SUPERIOR COURT OF CALIFORNIA, COUNTY OF RIVERSIDE TEMECULA 41002 County Center Dr., #100, Temecula, CA 92591 RIVERSIDE 4050 Main St., Riverside, CA 92501 RI-PR079 ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar Number and Address) FOR COURT USE ONLY TELEPHONE NO.: FAX NO. (Optional): E - MAIL ADDRESS (Optional): ATTORNEY FOR (Name ): IN THE MATTER OF: CASE NUMBER: Hearing Date: Tim e: Department: PETITION FOR ORDER MODIFYING PERIOD OF TEMPORARY POSSESSION OF FAMILY DWELLING AND EXEMPT PROPERTY Probate Code 2472476500 226 6501 1. Petitioner (name): is: a. surviving spouse of the decedent b. registered domestic partner of the decedent c. minor child of the decedent d. interested party (relationship to decedent): 2. Petitioner requests an order (check all applicable boxes): a. to remain in the temporary possession of the family dwelling located at: with APN of: b. for possession of the wearing apparel of the family c. for possession of the household f urniture d. for possession of the decedent222s exempt personal property including (see CCP 247247695.010 226 695.070, 703.010 226 704.995, and 706.050 226 706.051): i. equity in motor vehicles ii. materials purchased to repair or improve a residence iii. jewelry, heirlooms, and art iv. personal property necessary and used in the exercise of a trade, business, or profession v. depos it account containing directly deposited social security payments vi. private retirement plan benefits vii. other (specify): 3. Petitioner requests to remain in possession of the property described in above section 2 for the following amount of time and for the following reason(s): Page 1 of 2 Approved for Optional Use Riverside Superior Court Form RI-PR079 [Rev. 05/11/16] PETITION FOR ORDER MODIFYING PERIOD OF TEMPORARY POSSESSION OF FAMILY DWELLING AND EXEMPT PROPERTY Probate Code 2472476500 226 6501 Probate Code 2472476500 - 6501 riverside.courts.ca.gov/localfrms/localfrms.shtml American LegalNet, Inc. www.FormsWorkFlow.com IN THE MATTER OF: CASE NUMBER: 4. a. Decedent died l eaving minor children and the minor children are to be included in this order. or b. Decedent died without leaving minor children and order only includes petitioner. 5. Decedent died on (date): 6. Letters were i ssued on (date): 7. a. Inventory and Appraisal was filed on: or b. No Inventory and Appraisal has been filed. 8. Request for Special Notice: has been filed by: or has not been filed 9. The decedent222s heirs/beneficiaries entitled to notice include the following (name, relationship, age (adult or minor as of date of death) ): I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Date: (PRINT NAME) (SIGNATURE) Page 2 of 2 Approved for Optional Use Riverside Superior Court Form RI-PR079 [Rev. 05/11/16] PETITION FOR ORDER MODIFYING PERIOD OF TEMPORARY POSSESSION OF FAMILY DWELLING AND EXEMPT PROPERTY Probate Code 2472476500 226 6501 Probate Code 2472476500 226 6501 riverside.courts.ca.gov/localfrms/localfrms.shtml American LegalNet, Inc. www.FormsWorkFlow.com