EX PARTE PETITION TO DISPENSE WITH ACCOUNTING AND ORDER Local Form (Rev. 6/10/11) Pr.C.2472628 Local Rule 20-1406 1 ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address): TELEPHONE NO.: FAX NO. (Optional): E-MAIL ADDRESS (Optional): ATTORNEY FOR (Name): FOR COURT USE ONLY SUPERIOR COURT OF CALIFORNIA, COUNTY OF SAN BERNARDINO STREET ADDRESS: MAILING ADDRESS: CITY AND ZIP CODE: BRANCH NAME: CONSERVATORSHIP GUARDIANSHIP OF (Name): EX PARTE PETITION TO DISPENSE WITH ACCOUNTING AND ORDER (Probate Code 2472628) CASE NUMBER: 1.I am (we are) now the duly appointed, qualified, and acting conservator(s)/guardian(s) of the estate of saidconservatee/minor(s).2.Petitioner222s accounting, if presented, would cover the period from [date] through andincluding [date].3.The estate at the beginning and end of this period of account consisted of property of a total net value of lessthan $15,000.00 and the property on hand at the end of this accounting period is $.4.Income of the estate for each month of this period of account, exclusive of public benefit payments, was lessthan $2,000.00. All of the income of the estate during this period of account, if not retained, was spent for thebenefit of the conservatee/minor.5.During this period of account, petitioner has managed and administered the conservatee222s estate withordinary care and diligence, has provided for the conservatee222s/minor222s care, has paid the expenses of saidcare, has collected assets of the estate, and has provided for their safekeeping. Petitioner is not requestingcompensation.6.During the accounting period, the conservatee/minor has resided at.7.No Request for Special Notice has been filed in this matter.Request for Special Notice has been filed and notice has been given to .8.All attachments to this form are incorporated by this reference as though placed here in this form. Check here if attachments are included. There are pages attached to this form. I DECLARE UNDER THE PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF CALIFORNIA THAT THE FOREGOING IS TRUE AND CORRECT. Date: (TYPE OR PRINT NAME OF CONSERVATOR(S)/GUARDIAN(S)) (SIGNATURE OF CONSERVATOR(S)/GUARDIAN(S)) American LegalNet, Inc. www.FormsWorkFlow.com CONSERVATORSHIP/GUARDIANSHIP OF (Name): CASE NUMBER: EX PARTE PETITION TO DISPENSE WITH ACCOUNTING AND ORDER Local Form (Rev. 6/10/11) Pr.C.2472628 Local Rule 20-1460 2 PROOF OF SERVICE 1.I am over the age of 18 and am not a party in this case. I live or work in the county where the mailing occurred.2.My (the server222s) home or business address is 3.I served the Ex Parte Petition to Dispense with Accounting and Order on each person named below by putting a copy in a sealedenvelope addressed as shown below ANDdepositing the sealed envelope with the United States Postal Service on the date and at the place shown in item 4 with the postage fully prepaid. placing the envelope for collection and mailing on the date and at the place shown in item 4 following our ordinary business practices. I am readily familiar with this business222s practice for collecting and processing correspondence for mailing. On the same day that correspondence is placed for collection and mailing, it is deposited in the ordinary course of business with the United State Postal Service in a sealed envelope with postage fully prepaid. 4.Date mailed: Place mailed (city, state) I DECLARE UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF CALIFORNIA THAT THE FOREGOING IS TRUE AND CORRECT. Date: (Print Server222s Name) (Server Signs Name) Name of Person Address Where it Was Mailed (CONSERVATEE/MINOR 12 OR OLDER) ORDER TO DISPENSE WITH ACCOUNT THE COURT FINDS that the facts stated in the forgoing Ex Parte Petition to Dispense with Accounting are true. THE COURT ORDERS THAT the Conservator/Guardian shall file a declaration in lieu of accounting annually so long as all the above conditions remain. The next annual declaration will be filed on . Date: JUDICIAL OFFICERSIGNATURE FOLLOWS LAST ATTACHMENT American LegalNet, Inc. www.FormsWorkFlow.com