________________________________________________ __________________________________________________________________________________ It proves that: ______________________________________________________________________ __________________________________________________________________________________ 2) My exhibit is: _______________________________________________________________________ __________________________________________________________________________________ It proves that: ______________________________________________________________________ __________________________________________________________________________________ 3) My exhibit is: _______________________________________________________________________ __________________________________________________________________________________ It proves that: ______________________________________________________________________ __________________________________________________________________________________ 4) My exhibit is: _______________________________________________________________________ __________________________________________________________________________________ It proves that: ______________________________________________________________________ __________________________________________________________________________________ 5) My exhibit is: _______________________________________________________________________ __________________________________________________________________________________ It proves that: ______________________________________________________________________ __________________________________________________________________________________ 6) My exhibit is: _______________________________________________________________________ __________________________________________________________________________________ It proves that: ______________________________________________________________________ __________________________________________________________________________________ 7) My exhibit is: _______________________________________________________________________ __________________________________________________________________________________ It proves that: ______________________________________________________________________ __________________________________________________________________________________ If you have more exhibits, add another page, and put on the title “More Exhibits, Attachment B”. Continue the Exhibits List, beginning with no. 8. Local Court Form – Optional GC-12 New 7/12/12 Mandatory – Local Court Rule 5(K)(2) American LegalNet, Inc. www.FormsWorkFlow.com Page 2 of 3 C. It is in the best interests of the child(ren) that the child(ren) be with me because: ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ Date:________________ __________________________________ ___________________________________ TYPE OR PRINT NAME YOUR NAME SIGN YOUR NAME I AM THE Local Court Form – Optional GC-12 New 7/12/12 PETITIONER OBJECTOR Mandatory – Local Court Rule 5(K)(2) American LegalNet, Inc. www.FormsWorkFlow.com Page 3 of 3