MARIN COUNTY SUPERIOR COURT INFORMATION FORM ON CONSERVATORSHIPS/GUARDIANSHIPS CASE NAME CONSERVATORSHIP CASE NUMBER PERSON ESTATE GUARDIANSHIP DATE APPOINTED DATE OF HEARING (FOR COURT USE ONLY) PERSON ESTATE NEW INFORMATION CONSERVATEE/WARD NAME ADDRESS CITY STATE ZIP CODE AREA CODE PHONE NUMBER COUNTY DECEASED DATE OF DEATH COUNTY OF DEATH YES NO ATTORNEY FOR CONSERVATEE/WARD NAME ADDRESS CITY STATE ZIP CODE AREA CODE PHONE NUMBER CONSERVATOR/GUARDIAN NAME RELATIONSHIP TO CONSERVATEE/WARD ADDRESS CITY STATE ZIP CODE AREA CODE PHONE NUMBER COUNTY ATTORNEY FOR CONSERVATOR/GUARDIAN NAME ADDRESS CITY STATE ZIP CODE AREA CODE PHONE NUMBER FINANCIAL INFORMATION TYPE OF TRUST APPROXIMATE VALUE OF TRUST LIVING NAME OF TRUSTEE IRREVOCABLE SPECIAL NEEDS IS THERE A WILL? DATE TRUST/WILL ESTABLISHED YES ADDRESS CITY NO STATE ZIP CODE AREA CODE PHONE NUMBER INSTRUCTIONS 1) To be completed by Conservator, Guardian or Attorney for Conservator/Guardian upon filing of Order of Appointment of Conservator/ Guardian. 2) To be completed by Conservator, Guardian or Attorney for Conservator/Guardian upon filing of each accounting. NOTE The court must be notified immediately of any change of the above information. Forward to Marin County Superior Court, Probate Clerk's Office, Room 113, San Rafael, CA 94903 PR006WB Rev. 7/07 American LegalNet, Inc. www.FormsWorkflow.com