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SUPERIOR COURT OF CALIFORNIA COUNTY OF MENDOCINO UKIAH Courthouse 100 North State Street Ukiah, CA 95482-0337 TEN MILE Branch 700 South Franklin Street Fort Bragg, CA 95437 For Court Use Only In the matter of the Guardianship of: ORDER for PAYMENT of GUARDIANSHIP INVESTIGATION FEES CASE NUMBER: Pursuant to Probate Code § 1513.1 and Local Rule 19.5.1, based on a financial assessment, following a hearing on , IT IS SO ORDERED: 1) Expenses incurred for the: investigation or review conducted in this matter by the Court Investigator shall be paid to the Clerk of the Court as follows: a. b. c. 2) Parent (name): Parent (name): Guardian (name): Guardian (name): Estate of the ward Amount: $ Amount: $ Amount: $ Amount: $ Amount: $ Expenses incurred for the: investigation or review are waived based on the Court's determination that the assessment of any part of the $500.00 fee ($200 for review) would impose a hardship on the ward or the ward's estate. Dated: Judge of the Superior Court of Mendocino County cc: Christine Flynn, Probate Guardianship Investigator MPB-152 (rev 110116) American LegalNet, Inc. www.FormsWorkFlow.com