202-204 5M (Name, Address and Telephone No. of Attorney) (Space Below for Use of Court Clerk Only) Bar No.: SUPERIOR COURT OF THE STATE OF CALIFORNIA FOR THE COUNTY OF ALAMEDA In the matter of the No. (Deceased / minor / incompetent, etc. ) AFFIRMATION FOR FINAL DISCHARGE I solemnly affirm that: I am the (executor/administrator/guardian, etc.) of the above entitled estate; that I have, under approval, authori(executor/administrator/guardian, etc.) zation and order of the Court, paid all sums of money due from me as such and all required receipts and vouchers for same are on file in said estate; that distribution and delivery has been made of all the property and assets of said estate in accordance with the decree therefor made and that receipts from all the respective distributees are on file in said estate and that I have performed all acts lawfully required of me as such (executor/administrator/guardian, etc.) Executed at , California, on (Affiant) ORDER OF FINAL DISCHARGE It appearing from the aforesaid affirmation that the above entitled estate has been fully administered and that a final decree of discharge is in order. It is therefore ORDERED, ADJUDGED AND DECREED that as discharged (executor / administrator / guardian, etc. ) (name) of the above entitled estate is hereby released and (his / her) and that (he / she) and sureties are discharged and released from all liability to be incurred hereafter. Dated: Judge of the Superior Court AFFIRMATION AND ORDER OF FINAL DISCHARGE AL-204 2002 © American LegalNet, Inc.