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: MATTER OF: DECEDENT CONSERVATEE TRUST/OTHER CASE NUMBER: CONSENT TO SERVE I consent to serve as: Personal Representative of the Decedent Conservator of the Person of the Conservatee Conservator of the Estate of the Conservatee Trustee of the Subject Trust Other (specify) Executed at (City and State) on (Date) (Signature) (Type or Print Name) Consent to Serve PRO 026 Rev. 2-1-12 American LegalNet, Inc. www.FormsWorkFlow.com