ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, address and telephone #): FOR COURT USE ONLY STATE BAR NO: ATTORNEY FOR (Name): SUPERIOR COURT OF CALIFORNIA, COUNTY OF MARIN 3501 Civic Center Drive P.O. Box 4988 San Rafael, CA 94913-4988 IN THE MATTER OF THE ESTATE OF , Deceased ORDER APPOINTING REFEREE CASE NUMBER: IT IS HEREBY ORDERED THAT ________________________________________________________, one of the inheritance tax referees provided for by law, is appointed to appraise the above entitled estate and is hereby authorized to fix the clear market value of the property of said estate at the date of death of the decedent, or at any time subsequent thereto as provided by law, and to appraise all inheritances, interests, transfers and property of said estate subject to the payment of inheritance tax under the laws of the state of California. Date: __________________________ _______________________________________________ JUDGE/COMMISSIONER OF MARIN SUPERIOR COURT PR010WB ORDER APPOINTING REFEREE Rev. 7/07 American LegalNet, Inc. www.FormsWorkflow.com