ATTACHMENT PB-4040 ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar Number and Address): FOR COURT USE ONLY TELEPHONE NUMBER: EMAIL ADDRESS (Optional): ATTORNEY FOR (Name): FAX NUMBER (Optional): SUPERIOR COURT OF CALIFORNIA, COUNTY OF SANTA CLARA MAILING ADDRESS; CITY AND ZIP CODE: DIVISION: 191 North First Street San José, California 95113 Probate Division CONSERVATORSHIP OF (name): CASE NUMBER: PETITION TO REMOVE CONSERVATOR I, (my name) I am a: Conservator Other: , declare: I am petitioning to remove (name) conservator for the following reasons: as Check here if you need more space. Continue to explain on a separate piece of paper and attach it to this page. I declare under penalty of perjury of the laws of the State of California that the foregoing is true and correct of my own knowledge. Today's date PB-4040 REV 01/01/13 Print your name here Sign your name here Page 1 of 1 www.courtinfo.ca.gov American LegalNet, Inc. www.FormsWorkFlow.com PETITION TO REMOVE CONSERVATOR (PROBATE)