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: GUARDIANSHIP OF CONSERVATORSHIP OF THE PERSON OF ESTATE OF _____________________________________________________________________________________________ (Name) CASE NUMBER: NOTIFICATION OF DEATH OF CONSERVATEE OR MINOR DEPT.: JUDGE: 1. Declarant is (check one): the guardian the conservator the attorney for the guardian/conservator other in the above-entitled matter. 2. 3. The conservatee/minor died on: (Date) Proof of service of this Notification of Death of Conservatee or Minor is attached hereto, showing service on: (a) the Probate Investigator's Office, 111 North Hill Street, Room 250, Los Angeles, CA 90012, and (b) all interested parties. I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Dated: (Signature of Guardian/Conservator or Attorney for Guardian/Conservator) (Type or Print Name) Notification of Death of Conservatee or Minor PRO 046 Rev. 2-1-12 PC 1600, 1860 American LegalNet, Inc. www.FormsWorkFlow.com