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: CONSERVATORSHIP OF: CASE NUMBER: EX PARTE PETITION FOR AMENDED LETTERS TO ISSUE UPON DEATH RESIGNATION REMOVAL OF CO-CONSERVATOR(S) HEARING DATE: DEPT.: TIME: 1. 2. 3. 4. Petitioner(s), is/are the conservator of the (Name) person no estate of , conservatee. Is this a limited conservatorship? yes Petitioner(s) was/were appointed as co-conservators and letters issued on . (Date) , co-conservator: (Name) Died on Resigned, and his/her written resignation was filed with the court on (Date) Was removed as conservator pursuant to court order dated (Date) 5. Accordingly, amended letters, with all powers set forth in the Order Appointing Conservator dated , should issue to (Date) (Name) (Name) , the remaining co-conservator(s). 6. The conservatee is now living at: (Address) (Address) Ex parte Petition for Amended Letters PRO 029 02/12 PC 2105(d) Page 1 of 3 American LegalNet, Inc. www.FormsWorkFlow.com 7. All relatives of the conservatee within the second degree (brothers, sisters, parents, children, grandchildren, grandparents), all persons who have requested special notice, and all other persons or entities entitled to notice are listed in Exhibit A attached hereto. Check one: Notice of this petition will be given. Notice should be dispensed with as petitioner(s) is requesting only that amended letters be issued to the remaining conservator(s) as provided by Probate Code § 2105(d). WHEREFORE, petitioner(s) prays that: 8. 1. Amended letters of conservatorship of the (Name) person estate be issued to: 2. The court grant such other relief as it deems just and proper. Dated: (Signature) Petitioner (Typed Name) Dated: (Signature) Petitioner (Typed Name) I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct of my own personal knowledge, except as to matters stated on information and belief, and as to those matters I believe them to be true. Dated: (Signature) Petitioner (Typed Name) Ex parte Petition for Amended Letters PRO 029 02/12 PC 2105(d) Page 2 of 3 American LegalNet, Inc. www.FormsWorkFlow.com EXHIBIT A PERSONS ENTITLED TO NOTICE Following are all of the persons entitled to notice of this petition. Name Address Relationship Conservatee Spouse or registered domestic partner of conservatee (if any) Special Notice (check one): No requests for special notice have been filed herein. The following person(s) have requested special notice (list name(s)): Attach additional sheets if necessary. Additional sheets are attached. Ex parte Petition for Amended Letters PRO 029 02/12 PC 2105(d) Page 3 of 3 American LegalNet, Inc. www.FormsWorkFlow.com