Request For Waiver Or Deferment Of Court Investigator Fees Download Free Print-Only PDF OR Purchase Interactive PDF Version of this Form
Request For Waiver Or Deferment Of Court Investigator Fees Form. This is a California form and can be use in Alameda Local County.
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Tags: Request For Waiver Or Deferment Of Court Investigator Fees, California Local County, Alameda
Alameda County Superior Court Court Investigator's Office Berkeley Courthouse 2120 Martin Luther King, Jr. Way Berkeley, CA 94704 510-636-8820 Fax: 510-451-2269 REQUEST FOR DEFERMENT OF COURT INVESTIGATOR FEES I, ______________________________________(Name of Conservator) am the conservator of the person and/or estate of: Case No.: ________________________________________. I would like to request a waiver or deferment of the Court Investigator fees ordered paid in this matter. The payment of the fees would be a hardship to the conservatee or their estate. The request for waiver or deferment is based on the following information about the conservatee's assets: 1. 2. 3. 4. 5. The conservatee is / is not receiving Medi-Cal benefits. The conservatee's monthly income is $____________. The conservatee's liquid (cash) assets are currently valued at $____________. The conservatee owns / does not own any interest in real property. The conservatee is / is not the beneficiary of a trust. The conservatee's financial interest (Name of Conservatee), in the trust is valued at $_________________. I understand that I have a duty to notify the court of changed circumstances that may affect my eligibility for a deferment of fees. I declare under penalty of perjury under the laws of the State of California that the foregoing information is correct and true. DATE:__________________ SIGNATURE:_________________________________, Conservator BASED ON THE FOREGOING , THE COURT INVESTIGATION FEE IS: Deferred and payable upon the conservatee's death or upon liquidation of property. Waived Other___________________________________________________ Date: ________________ __________________________, Court Investigations Manager CI Revised 1 31 14 American LegalNet, Inc. www.FormsWorkFlow.com