SUPERIOR COURT, COUNTY OF RIVERSIDE, STATE OF CALIFORNIA Riverside: 4050 Main Street, Riverside, CA 92502 Hemet: 880 N. State Street, Hemet, CA 92543 Riverside Family Law: 4175 Main Street, Riverside, CA 92501 Palm Springs: 3255 E. Tahquitz Canyon Way, Palm Springs, CA 92262 FOR COURT USE ONLY ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number; and address): FAX NO. (Optional ): TELEPHONE NO: E MAIL ADDRESS ( Optional) ATTORNEY FOR ( Name): PETITIONER IN PROPRIA PERSONA: (Yes/No) PETITIONER: IN THE MATTER OF THE CONSERVATORSHIP GUARDIANSHIP OF: Case Number: Hearing Date: Time: Department: FINANCIAL DOCUMENT(S) COVER SHEET Probate Code § 2620(c), Local Rule 6.0107 NOTICE TO PETITIONER All original documents submitted by fiduciaries in support of their accountings as required by Probate Code 2620(c), including financial account statements, original closing escrow statements, and original residential care facility or longterm care facility bills must be lodged separately from the accounting as a confidential document complying with California Rules of Court, Rule 2.100 et seq. To facilitate scanning, the document must be loosely bound and not stapled. The caption page for the document must include a statement regarding the total number of pages (including the cover sheet) submitted and a declaration by the fiduciary under penalty of perjury stating the documents attached are the originals. To facilitate return of the original document, the fiduciary must submit, at the time of filing, a self-addressed envelope with sufficient postage for mailing the documents or an attorney service pick up slip. Documents scanned by the Court shall constitute the Court's permanent record of such documents. After the documents are scanned, the Clerk is authorized to return the documents to the fiduciary. The court will retain the documents in electronic form only. The fiduciary must retain the originals until the order approving the final account is final. (Local Rule 6.0107) 1. Private Professional, Conservator, Guardian or Trustee: Name: Telephone Number: Address: 2. Number of pages, including this cover sheet, being submitted: I declare under penalty of perjury that the documents lodged with this cover sheet are the originals. Date Signature (private professional, conservator, guardian or trustee) For Court Use Only The documents are returned this date by: Date: mail, or pick-up instructions. By: Deputy Clerk Form# RI-P34 Rev. 07/20/2010 FINANCIAL DOCUMENT(S) COVER SHEET Probate Code §2620, California Rules of Court, Rule 2.100, Local Rule 6.0107 RI-P34 American LegalNet, Inc. www.FormsWorkFlow.com