SUPERIOR COURT OF CALIFORNIA, COUNTY OF BUTTE RULES (PR.010) Page 1 of 3 (A.D. 1-1-1) Optional COURT INVESTIGATOR INFORMATION SHEET ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address) : TELEPHONE: FAX NO. (Optional): ATTORNEY FO R (Name): FOR COURT USE ONLY SUPERIOR COURT OF CALIFORNIA, COUNTY OF BUTTE Butte County Courthouse North Butte County Courthouse One Court Street, Oroville, CA 95965 1775 Concord Avenue, Chico, CA 95928 (530) 532 - 7002 (530) 532 - 7002 PETITIONER/PLAINTIFF: RESPONDENT/DEFENDANT: OTHER: COURT INVESTIGATOR INFORMATION SHEET (PROBATE CODE 2471826) CASE NUMBER: GUARDIAN/CONSERVATOR: PLEASE PROVIDE ALL REQUESTED INFORMATION: 1.Proposed Guardian/Conservator: (a) Name: (b) Business Address: (c) Residence Address: (d) Telephone Business: Residence: 2.Proposed Ward/Conservatee: (a) Address: (b) Present Location (if not at above address): (c) Telephone for 2a: for 2b: (d) Name of Facility if other than private home: (e) Person in charge of 2d: 3. (a) Address: City: State: (b) Telephone Business: Residence: 4. State any other information you believe should be available to the investigator: 5.(attach additional sheets as needed). This form completed by: (DATE) (PRINT NAME) (SIGNATURE) This form is to be filled in by typing or printing ONLY and submitted for filing prior to all scheduled reviews/investigations as ordered by the Court with the following : 1. With the proposed Order of Assignment of Guardian/Conservator if Ward/Conservatee will be able to attend the hearing . 2. With the filing of each annual accounting/report after the initial appointment in every case . 3. Upon any change of address of the Ward/Conservatee and/or the Guardian/Conservator American LegalNet, Inc. www.FormsWorkFlow.com SUPERIOR COURT OF CALIFORNIA, COUNTY OF BUTTE RULES (PR.010) Page 2 of 3 (A.D. 1-1-1) Optional COURT INVESTIGATOR INFORMATION SHEET Conservatorship/Guardianship of the Person Estate of: CASE NUMBER 1st and 2nd Degree relatives, neighbors, and close friends. (a) Name: Relationship to Ward/Conservatee: Business Address: Residence Address: Telephone: Business: Residence: (b) Name: Relationship to Ward/Conservatee: Business Address: Residence Address: Telephone: Business: Residence: (c) Name: Relationship to Ward/Conservatee: Business Address: Residence Address: Telephone: Business: Residence: (d) Name: Relationship to Ward/Conservatee: Business Address: Residence Address: Telephone: Business: Residence: (e) Name: Relationship to Ward/Conservatee: Business Address: Residence Address: Telephone: Business: Residence: (f) Name: Relationship to Ward/Conservatee: Business Address: Residence Address: Telephone: Business: Residence: (g) Name: Relationship to Ward/Conservatee: Business Address: Residence Address: Telephone: Business: Residence: (h) Name: Relationship to Ward/Conservatee: Business Address: Residence Address: Telephone: Business: Residence: American LegalNet, Inc. www.FormsWorkFlow.com SUPERIOR COURT OF CALIFORNIA, COUNTY OF BUTTE RULES (PR.010) Page 3 of 3 (A.D. 1-1-1) Optional COURT INVESTIGATOR INFORMATION SHEET Conservatorship/Guardianship of the Person Estate of: CASE NUMBER (i) Name: Relationship to Ward/Conservatee: Business Address: Residence Address: Telephone: Business: Residence: (j) Name: Relationship to Ward/Conservatee: Business Address: Residence Address: Telephone: Business: Residence: (k) Name: Relationship to Ward/Conservatee: Business Address: Residence Address: Telephone: Business: Residence: (l) Name: Relationship to Ward/Conservatee: Business Address: Residence Address: Telephone: Business: Residence: (m) Name: Relationship to Ward/Conservatee: Business Address: Residence Address: Telephone: Business: Residence: (n) Name: Relationship to Ward/Conservatee: Business Address: Residence Address: Telephone: Business: Residence: (o) Name: Relationship to Ward/Conservatee: Business Address: Residence Address: Telephone: Business: Residence: (p) Name: Relationship to Ward/Conservatee: Business Address: Residence Address: Telephone: Business: Residence: (Attach additional sheets as needed.) American LegalNet, Inc. www.FormsWorkFlow.com