NAME, ADDRESS, AND TELEPHONE NUMBER OF ATTORNEY OR PARTY WITHOUT ATTORNEY: STATE BAR NUMBER FOR COURT USE ONLY TELEPHONE NO.: E-MAIL ADDRESS (Optional): ATTORNEY FOR (Name): SUPERIOR COURT OF CALIFORNIA, COUNTY OF LOS ANGELES COURTHOUSE ADDRESS: ESTATE OF: DECEDENT CONSERVATEE MINOR CASE NUMBER: APPLICATION FOR NUNC PRO TUNC ORDER Applicant, (name) hereby requests a nunc pro tunc order to ______ issued by (title of order to be corrected) correct a clerical error in the this court on (date of order to be corrected) as follows: The order should be corrected by striking the following: 1. 2. And inserting in lieu thereof the following: 3. A declaration in support of this Application is attached hereto. Dated: (signature of applicant) (type or print applicant's name) PRO 027 02/12 Application for Nunc Pro Tunc Order LASC Rule 10.20(f) American LegalNet, Inc. www.FormsWorkFlow.com