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: CASE NUMBER: SUPPLEMENT TO PETITION FOR PROBATE RE HEIRS AND NEXT OF KIN (Items 6 and 8 of Petition for Probate) HEARING DATE: DEPT.: TIME: Petitioner, (Name) , hereby supplements her/his response to item 6 of his/her Petition for Probate filed herein as follows: Check the box of the first numbered statement that applies: 1. 2. 3. 4. 5. 6. 7. Decedent was survived by one or more parents. Both of decedent's parents are deceased, but decedent was survived by brothers, sisters, nieces, nephews, or other issue of the decedent's deceased parents. Decedent was not survived by any of the persons listed in 1 or 2 above, but was survived by grandparents, aunts, uncles, or cousins. Decedent was not survived by any of the persons listed in 1, 2, or 3 above, but was survived by next of kin. Decedent was not survived by any of the persons listed in 1 through 4 above, but was survived by children or grandchildren of a predeceased spouse. Decedent was not survived by any of the persons listed in 1 through 5 above, but was survived by parents of a predeceased spouse or their issue. Decedent was not survived by any known next of kin, nor next of kin of a predeceased spouse. Supplement to Petition for Probate re Heirs and Next of Kin PRO 032 02/12 PC 8802, 10450 Page 1 of 2 American LegalNet, Inc. www.FormsWorkFlow.com The names, ages, addresses, and relationship to decedent of all of the persons referred to in the boxes checked above are listed: in item 8 of the petition. in an attachment to this supplement. 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 or Printed Name) Supplement to Petition for Probate re Heirs and Next of Kin PRO 032 02/12 PC 8802, 10450 Page 2 of 2 American LegalNet, Inc. www.FormsWorkFlow.com