Choose a location ATTORNEY OR PARTY WITHOUT ATTORNEY (NAME AND ADDRESS): FOR COURT USE ONLY TELEPHONE NO: EMAIL ADDRESS (Optional): ATTORNEY FOR (NAME): FAX NO. (Optional): SUPERIOR COURT OF CALIFORNIA, COUNTY OF SANTA BARBARA STREET ADDRESS: MAILING ADDRESS: CITY AND ZIP CODE: BRANCH NAME: ESTATE OF: HEARING DATE: TIME: DEPARTMENT: CASE NUMBER: ORDER ON FIRST AND FINAL REPORT OF PERSONAL REPRESENTATIVE; PETITION FOR FINAL DISTRIBUTION, AND FOR PAYMENT OF COMPENSATION (Probate Code Sections 10810, 11640, et seq) 1. The petition was heard as follows (check boxes c and d to indicate personal presence): a. Judge (name): b. Hearing date: c. d. Petitioner(s) name: Attorney for Petitioner name: Time: Dept: The Court finds: 2. All notices have been given as required by law. 3. The waiver of account or approved as filed. account is full, true and correct and is settled, allowed and 4. The balance of the estate on hand for distribution is $ is cash. , of which $ 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. Page 1 of 3 Optional Form SC-6029 (Adopted 1/1/2013) ORDER ON FIRST AND FINAL REPORT OF PERSONAL REPRESENTATIVE; PETITION FOR FINAL DISTRIBUTION AND FOR PAYMENT OF STATUTORY COMPENSATION PrC §§10831, 10951, 10954, 11640 American LegalNet, Inc. www.FormsWorkFlow.com ESTATE OF: CASE NUMBER: 6. a. Petitioner Representative. b. waives does not waive all rights to statutory compensation as Personal All rights to statutory fees have been waived by attorney (name): 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 a 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 $ as a statutory compenstiaon for services rendered to the estate and $ as compensation for extraordinary services, and $ as costs. as a 10. 11. The Personal Representative is authorized to retain the sum of $ reserve. 12. The Personal Representative has the following assets on hand for distribution: (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. Page 2 of 3 Optional Form SC-6029 (Adopted 1/1/2013) ORDER ON FIRST AND FINAL REPORT OF PERSONAL REPRESENTATIVE; PETITION FOR FINAL DISTRIBUTION AND FOR PAYMENT OF STATUTORY COMPENSATION PrC §§10831, 10951, 10954, 11640 American LegalNet, Inc. www.FormsWorkFlow.com ESTATE OF: CASE NUMBER: 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/Asset to be Distributed Continued in Attachment 14. 15. Other orders: Continued in Attachment 15. Dated: Judge of the Superior Court Page 3 of 3 Optional Form SC-6029 (Adopted 1/1/2013) ORDER ON FIRST AND FINAL REPORT OF PERSONAL REPRESENTATIVE; PETITION FOR FINAL DISTRIBUTION AND FOR PAYMENT OF STATUTORY COMPENSATION PrC §§10831, 10951, 10954, 11640 American LegalNet, Inc. www.FormsWorkFlow.com