Free 10-GC-400(A)(6).v4.101207.ofm - California

GC-400(A)(5)
CONSERVATORSHIP GUARDIANSHIP OF Conservatee Minor
CASE NUMBER:

(Name):

Schedule A, Receipts, Social Security, Veterans' Benefits, Other Public Benefits--Standard Account
Social Security, veterans' benefits, and other public benefit payments Date of Receipt
(mm/dd/yyyy)

Description *
* (Report receipts from each source separately.)

Amounts

$

Subtotal, Social Security, Veterans' Benefits, Other Public Benefits:

$

(Add pages as required. Check the box at the bottom of the last page of this receipt category and total the amount of the category. Include that sum in the total of receipts on line 3 of the Summary of Account (form GC-400(SUM)/GC-405(SUM)). The page total to the right is the number of pages in Schedule A.)
Form Approved for Optional Use Judicial Council of California GC-400(A)(5) [New January 1, 2008] Page A of pages

SCHEDULE A, RECEIPTS, SOCIAL SECURITY, VETERANS' BENEFITS, OTHER PUBLIC BENEFITS--STANDARD ACCOUNT
(Probate--Guardianships and Conservatorships)

Probate Code, §§ 1060­1064, 2620; Cal. Rules of Court, rule 7.575 www.courtinfo.ca.gov

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