NAME, ADDRESS, AND TELEPHONE NUMBER OF ATTORNEY OR PARTY WITHOUT ATTORNEY: STATE BAR NUMBER Reserved for Clerk's Received Stamp ATTORNEY FOR (Name): SUPERIOR COURT OF CALIFORNIA, COUNTY OF LOS ANGELES COURTHOUSE ADDRESS: IN RE THE ESTATE PLANNING DOCUMENT OF: NOTICE OF DEPOSIT OF ESTATE PLANNING DOCUMENTS AND ACKNOWLEDGMENT (Pursuant to Probate Code §732) TO THE CLERK OF THE SUPERIOR COURT: In accordance with the provision of Probate Code §732(c), the estate planning documents listed below are submitted for deposit. (Attach an additional page if necessary): ______________________________ ___________________________________________________________________________________. I CERTIFY THAT: 1. I am the attorney with whom these documents have been on deposit. I am a person authorized under Probate Code §735, to wit: ______________________________ ________________________________________________________________________________. 2. I mailed Notice of Termination of Deposit on _________________________________________ to the original depositor named above at the last known address as follows (separate notice per depositor): 3. The above listed documents do not include any will, codicil, or trust of a deceased person. 4. The Estate Planning Documents are submitted for deposit because attorney ______________________________________________, Bar No. ____________________, with whom these documents were on deposit, is now; Deceased. Date of death: ______________________. Lacks legal capacity. Is no longer an active member of the State Bar. More than 90 days have passed since giving notice. As of this date, the depositor has not claimed the document(s). It is requested that the Clerk of the Superior Court accept this/these document(s) for deposit at a fee of $20.00 per document x _____ (number of documents) for a total of $ __________. I acknowledge that I am required pursuant to Probate Code §733 to mail Notice of Transfer to the State Bar. Dated: ________________________________________________ Signature NOTICE AND ACKNOWLEDGMENT The estate planning documents listed herein have been deposited with the Clerk of the Superior Court, County of Los Angeles, pursuant to Probate Code §732(c). SHERRI R. CARTER, Executive Officer/Clerk Dated: by: _________________________________________, Deputy NOTICE OF DEPOSIT OF ESTATE PLANNING DOCUMENTS AND ACKNOWLEDGMENT PRO 011 (Rev. 07/13) Probate Code §732 American LegalNet, Inc. www.FormsWorkFlow.com