Name, Address and Telephone Number of Attorney(s) Space Below for Use of Court Clerk Only Attorney(s) for SUPERIOR COURT OF CALIFORNIA, COUNTY OF SAN BERNARDINO Estate of NO. Deceased. DECLARATION FOR FINAL DISCHARGE The undersigned hereby states. That is the entitled estate; that distribution has been made of all the property and assets of said estate in accordance with the decree therefor made; that all money, stocks, bonds and other personal property have been delivered to the distributees as ordered by said decree and receipts of the respective distributees therefor are now on file; and that has performed all acts lawfully required of as such Recorder’s Instrument No. I declare under penalty of perjury that the foregoing is true and correct and this declaration was executed on (Insert date): , California. at (Insert place): (Signature) NOTE: Declaration under penalty of perjury is acceptable only if executed in the State of California, NOTE: If there is no personal property, or the fiduciary is the sole distributee, the declarant must so allege. The decree of distribution must be recorded in every county where land is located which is subject to the decree and the declarant must so allege showing the Book and Page of such recordation(s). FINAL DISCHARGE It appearing that the foregoing has performed all acts lawfully required of as such IT IS ORDERED, ADJUDGED AND DECREED: that said is discharged as such and sureties are hereby released from liability for acts subsequent hereto. Dated: Judge of the Superior Court FINAL DISCHARGE 06-771-356 Rev. 7/91 SB-771 2000 (C) American LegalNet, Inc.