CONFIDENTIAL--FOR COURT USE ONLY SUPERIOR COURT OF CALIFORNIA, COUNTY OF STANISLAUS Street Address: 800 11th Street, Modesto, CA 95354 Civil Clerk' Office: 1100 I Street, P.O. Box 1098, Modesto, CA 95353 FOR COURT USE ONLY, DO NOT FILE OR LODGE IN CASE FILE CERTIFYING ATTORNEY (Name): State Bar No.: ANNUAL CERTIFICATION OF COURT APPOINTED ATTORNEY CONCERNING CONTINUING EDUCATION NOTICE TO ATTORNEYS APPOINTED BY THE COURT IN PROBATE CONSERVATORSHIPS AND GUARDIANSHIPS 1. Beginning in 2008, you must complete three hours of continuing education each calendar year that qualifies for mandatory continuing legal education credit for California State Bar­certified specialists in estate planning, trust, and probate law. (See Cal. Rules of Court, rule 7.1101(f).) 2. Beginning in 2009, you must certify to the court before the end of March of each year that you completed the required continuing education during the previous calendar year. (See rule 7.1101(h) (4).) I certify as follows (check all boxes that apply): 1. a. b. I have no disciplinary proceedings pending with the California State Bar and have had no discipline imposed since the date of my qualification certification or my last continuing education certification. I have a disciplinary proceeding pending with the California State Bar or have had discipline imposed since the date of my qualification certification or my last continuing education certification. The circumstances are described in Attachment 1c. My professional liability insurance or self-insurance program coverage has not changed since the date of my qualification certification or my last continuing education certification. My professional liability insurance or self-insurance program coverage has changed since the date of my qualification certification or my last continuing education certification. My current coverage is described in Attachment 2b. as stated in my qualification certification or last continuing education certification. 2. a. b. 3. My contact information is a. b. as follows Firm or employer name: Address: c. Telephone number: 4. d. Fax number: e. E-mail address: During calendar year, I completed a total of (specify):______ hours of continuing education that qualifies for mandatory continuing legal education credit for State Bar-certified specialists in estate planning, trust, and probate law, as follows: Provider Subject Hours _________ _________ _________ Total hours: _________ I certify that the foregoing is true and correct. Dated: ___________________________________________________________________________________________________________ ANNUAL CERTIFICATION OF COURT­APPOINTED ATTORNEY CONCERNING CONTINUING EDUCATION Adopted for Mandatory use 1471; Stanislaus County Local Form No. PR005 Court.7.1101 Probate Code §§ 1456, 1470, California Rules of August 2008 American LegalNet, Inc. www.FormsWorkflow.com CONFIDENTIAL--FOR COURT USE ONLY _______________________________________________ (TYPE OR PRINT NAME OF CERTIFYING ATTORNEY) _________________________________________________________ (SIGNATURE) ___________________________________________________________________________________________________________ ANNUAL CERTIFICATION OF COURT­APPOINTED ATTORNEY CONCERNING CONTINUING EDUCATION Adopted for Mandatory use 1471; Stanislaus County Local Form No. PR005 Court.7.1101 Probate Code §§ 1456, 1470, California Rules of August 2008 American LegalNet, Inc. www.FormsWorkflow.com