ATTORNEY OR PARTY WITHOUT ATTORNEY (Name & Address): FOR COURT USE ONLY Telephone No.: E-Mail Address: ATTORNEY FOR (Name): Fax No.: Bar No: SUPERIOR COURT OF CALIFORNIA, COUNTY OF ORANGE CENTRAL JUSTICE CENTER 700 Civic Center Drive West Santa Ana, CA 92701-4045 IN THE MATTER OF THE ESTATE OF: WARD/CONSERVATEE EX PARTE PETITION TO DISPENSE WITH ACCOUNTING AND ORDER THEREON (Probate Code section 2628) CASE NUMBER: 1. I am the duly appointed and acting conservator/guardian of the estate for the above-named person. 2. Petitioner's accounting, if presented, would cover the period from and including . through 3. The estate at the beginning and end of the accounting period for which an account is otherwise required consisted of property, exclusive of the residence of the ward or conservatee, of a total net value of less than $15,000.00. 4. The income of the estate for each month of the accounting period, exclusive of public benefit payments, was less than $2,000.00. 5. All income of the estate during the accounting period, if not retained, was spent for the benefit of the ward or conservatee. The ending net value of the estate for this accounting period, exclusive of the . ward's or conservatee's residence, was $ WHEREFORE, petitioner prays that notice of hearing be dispensed with; that an order be made dispensing with accounts; and for further relief as the Court deems proper. I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Date: __________________ _________________________________________________ (Signature of Petitioner) ORDER Upon consideration of the above petition, the Court orders that the guardian or conservator need not present an accounting in this case so long as all of the conditions specified in Probate Code section 2628 are satisfied, or until further order of the Court. Date: __________________ ________________________________________ Judge/Commissioner of the Superior Court Approved for Optional Use L-890 (New February 9, 2017) EX PARTE PETITION TO DISPENSE WITH ACCOUNTING AND ORDER THEREON Probate Code § 2628 www.occourts.org American LegalNet, Inc. www.FormsWorkFlow.com