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: REPORT OF STATUS OF ADMINISTRATION (Probate Code § 12200 et seq.) INFORMATION TO THE PERSONAL REPRESENTATIVE OF THE ESTATE: You must give notice of this Status Report using form DE-120, and must include the following statement in no less than 10 point boldface type: YOU HAVE THE RIGHT TO PETITION FOR AN ACCOUNT UNDER SECTION 10950 OF THE CALIFORNIA PROBATE CODE. (Prob. Code, § 12201.) Petitioner (name): Estate of: 1. Decedent (name): date: in (place of death): , as Personal Representative of the alleges: died testate intestate on , being a resident of the County of San Luis Obispo, State of California, at the time of his or her death. 2. Decedents will dated: and codicil(s) dated: was/were admitted to probate by order of this court on (date petition was granted): Petitioner qualified as personal representative and letters were issued to Petitioner on At all times since then, Petitioner has been and now is the duly qualified personal representative of Decedent's estate. Page 1 of 2 Form Adopted for Optional Use San Luis Obispo Superior Court Local Form PR003 Rev. 8/31/12 REPORT OF STATUS OF ADMINISTRATION Probate Code § 12200 et seq. American LegalNet, Inc. www.FormsWorkFlow.com ESTATE OF: CASE NUMBER: 3. A brief status of the administration of the estate is as follows: 4. The estate is not in a condition to close for the following reason(s): 5. 6. The estimated time it will take to close administration of the estate is: This is the (number) status report filed for this estate. THEREFORE, Petitioner prays for 7. An order from this court granting an extension of time of administration of the estate. Such further orders as the court may deem just and proper. to close 8. Date: (TYPE OR PRINT NAME OF ATTORNEY) (SIGNATURE OF ATTORNEY) I declare under penalty of perjury that the foregoing is true and correct. (TYPE OR PRINT NAME OF PETITIONER) (SIGNATURE OF PETITIONER) (TYPE OR PRINT NAME OF PETITIONER) (SIGNATURE OF PETITIONER) Page 2 of 2 Form Adopted for Optional Use San Luis Obispo Superior Court Local Form PR003 Rev. 8/31/12 REPORT OF STATUS OF ADMINISTRATION Probate Code § 12200 et seq. American LegalNet, Inc. www.FormsWorkFlow.com