ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar Number and Address) FOR COURT USE ONLY TELEPHONE NO.: E-MAIL ADDRESS (Optional): ATTORNEY FOR (Name): FAX NO. (Optional): SUPERIOR COURT OF CALIFORNIA, COUNTY OF SAN LUIS OBISPO STREET ADDRESS: MAILING ADDRESS: CITY AND ZIP CODE: BRANCH NAME: 1035 Palm Street, Room 385 Same as above San Luis Obispo, CA 93408 San Luis Obispo Division ESTATE OF: Hearing Date: Time: CASE NUMBER: Department: ORDER ON FIRST AND FINAL REPORT OF PERSONAL REPRESENTATIVE; PETITION FOR FINAL DISTRIBUTION ON WAIVER OF ACCOUNT AND FOR PAYMENT OF COMPENSATION (Probate Code Sections 10810, 11640, et seq) 1. The petition was heard as follows (complete boxes c and d to indicate personal presence): a.. Judge (name): b. Hearing date: c. Petitioner(s) (name): d. Attorney for Petitioner (name): The court finds: 2. All notices have been given as required by law. 3. The waiver of account or account is full, true and correct and is settled, allowed and approved as filed. Time: Dept.: 4. The balance of the estate on hand for distribution is $__________ , of which $ ____________ is cash. 5. Petitioner has performed all required duties a Personal Representative of the Estate. All costs of administration incurred to date, including costs of publication and the probate referee's fees have been paid. The estate is now in a condition to be closed. 6. a. b. Petitioner waives all rights to statutory compensation as Personal Representative. All rights to statutory fees have been waived by attorney (name): _______________. Page 1 of 2 Form Adopted for Optional Use San Luis Obispo Superior Court Local Form PR007 Rev. 8/31/12 ORDER ON FIRST AND FINAL REPORT OF PERSONAL REPRESENTATIVE; PETITION FOR FINAL DISTRIBUTION ON WAIVER OF ACCOUNT AND FOR PAYMENT OF STATUTORY COMPENSATION American LegalNet, Inc. www.FormsWorkFlow.com ESTATE OF: CASE NUMBER: It is ordered that: 7. The report of the Personal Representative is approved. 8. All acts of the Petitioner as Personal Representative as reported are confirmed and approved. 9. The Personal Representative is ordered to pay himself or herself from the estate $ ___________ as statutory compensation for services rendered to the estate and $ ________ as compensation for extraordinary services. The Personal Representative is ordered to pay Attorney (name): _________________ from the estate the sum of $ _______________ as statutory compensation for services rendered to the estate, $ _____________ as compensation for extraordinary services, and $ _____________________ as costs. 10. 11. The Personal Representative is authorized to retain the sum of $ costs. _________________ as a reserve for closing 12. The Personal Representative has the following assets on hand for distribution as listed on Attachment 12. (If real property, include address, legal description, and Assessor's parcel number). 13. The assets are distributed as follows: Name Relationship to Decedent Age Share of Estate/Asset to be Distributed Continued in Attachment 13. 14. Any other property of the Estate acquired or discovered after this order is made, including any unused portion of the reserve for closing costs, shall be distributed as follows: Same distribution as identified in Paragraph 13, above. OR Name Relationship to Decedent Age Share of Estate Continued in Attachment 14. 15. Other orders as listed on Attachment 15. Dated: JUDGE OF THE SUPERIOR COURT Page 2 of 2 Form Adopted for Optional Use San Luis Obispo Superior Court Local Form PR007 Rev. 8/31/12 ORDER ON FIRST AND FINAL REPORT OF EXECUTOR/ADMINISTRATOR; PETITION FOR FINAL DISTRIBUTION ON WAIVER OF ACCOUNT AND FOR PAYMENT OF STATUTORY COMPENSATION American LegalNet, Inc. www.FormsWorkFlow.com