VN084 ATTORNEY OR PARTY WITHOUT ATTORNEY Telephone Number FOR COURT USE ONLY Attorney for: SUPERIOR COURT OF CALIFORNIA, COUNTY OF VENTURA 800 SOUTH VICTORIA AVE., VENTURA, CA 93009 4353 E. VINEYARD AVE., OXNARD, CA. 93036 IN THE MATTER OF THE ESTATE OF: REQUEST AND ORDER APPOINTING PROBATE REFEREE CASE NUMBER: Request is made that a duly appointed, qualified and acting Probate Referee in and for the County of Ventura be appointed Probate Referee of the above estate. Dated: _____________________________ ____________________________________________ Signature of Attorney ORDER It is hereby ordered that ________________________________________________ , a duly appointed, qualified and acting Probate Referee in and for the above-name County, a disinterested person, competent and capable to act, be and is hereby appointed Probate Referee of the above estate. Dated: _____________________________ __________________________________________ Judicial Officer of the Superior Court Optional Form VN084 Rev.07/09 REQUEST AND ORDER APPOINTING PROBATE REFEREE American LegalNet, Inc. www.FormsWorkFlow.com