SUPERIOR COURT OF CALIFORNIA, COUNTY OF RIVERSIDE TEMECULA 41002 County Center Dr., #100, Temecula, CA 92591 RIVERSIDE 4050 Main St., Riverside, CA 92501 RI-PR078 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 TO SET ASIDE EXEMPT PROPERTY Probate Code 2476510 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 the decedent): 2. Petitioner requests an order setting aside the following personal property of decedent, which is exempt by law from exe cution (see CCP 247247695.010 226 695.070, 703.010 226 704.995, and 706.050 226 706.051): 3. Petitioner alleges the property described above at item 2 should be set aside for the following reasons: 4. a. Decedent died leaving 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 issued on (date): Page 1 of 2 Approved for Optional Use Riverside Superior Court Form RI-PR078 [Rev. 05/11/16] PETITION TO SET ASIDE EXEMPT PROPERTY Probate Code 2476510 Pro bate Code 2476510 riverside.courts.ca.gov/localfrms/localfrms.shtml American LegalNet, Inc. www.FormsWorkFlow.com IN THE MATTER OF: CASE NUMBER: 7. Inventory and Appraisal was filed on: which shows the appraised value of the estate to be: and the character of the estate to be dec edent222s separate property; community property; quasi - community property; or combination of separate and community or quasi - community property. 8. The estimat ed debts/creditors of the estate are as follows: 9. Request for Special Notice: has been filed by: or has not been filed 10. The decedent222s heirs/beneficiaries entit led 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-PR078 [Rev. 05/11/16] PETITION TO SET ASIDE EXEMPT PR OPERTY Probate Code 2476510 Probate Code 2476510 riverside.courts.ca.gov/localfrms/localfrms.shtml American LegalNet, Inc. www.FormsWorkFlow.com