Attorney (or Party Without Attorney) Telephone No. Attorney for SUPERIOR COURT OF CALIFORNIA, COUNTY OF Street Address: Mailing Address: City and Zip Code: Branch Name: ESTATE OF Decedent . STATEMENT AND REQUEST FOR WAIVER OF PROBATE REFEREE Probate Code 8903 CASE NUMBER and NOTICE OF HEARING THEREON is not* appointed under IAEA) files herewith a proposed Inventory and Appraise1. Petitioner (who is ment of all assets of the estate and the fair market value therof. 2. Petitioner seeks a waiver of the appointment of a probate referee and sets forth facts of good cause for waiver as follows: I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct and that this declaration was executed on (date) at , California. (Signature of Petitioner) NOTICE OF HEARING NOTICE IS GIVEN that there has been filed the above Statement and Request for Waiver of Probate Referee. A hearing on this matter will be held on (date) at (time) in Department located at County Courthouse, 222 E. Weber Avenue, Stockton, California. Dated: Clerk, by , Deputy * Filing fee is required unless "is" box is checked. (OVER FOR PROOF OF SERVICE BY MAIL) Sup. Ct. 136 (9/90) 2000 (C) American LegalNet, Inc. PROOF OF SERVICE BY MAIL I am over the age of 18 and not a party to this cause. I am a resident of, or employed in, the county where the mailing occurred. My residence or business address is: Pursuant to Probate Code 8903 I served (1) the Statement, and Notice of Hearing and (2) a proposed Inventory, showing proposed appraised values, by enclosing a true copy of each in a sealed envelope addressed to each person whose name and address is given below and depositing the envelope in the United States mail with the postage fully prepaid. (1) Date of deposit: (2) Place of deposit (city and state): I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct (date). and that this declaration was executed on (Type or Print Name) (Signature of Declarant) 2000 (C) American LegalNet, Inc.